United States Ex Rel. Cook-Reska v. Community Health Systems, Inc.

641 F. App'x 396
CourtCourt of Appeals for the Fifth Circuit
DecidedMarch 7, 2016
Docket15-20312
StatusUnpublished
Cited by5 cases

This text of 641 F. App'x 396 (United States Ex Rel. Cook-Reska v. Community Health Systems, Inc.) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fifth Circuit 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. Cook-Reska v. Community Health Systems, Inc., 641 F. App'x 396 (5th Cir. 2016).

Opinion

JERRY E. SMITH, Circuit Judge: **

Amy Cook-Reska appeals an order granting in part and denying in part her motion for certain attorneys’ fees. We affirm.

I.

Cook-Reska worked as a coding specialist for Community Health Systems, Inc. (“CHS”), providing billing services for Laredo Medical Center (“LMC”). Concerned that LMC was charging the government for medically unnecessary inpatient procedures and was allowing improper financial relationships between physicians; Cook-Reska asserted a relator claim against CHS under the False Claims Act (“FCA”) in May 2009. 1 Cook-Reska thereafter assisted the government in investigating CHS’s practices at LMC.

On March 9, 2011, the government informed Cook-Reska that CHS faced FCA claims and investigations in three other federal courts based on alleged fraud in its emergency department admissions. The government invited Cook-Reska and her attorneys to communicate with the other relators and to participate in the nationwide investigation of CHS’s emergency department admissions. The relators agreed to cooperate in the investigation and share any proceeds from their collective claims. 2

The government, the relators, and CHS entered a global settlement on August 4, 2014. The settlement divided the claims in two: claims regarding emergency department admissions stemming from the nationwide investigation (“ED Claims”) and claims of improper billing and referral practices stemming from Cook-Reska’s individual investigation at LMC (“Non-ED Claims”). The government awarded Cook-Reska, based on both the ED and Non-ED Claims, a relator’s share of $2,141,184.04 plus an interest rate of 2.25% from May 11,2014, until payment.

Cook-Reska then moved for $3,464,572.50 in attorneys’ fees and costs for the ED and Non-ED Claims. CHS moved, pursuant to the FCA’s first-to-file rule, 3 to sever and to transfer her motion, *398 as it related to ED Claims, to the Middle District of Tennessee, where the other re-lators were already litigating with CHS to determine which relator was the first to file the ED Claims and thus entitled to the attorneys’ fees. The district court granted the motion and ordered Cook-Reska to amend her motion for attorneys’ fees and costs. Specifically, the court ordered her to limit the motion to attorneys’ fees and costs related solely to the Non-ED Claims.

Cook-Reska then requested $2,028,019.49, reflecting an $800 hourly rate for her attorneys and $250 for her investigator. Though the court ordered her to limit her motion to the Non-ED Claims, Cook-Reska’s attorneys submitted their block-billing time entries that attributed 1024 hours solely to Non-ED Claims, 2144 hours to “Both” Non-ED and ED Claims, and 3540.5 hours solely to the ED Claims. The attorneys claimed that the hours in the “Both” category should be recoverable because the work thereunder would have been required to pursue the Non-ED Claims alone.

The district court awarded $729,381.95, reasoning that Cook-Reska should recover all hours attributable to Non-ED Claims but only the hours attributable to “Both” that preceded her involvement in the nationwide investigation and ED Claims. Additionally, the court reduced the hourly rates from $800 to $550 for her attorneys and from $250 to $125 for her investigator.

II.

We review an award of attorneys’ fees under the FCA for abuse of discretion. United States ex rel. Longhi v. Lithium Power Techs., Inc., 575 F.3d 458, 475 (5th Cir.2009). “Under the abuse of discretion standard, a district court’s decision to award attorneys’ fees will not be disturbed unless the award is based on (1) an erroneous view of the law or (2) a clearly erroneous assessment of the evidence.” Id. (quoting United States ex rel. Bain v. Ga. Gulf Corp., 208 Fed.Appx. 280, 282-83 (5th Cir.2006) (per curiam)). We review underlying decisions of law de novo and underlying findings of fact — such as a determination of a reasonable hourly rate — for clear error. 4

III.

An FCA relator who brings successful claims may recover “reasonable expenses which the court finds to have been necessarily incurred, plus reasonable attorneys’ fees and costs.” 31 U.S.C. § 3730(d)(1). The relator also must be the first to file those claims. 31 U.S.C. § 3730(b)(5). The relator has the burden to provide the district court with sufficient evidence to discern the claims for which such fees are recoverable and to determine the number of hours spent. See Longhi, 575 F.3d at 475-76; Von Clark v. Butler, 916 F.2d 255, 259 (5th Cir.1990).

Cook-Reska first challenges the transfer of her motion relating to the ED Claims to the Middle District of Tennessee, which the court based on its factual finding that her ED Claims and Non-ED Claims did not involve a “common core of facts.” See Longhi, 575 F.3d at 476. We review this factual finding for clear error only, and we find none.

The Non-ED Claims related only to fraudulent billing for cardiac and hemo-dialysis inpatient services and improper *399 physician referrals at LMC; the ED Claims related to fraudulent billing for services provided to patients sixty-five years of age or older who appeared at an emergency department and remained for two days or fewer at over 100 CHS hospitals across the country. Also, the time entries showed that the lawyers appreciated the factual differences between the ED and Non-ED Claims. 5 Given this evidence, the finding that the ED and Non-ED Claims did not involve a common core of facts was not clearly erroneous. 6

Cook-Reska challenges the district court’s conclusion that she failed to meet her “burden [of] maintaining billing time records in a manner that would enable the reviewing court to identify each distinct claim.” Von Clark, 916 F.2d at 259. The time entries were in “block-billing” format, making allocation between the ED Claims and Non-ED Claims difficult. 7

After the government informed Cook-Reska’s lawyers of the nationwide investigation on March 9, 2011, they were on notice — and in fact knew — that they were dealing with two sets of claims. Further, given their experience as FCA attorneys, they should have been aware of the FCA’s first-to-file rule that might require further granularity in timekeeping. The lawyers failed to distinguish between the time they spent on the ED Claims and the Non-ED Claims. 8

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641 F. App'x 396, Counsel Stack Legal Research, https://law.counselstack.com/opinion/united-states-ex-rel-cook-reska-v-community-health-systems-inc-ca5-2016.