McCune v. United States Department of Justice

997 F. Supp. 2d 487, 2014 WL 461218, 2014 U.S. Dist. LEXIS 14205
CourtDistrict Court, S.D. Mississippi
DecidedFebruary 5, 2014
DocketCivil Action No. 3:11-CV-423 DCB MTP
StatusPublished

This text of 997 F. Supp. 2d 487 (McCune v. United States Department of Justice) is published on Counsel Stack Legal Research, covering District Court, S.D. Mississippi primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
McCune v. United States Department of Justice, 997 F. Supp. 2d 487, 2014 WL 461218, 2014 U.S. Dist. LEXIS 14205 (S.D. Miss. 2014).

Opinion

MEMORANDUM OPINION AND ORDER

DAVID BRAMLETTE, District Judge.

This cause is before the Court on the Motion for Summary Judgment (docket [489]*489entry 313) filed by the defendants United States Department of Justice and Office of the United States Attorney General for the Southern District of Mississippi (hereafter collectively referred to as “the DOJ” in the singular); and the plaintiff Frank B. McCune, Jr. (“Dr. McCune”)’s Motion for Partial Summary Judgment (docket entry 317). Having carefully considered the motions and responses, the memoranda of the parties and the applicable law, and being fully advised in the premises, the Court finds as follows:

Dr. McCune filed the instant action alleging four (4) violations of the Right to Financial Privacy Act for failure to provide notice of disclosure of financial records under 12 U.S.C. § 3417. The DOJ submits that it is entitled to summary judgment as there is no genuine issue of material fact, and it is entitled to judgment as a matter of law. Specifically, the DOJ contends that Dr. McCune’s claims are barred by the three (3) year statute of limitations. In the alternative, the DOJ contends that it is entitled to partial summary judgment: First, as to two (2) of the four (4) subpoenas at issue, the DOJ asserts that Dr. McCune cannot establish that his personal bank records were produced or disclosed; Second, the DOJ asserts that it is entitled to partial summary judgment on any claims for actual damages because Dr. McCune cannot establish a causal connection. Finally, the DOJ asserts that it is entitled to partial summary judgment on any claim for punitive damages because Dr. McCune cannot establish willfulness.

Dr. Frank McCune owned and operated several health care businesses in the 1980’s and 1990’s. Among the businesses he owned were two home health agencies. Both agencies had separate Medicare provider numbers under the name “Serve-U Home Health” (“Serve-U”), although the Jackson location operated under the name “Domicile, Inc.” (“Domicile”), and the Natchez location operated under the name “Serve-U-Home Health Out-Patient and Rehabilitation Services, Inc.” (“Serve-U Rehab”). Both Serve-U Rehab and Domicile were managed by Neo-Ventures Enterprises, Inc. (“Neo-Ventures”), another company owned by Dr. McCune. Neo-Ventures represented the home office of these home health agencies.

Dr. McCune’s wife, Ellen McCune, also worked with these businesses. She signed the cost reports for the Medicare entities and the Neo-Ventures home office. She was also the fiduciary for the companies’ pension plan.

Based on complaints, Dr. McCune and his businesses came under investigation in the late 1990’s. One of the investigations, a criminal investigation by the Department of Health and Human Services Office of Inspector General (“HHS”), led to Dr. McCune’s indictment.

On December 15, 1997, HHS received a complaint or tip from an informant regarding allegations of home health agency fraud by Dr. McCune, Ellen McCune, and their businesses, Neo Ventures and Serve-U, which consisted of Serve-U Rehab and Domicile (hereinafter collectively referred to as “the McCunes”). Melear Decl. ¶ 2, Def. Ex. A.

