United States Ex Rel. Mikes v. Straus

931 F. Supp. 248, 1996 U.S. Dist. LEXIS 9113, 1996 WL 363132
CourtDistrict Court, S.D. New York
DecidedJune 26, 1996
Docket92 Civ. 2754 (WCC)
StatusPublished
Cited by22 cases

This text of 931 F. Supp. 248 (United States Ex Rel. Mikes v. Straus) is published on Counsel Stack Legal Research, covering District Court, S.D. New York 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. Mikes v. Straus, 931 F. Supp. 248, 1996 U.S. Dist. LEXIS 9113, 1996 WL 363132 (S.D.N.Y. 1996).

Opinion

WILLIAM C. CONNER, Senior District Judge:

Plaintiff Patricia Mikes brings this action on behalf of the United States and herself against her former employers under the qui tam provisions of the False Claims Act (“FCA”), 31 U.S.C. § 3729 et seq., for alleged improper billing for medical procedures, including magnetic resonance imaging (“MRI”) tests. Plaintiff has moved to dismiss defen-' dants’ counterclaims and to strike certain affirmative defenses. Defendants have cross-moved for summary judgment dismissing plaintiffs MRI-related claims for lack of subject matter jurisdiction. For reasons discussed below, plaintiffs motion is granted in part and denied in part, and defendants’ motion is denied.

. BACKGROUND

The facts of this case are set forth fully in United States ex rel. Mikes v. Straus, 853 F.Supp. 115 (S.D.N.Y.1994) [hereinafter Mikes I ], and Mikes v. Strauss, 889 F.Supp. 746 (S.D.N.Y.1995) [hereinafter Mikes II]; we summarize portions that are relevant to the instant motions. In 1992, plaintiff filed suit claiming, inter alia, that defendants are liable under the FCA for submitting claims to the United States through the Medicare program for unwarranted and improperly administered spirometry tests, under 31 U.S.C. § 3730(h) and New York Labor Law § 740 for retaliatory, discharge, and under New York Labor Law § 191 for unpaid wages for work that she performed after defendants terminated her employment agreement. Defendants moved to dismiss for, among other things, failing to state a claim on which relief could be granted under Fed.R.Civ.P. 12(b)(6), and for failing to meet the heightened pleading requirements for claims based on fraud under Fed.R.Civ.P. 9(b). Judge Broderick granted defendants’ motion, but also granted plaintiff leave to amend her complaint to comply with Rule 9(b)’s requirements. Mikes I, 853 F.Supp. at 117.

Plaintiff then filed a First Amended Complaint further detailing defendants’ fraudulent practices, including allegations that defendants caused to be submitted claims to the United States through the Medicare program for unwarranted MRI tests by referring patients for MRI tests more frequently than medically necessary. That complaint charged defendants with knowingly present ing or causing to be presented false claims to the government in violation of 31 U.S.C. § 3729(a)(1), using false records to facilitate payment of a fraudulent claim in violation of 31 U.S.C. § 3729(a)(2), conspiring to defraud the Government in violation of 31 U.S.C. § 3729(a)(3), discharging plaintiff in retaliation for preparing to file this action in violation of 31 U.S.C. § 3730(h), and failing to pay plaintiff wages for the two-week period *252 that she worked after her termination in violation of New York Labor Law § 191(3). Defendants again moved to dismiss the action under Rules 12(b)(6) and 9(b) or, in the alternative, to compel arbitration. Converting defendants’ motion sua sponte into a motion for summary judgment, the court found that the First Amended Complaint and plaintiffs affidavit raised genuine issues of fact for trial on plaintiffs qui tam and retaliatory discharge claims, and denied defendants’ converted motion for summary judgment, but granted in part defendants’ motion to compel arbitration. See Mikes II, 889 F.Supp. at 749. 1

In December 1995, defendants filed an answer with affirmative defenses and counterclaims. Pursuant to Fed.R.Civ.P. 12(b)(6) and 12(f), plaintiff has moved to strike certain affirmative defenses and to dismiss counterclaims. 2 Defendants have moved for summary judgment dismissing plaintiffs MRI-related claims for lack of subject matter jurisdiction on the ground that the MRI-related claims are based upon the public disclosure of allegations or transactions in a civil hearing within the meaning of 31 U.S.C. § 3730(e)(4)(A).

DISCUSSION

I. Affirmative Defenses
Plaintiff has moved to strike the following affirmative defenses pursuant to Fed. R.Civ.P. 12(f):
Sixth Affirmative Defense
The United States has suffered no injury.
Seventh Affirmative Defense
The relator is not the original source of the information contained in the complaint and has no standing to sue defendants.
Ninth Affirmative Defense
A written copy of the First Amended Complaint and written disclosure of substantially all material, evidence and information the relator possesses was not served on the government. Tenth Affirmative Defense
The First Amended Complaint was ■ not filed in camera.

Am.Ans. ¶¶ 41-42, 44-45. Defendants have moved for summary -judgment on the seventh, ninth and tenth affirmative defenses, dismissing plaintiffs complaint with respect to MRI-related claims.

The seventh affirmative defense challenges subject matter jurisdiction under section 3730(e)(4), and will therefore be addressed first. United States ex rel. Kreindler & Kreindler v. United Technologies Corp., 985 F.2d 1148, 1157 (2d Cir.), cert. denied, 508 U.S. 973, 113 S.Ct. 2962, 125 L.Ed.2d 663 (1993). All material factual allegations in the qui tam complaint must be accepted as true when considering defendants’ motion to dismiss for lack of subject matter jurisdiction. Scheuer v. Rhodes, 416 U.S. 232, 236, 94 S.Ct. 1683, 1686, 40 L.Ed.2d 90 (1974); Atlantic Mut. Ins. Co. v. Balfour Maclaine Int’l Ltd., 968 F.2d 196, 198 (2d Cir.1992); United States ex rel Pentagen Technologies Int’l Ltd. v. CACI Int’l Inc., 1996 WL 11299, at *3 (S.D.N.Y. Jan. 4, 1996).

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Bluebook (online)
931 F. Supp. 248, 1996 U.S. Dist. LEXIS 9113, 1996 WL 363132, Counsel Stack Legal Research, https://law.counselstack.com/opinion/united-states-ex-rel-mikes-v-straus-nysd-1996.