Rambert-Hairston v. United States

CourtDistrict Court, W.D. North Carolina
DecidedMay 25, 2021
Docket3:21-cv-00138
StatusUnknown

This text of Rambert-Hairston v. United States (Rambert-Hairston v. United States) is published on Counsel Stack Legal Research, covering District Court, W.D. North Carolina primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Rambert-Hairston v. United States, (W.D.N.C. 2021).

Opinion

UNITED STATES DISTRICT COURT WESTERN DISTRICT OF NORTH CAROLINA CHARLOTTE DIVISION 3:21-cv-138-RJC 3:19-cr-107-RJC-DCK-1

DEVON RAMBERT-HAIRSTON, ) ) Petitioner, ) ) vs. ) ) ORDER UNITED STATES OF AMERICA, ) ) Respondent. ) ____________________________________)

THIS MATTER is before the Court on Petitioner’s pro se 28 U.S.C. § 2255 Motion to Vacate Sentence, (Doc. No. 3). Petitioner, a license nurse practitioner, was charged in connection with a Medicaid fraud conspiracy conducted by T.G.T. and J.T., brothers who owned and operated a series of entities that claimed to provide mental and behavioral health services to at-risk youth including Taylor Behavioral Health Center (“TBHC”). See (3:19-cr-107 (“CR”) Doc. No. 1). Petitioner, a TBHC employee, was charged by Bill of Information1 with a single count of money laundering conspiracy in violation of 18 U.S.C. § 1956(h). (CR Doc. No. 1). Petitioner pleaded guilty as charged pursuant to a written Plea Agreement and admitted that she is, in fact, guilty of the charged money laundering conspiracy. (CR Doc. No. 2 at 1). The Plea Agreement sets forth Petitioner’s sentencing exposure of a maximum of 10 years in prison. (CR Doc. No. 2 at 1). The Plea Agreement states that: the Court would consider the U.S. Sentencing Guidelines; had not yet determined the sentence; any estimate of the sentence that

1 The Petitioner waived indictment. (CR Doc. No. 8). 1 Petitioner might receive was a prediction rather than a promise; the Court would have the final discretion to impose any sentence up to the statutory maximum and would not be bound by the parties’ recommendations or agreements; and Petitioner would not be permitted to withdraw her plea as a result of the sentence imposed. (CR Doc. No. 2 at 2). The parties agreed to jointly recommend: an offense level of 20 because Petitioner was accountable for the underlying health

care fraud scheme and the amount of health care loss known or reasonably foreseeable to Petitioner was $813,726 pursuant to U.S. Sentencing Guidelines §§ 2S1.1(a)(1) and 2B1.1(b)(1)(H); Petitioner was a minor participant pursuant to § 3B1.2(b); and the plea entry was timely. (CR Doc. No. 2 at 2). The parties retained the right to argue their respective positions regarding: any further reduction under § 3B1.2 for mitigating role; any other specific offense characteristics, cross- references, special instructions, reductions, enhancements, departures, and adjustments to the offense level; and departures or variances from the applicable guideline range. (CR Doc. No. 2 at 2). The Petitioner stipulated to the existence of a factual basis to support the guilty plea as set forth in the Factual Basis filed with the Plea Agreement. (CR Doc. No. 2 at 4). The Plea Agreement

sets forth the rights Petitioner was waiving by pleading guilty including an express waiver of Petitioner’s right to contest her conviction and sentence in post-conviction motions and on appeal except for claims of ineffective assistance of counsel or prosecutorial misconduct. (CR Doc. No. 2 at 4). The Plea Agreement provides that “[t]here are no agreements, representations, or understandings between the parties in this case, other than those explicitly set forth in this Plea Agreement, or as noticed to the Court during the plea colloquy and contained in writing in a separate document signed by all parties.” (Doc. No. 2 at 7). The Factual Basis that was filed along with the Plea Agreement provides in relevant part: Beginning in or about July 2015, and continuing until at least in or about 2 December 2017, T.G.T. and J.T. conspired with each other and with other persons known and unknown to the United States Attorney to engage in a scheme to defraud Medicaid of millions of dollars by submitting false and fraudulent reimbursement claims for non-existent services, as well as false and fraudulent claims that misrepresented the services actually provided in order to earn greater reimbursement than was owed.