The informant made a number of allegations, including: (1) the McCunes improperly received reimbursement from Medicare for a Department of Labor (“DOL”) fine that was levied against Serve-U; (2) the McCunes improperly received reimbursement from Medicare in the sum of $275,000 for a computer system that was never purchased by Serve-U; (3) employees were not receiving contributions to their pension plans; (4) the McCunes improperly received reimbursement from Medicare for trips to Aruba and Hawaii for the McCunes’ employees and Dr. McCune’s family members. Id. When [490]*490HHS received the complaint, it did not have an office in Jackson, Mississippi. Melear Dep. 199:19-22, Def. Ex. B. The complaint was forwarded to the fiscal intermediary, which was Palmetto Government Benefits Administrators (“Palmetto GBA”), for investigation, and the case was closed with HHS. Id.

In the early part of 1998, HHS opened an office in Jackson, Mississippi. Melear Dep. 200:3-7. Special Agent Lynn Townsend (now Lynn Melear) was hired to investigate health care fraud involving federal government benefits. Melear Deck ¶ 1. The case involving the McCunes was one of the cases Special Agent Melear received. Id.

On or about July 9, 1998, Melear contacted Lori Dion with Palmetto GBA to discuss the allegations of cost report fraud1 by the McCunes. Id. at ¶ 3. Ms. Dion, an auditor, noted that no field audit of Serve-U had been conducted since 1989. Id. She also noted that a desk audit of 1997 cost reports was scheduled for fiscal year (FY) 1999, which started July 1, 1998, and went through June 30, 1999. Id. Me-lear also discussed some of the allegations against the McCunes and the circumstances under which costs are allowable. Id. Melear reopened HHS’s case on the McCunes on or about August 24,1998, and began an investigation of the matter. Id. at ¶ 4. She interviewed a number of individuals over the course of the next several years, including Dr. and Mrs. McCune.

As discussed below, the investigation culminated in an indictment of Dr. and Mrs. McCune. Id. The Office of the United States Attorney for the Southern District of Mississippi (“USAO”) also issued a number of subpoenas pursuant to its authority under 18 U.S.C. § 3486, which authorizes the issuance of administrative subpoenas to investigate, inter alia, federal health care offenses. The record indicates that the USAO issued subpoenas to Union Planters Bank, Industrial Employees Credit Union (now Members Exchange Credit Union (“MECU”)), and Merchant and Farmers Bank (“M & F”) on January 25, 1999, for financial records belonging to Dr. McCune, Mrs. McCune, Serve-U, Neo-Ventures and Domicile. Union Planters Subpoena, Def. Ex. C; MECU Subpoena, Def. Ex. D; M & F Subpoena, Def. Ex. E. On the same day, the USAO issued a subpoena to Mrs. McCune for, among other things, banking statements, American Express statements, and gas credit card statements for the Serve-U home health agencies and Neo-Ventures. Ellen McCune Subpoena, Def. Ex. F. Also, on June 23, 1999, the USAO issued a subpoena to a travel agency for travel documents related to the McCunes. Travel Subpoena, Def. Ex. G.

In November of 2001, the USAO also drafted a subpoena dated November 7, 2001, to Dr. Frank McCune as the custodian of records for Neo-Ventures and Serve-U as well as American Express Financial Services (now Ameriprise). Amer-iprise Subpoena, Def. Ex. H. There is no indication as to whether these subpoenas were actually served. The subpoena that was drafted for Ameriprise requested any and all documentation related to any accounts owned directly or indirectly by, among others, Dr. McCune and Neo-Ven-tures, Inc.

[491]*491As previously mentioned, HHS forwarded the complaint it received in December of 1997 to the fiscal intermediary, Palmetto GBA. The complaint would have come through Palmetto GBA’s fraud/ integrity unit to the Audit Division, which was supervised by Lori Dion for investigation.2 Dion Decl. ¶ 2, Def. Ex. I.

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Cite This Page — Counsel Stack

Bluebook (online)
997 F. Supp. 2d 487, 2014 WL 461218, 2014 U.S. Dist. LEXIS 14205, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mccune-v-united-states-department-of-justice-mssd-2014.