United States ex rel. Bumbury v. Med-Care Diabetic & Medical Supplies, Inc.

101 F. Supp. 3d 1268, 2015 U.S. Dist. LEXIS 56221, 2015 WL 1876161
CourtDistrict Court, S.D. Florida
DecidedMarch 9, 2015
DocketCase No. 10-81634-CIV
StatusPublished
Cited by1 cases

This text of 101 F. Supp. 3d 1268 (United States ex rel. Bumbury v. Med-Care Diabetic & Medical Supplies, Inc.) is published on Counsel Stack Legal Research, covering District Court, S.D. Florida primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
United States ex rel. Bumbury v. Med-Care Diabetic & Medical Supplies, Inc., 101 F. Supp. 3d 1268, 2015 U.S. Dist. LEXIS 56221, 2015 WL 1876161 (S.D. Fla. 2015).

Opinion

ORDER GRANTING DEFENDANTS’ MOTION TO DISQUALIFY COUNSEL (DE 122)

JAMES M. HOPKINS, United States Magistrate Judge.

THIS CAUSE is before this Court upon an Order referring the instant motion to the undersigned United States Magistrate Judge for appropriate disposition (DE 131). Before the Court is Defendants’ Motion to Disqualify Counsel, for Sanctions and Referral to the Florida Bar (DE 122), Nicholson & Eastin LLP’s Response (DE 134), and Defendants’ Reply (DE 152). The undersigned held an evidentiary hearing on Defendants’ Motion on February 10, 2015 (DE 161) and on February 12, 2015 (DE 168). Thereafter, the Parties were permitted to file supplemental briefs, which they did on February 25, 2015 (DE 172, 173). Defendants’ Motion is now ripe for this Court’s review. For the reasons that follow, Defendants’ Motion to Disqualify (DE 122) is GRANTED.

BACKGROUND

This qui tam case was filed under seal in December 2010 pursuant to the False Claims Act. On November 12, 2013, the First Amended Complaint was unsealed, and summonses were issued to all Defendants the next day. Defendants are ae-' cused of submitting false claims to Medicare beginning in 2008 that Defendants knew to be false or ineligible for reimbursement, or which were submitted in reckless disregard for the falsity of the claims. This case is maintained by three Relators, each of whom was employed by one or more Defendants at some point during the relevant time period. The United States has declined to intervene. The six Defendants who remain in this casé are Med-Care Diabetic & Supplies, Inc., East End Associates, Inc., Daniel Po-rush, Lawrence Silverman, Jordan Sha-mah, and Steven Silverman. Med-Care and East End are the companies located in Boca Raton and New York, respectively, that are charged with the allegedly improper behavior. These two companies are providers of durable medical equipment (“DME”) and accordingly are regulated under Medicare regulations. The [1271]*1271four individual Defendants are each associated with one or both of the companies either through ownership or management positions.

FINDINGS OF FACT

In fall of 2009, prior to this suit having been filed, Defendant Med-Care engaged the law firm of Broad and Cassel (“B & C”) to provide legal advice concerning its compliance with Medicare regulations. More specifically, between September 2009 and October 2010, B & C rendered legal advice to Med-Care in the following areas:

• The solicitation of Medicare beneficiaries, including cold call prohibitions, internet marketing, and proof of patient authorization to be called by Med-Care;
• Lead generation, including third-party leads and anti-kickback regulations;
• A formal response to an October 18, 2010 letter from the Centers for Medicare and Medicaid Services (“CMS”)1 following a site inspection of Med-Care;
• Med-Care’s use of fictitious names;
• Daniel Porush’s criminal background, including the adequacy of Med-Care’s disclosure to CMS of Mr. Porush’s role within the company;
• The provision of non-Medicare covered items to Medicare beneficiaries; and
• Med-Care’s corporate organization, including the division of profits among related entities and individuals.

The two lawyers associated with B & C with whom Med-Care primarily interacted are Lester J. Perling, who testified during the disqualification hearing, and Vanessa Reynolds. During the time B & C was retained by Med-Care, Parker Eastin, a current attorney for the Relators, was working at B & C as an associate in B & C’s health law and white collar criminal defense group. While an attorney at B & C, Eastin had unrestricted access to Med-Care’s hard copy and electronic files. Otherwise, Eastin was involved in at least two matters relating to B & C’s representation of Med-Care. First, Eastin was asked to review regulatory changes to what is known as “Supplier Standard Eleven.” This standard deals with the direct solicitation of Medicare beneficiaries through telemarketing and other means. Stemming from his review of Supplier Standard Eleven, Eastin was involved in a conference call with Mr. Perling and Defendants Daniel Porush and Steven Silverman. Given that this call occurred over four years ago, the specifics of what confidences, if any, were actually revealed during the call are unclear. Following the call, Eastin submitted a billing entry for 2.6 hours, dated September 3, 2010, which states:

Conference with L. Perling regarding telemarketing issues; legal research and analysis regarding telemarketing issues and potential criminal implications; call with L. Perling and client regarding marketing and solicitation calls.

Eastin’s next matter of involvement occurred in October of 2010, whereby he was involved in preparing Med-Care’s response to the October 13 CMS letter referenced above. The CMS letter listed several ways in which CMS had, during a site visit, found Med-Care to be out of compliance with CMS regulations. Specifically, CMS requested that Med-Care update its CMS-855S enrollment application to include information regarding Mr. Porush’s role with the company, and notified Med-Care that it was improperly operating un[1272]*1272der multiple fictitious names that were not registered with CMS. Eastin submitted a billing entry for his work related to the CMS letter on October 19, 2010. The entry shows that Eastin spent 1.7 hours to:

Review audit letter and related records; conference call with L. Perling and client regarding response to audit; review supplier standards.

In addition to Eastin’s entry regarding this matter, both Mr. Perling and Ms. Reynolds submitted billing entries reflecting conversations with Eastin relating to the CMS letter. These entries are dated October 19 and October 27, 2010. Mr. Perling’s entry indicates that Defendants Porush and Silverman and Med-Care’s office manager Ellen Weil participated in the October 19 conference call. Again, the exact discussions at this conference call cannot be known.

Although the extent of Eastin’s particular knowledge of facts relating to Med-Care’s operations is unclear, Defendants produced undated, hand-written notes Eastin took while working on one or both of these matters which reference a variety of topics, including, “855(s),” “fictitious names,” “Christian Healthcare Network,” and “Daniel Porush, 1998” (Def. Exh. E). The date, 1998, is likely a reference to when Mr. Ponish pled guilty to offences which would have prevented him from becoming an owner of Med-Care for a period of ten years. From these notes and Eas-tin’s testimony, it is clear that, at a minimum, Eastin had knowledge concerning Mr. Porush’s criminal history, and the fact that Med-Care was operating under multiple fictitious names, including “Christian Healthcare Network.”

Eastin left B & C on October 29, 2010. Beginning on November 1, 2010, Eastin started working for Robert Nicholson. Like Eastin, Nicholson is a former associate at B & C, but his tenure ended before Med-Care engaged B & C. At some point after their association, Eastin and Nicholson formed the law firm of Nicholson & Eastin, LLP (“N & E”).

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101 F. Supp. 3d 1268, 2015 U.S. Dist. LEXIS 56221, 2015 WL 1876161, Counsel Stack Legal Research, https://law.counselstack.com/opinion/united-states-ex-rel-bumbury-v-med-care-diabetic-medical-supplies-inc-flsd-2015.