In furtherance of the fraudulent scheme, T.G.T. recruited RAMBERT- HAIRSTON to serve as the medical director of TBHC beginning at least as early as July 2015. T.G.T. asked RAMBERT-HAIRSTON to review and sign off on progress notes reflecting behavior health services ostensibly provided by TBHC to juvenile Medicaid beneficiaries. RAMBERT-HAIRSTON did not, herself, provide any medical services to the beneficiaries and only rarely interacted with any beneficiaries at all.

The progress notes RAMBERT-HAIRSON reviewed and signed purported the beneficiaries had been seen by a licensed marriage and family therapist, the identity of whom is known to the United States Attorney.

Although RAMBERT-HAIRSTON had provided no services to the beneficiaries, T.G.T. and J.T. caused the submission of claims to Medicaid that falsely and fraudulently listed RAMBERT-HAIRSTON as the rendering provider for services billed by TBHC….. As a result of the fraudulent claims submissions, Medicaid paid TBHC approximately $33,350.

TBHC was placed on pre-payment review by DHB on or about August 17, 2016, following an evaluation of claims submitted by TBHC. Thereafter, T.G.T, J.T., and others continued the fraudulent scheme by submitting false and fraudulent claims through a series of successive entities. In or about August 2016, RAMBERT-HAIRSTON agreed to allow T.G.T. and J.T. to submit Medicaid using her NPI number as the billing provider until other entities owned and operated by T.G.T. and J.T. could be enrolled as Medicaid providers.

Between at least in or about September 2016 and continuing to at least in or about February 2017, T.G.T. and J.T. submitted and caused to be submitted approximately $1.3 million in fraudulent claims to Medicaid under RAMBERT- HAIRSTON’s NPI number as both the rendering and billing provider.

As a result of the fraudulent claims submitted using RAMBERT- HAIRSTON’s NPI number as both the rendering and billing provider, Medicaid wired at least $813,726 directly into RAMBERT-HAIRSTON’s State Employees’ Credit Union (“SECU”) account *1005. RAMBERT-HAIRSTON knew these funds were not derived from any legitimate services she had provided to Medicaid beneficiaries during the relevant time period and reasonably should have known the services were not provided by anyone else. 3 RAMBERT-HAIRSTON arranged for the distribution of the Medicaid funds deposited in her SECU account to T.G.T. and T.J. through a series of monetary transactions of a value greater than $10,000, including cash withdrawals and cashier’s checks, often occurring the same day as the Medicaid deposit. On several occasions, RAMBERT-HAIRSTON accompanied T.G.T. to a SECU branch in order to arrange cash withdrawals from RAMBERT-HAIRSTON’s SECU account *1005 and simultaneous cash deposits into T.G.T.’s SECU account *0925.

The amount of loss known to or reasonably foreseeable by RAMBERT- HAIRSTON was $813,726. Between at least in or about September 2016 and continuing through at least in or about February 2017, RAMBERT-HAIRSTON transferred more than $751,000 in fraudulent proceeds to T.G.T. and J.T., and RAMBERT-HAIRSTON kept the remainder.

(CR Doc. No. 3 at 3-4) (paragraph numbers omitted). On April 16, 2019, a United States Magistrate Judge conducted a plea hearing pursuant to Rule 11 at which Petitioner was represented by retained counsel. (CR Doc. No. 39). Petitioner stated, under oath, that: she wanted the Court to accept her guilty plea to money laundering conspiracy as charged; she understood the charge, her sentencing exposure, and the consequences of pleading guilty; she understood the rights she was waiving by pleading guilty; and she was pleading guilty because she is guilty of the charged offense.

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Bluebook (online)
Rambert-Hairston v. United States, Counsel Stack Legal Research, https://law.counselstack.com/opinion/rambert-hairston-v-united-states-ncwd-2021.