United States v. Eastern Medical Billing, Inc.

230 F.3d 600
CourtCourt of Appeals for the Third Circuit
DecidedOctober 13, 2000
Docket99-5489 to 99-5491
StatusUnknown
Cited by2 cases

This text of 230 F.3d 600 (United States v. Eastern Medical Billing, Inc.) is published on Counsel Stack Legal Research, covering Court of Appeals for the Third Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
United States v. Eastern Medical Billing, Inc., 230 F.3d 600 (3d Cir. 2000).

Opinion

*602 OPINION OF THE COURT

RENDELL, Circuit Judge.

In United States v. Fioravanti, 412 F.2d 407 (3d Cir.1969), we announced a prophylactic rule prohibiting the use of Allen charges. .This appeal requires us to apply our decision in Fioravanti and its progeny to .the supplemental charge given by the District Court during the jury’s deliberation. 1 The trial resulted in guilty verdicts on all counts against the three defendants: the Podlasecks, father Joseph and son David, and Eastern Medical Billing, Inc. (“EMB”). Since we believe that the supplemental charge contravened our precedent, and had definite potential for coercive effect on the jury, we will REVERSE and REMAND for a new trial. 2

I.

David Podlaseck was president of EMB, a company the Podlasecks started in 1992 to provide billing services for health care providers. David’s father, Joseph Podla-seck, was EMB’s primary salesman, and David’s mother, Phyllis Podlaseck, was its treasurer and office manager. In October 1993, EMB entered into a contract with Metro Ambulance (“Metro”), whereby EMB would provide billing services for Metro,.an authorized Medicare and Medicaid provider of ambulance services, which regularly transported dialysis patients to renal care centers using artibulances and vans. Metro, its principal, Jane Pflumm, and employee Jerry Johnson, were also indicted by the grand jury, and they pled guilty to the charges.

The defendants were charged with: one count of conspiracy in violation of 18 U.S.C. § 371; eleven counts of submitting false claims to the Health Care Financing Administration (“HCFA”) of the Department of Health and Human Services, in violation of 18 U.S.C. § 287; and four counts of mail fraud, in violation of 18 U.S.C. § 1341. The factual basis for each count was the government’s contention that the defendants agreed to, and knowingly did, submit false claims to HCFA for single passenger, medically necessary ambulance trips. In fact, groups of patients had been transported together in vans, not ambulances, and the use of ambulances had not been medically necessary.

At trial, the government presented witnesses and documents to demonstrate that the Podlasecks had the necessary intent and knowledge to violate the law. The government focused especially on the meaning of certain coded run sheets that Metro drivers completed for each patient they transported, the form of which the Podlasecks had modified during the course of the allegedly illegal activity. Witnesses also testified about the Podlasecks’ actions and about certain statements they made. Neither Jane Pflumm nor Jerry Johnson were called to testify.

The Podlasecks argued that they acted as dupes of Metro, and challenged the honesty and accuracy of the government’s witnesses at trial. One of the principal witnesses, Angela DeFelice, who testified *603 on behalf of the government, was attacked as being essentially dishonest and biased. 3 Other witnesses were similarly impeached. 4

Joseph Podlaseck also testified, and in its ruling on post-trial motions, the District Court sustained the verdict based in part on its view that Podlaseck’s testimony lacked credibility. In light of the predominantly circumstantial nature of the evidence, the credibility issues on both sides, and the absence of testimony from the principal Metro officers directly involved in the offense conduct, we do not believe that the evidence at trial was “overwhelming.”

Following nine days of testimony, the jury commenced deliberations on a Tuesday. After two days of deliberations, on Thursday morning, the panel submitted a question: “Can the jury be ‘hung’ on one defendant of the indictment and not the others?” One of the prosecutors mentioned the possibility of giving an Allen charge, but defense counsel and the Assistant United States Attorney agreed with the District Court’s decision to simply write “yes” on the jury note, which it did. Within one-half hour, the jury communicated a second question to the Court: “As a follow-up to the above question, is it also possible for the jury to be ‘hung’ on one of the counts for a particular defendant and not on the other counts?” 5

The Court asked counsel whether an Allen charge might be appropriate at this time. After a moment to consult with each other, defense counsel initially concluded that an Allen charge should be given, explaining to the Court that simply answering the question “yes” might be coercive. *604 The Assistant United States Attorney disagreed, but said he would not oppose it vigorously. The District Court decided to give the charge. Defense counsel then asked what charge the Court would give. The Court answered: “The one I’ve been doing for 15 years and the one that has been approved. Why don’t you look at it?” Acknowledging the Court’s view that the charge had been approved, the government dropped its objection: “Your Honor, if it’s the one you’ve been giving for 15 years, we’re not going to oppose it.” However,. after reviewing the charge, defense counsel changed their position. Counsel for David Podlaseck and EMB explained the defendants’ concern.

Counsel: Your Honor, I’m reversing my decision because there’s, of course, in the courthouse various Allen charges and I didn’t remember the Court’s specific Allen charge, and I understand it’s been approved. What I’m worried about is that it’s a long Allen charge and then I think that it will sound at this stage, given the length of it, that it’s kind of telling them that they have to reach a verdict.

The Court disagreed, noted counsel’s objection, and rejected counsel’s subsequent proffer of a different, shorter, Allen charge.

The Court: I don’t think so. Okay. That’s the difference. Eventually what I tell them is don’t surrender your conscientious views.
Counsel: But—
The Court: Well, that’s all right. You’re on record, you object to it. I’m going to give it and your objection is on the record. You are protected.
Counsel: And you Honor, I in fact had someone run back to my office to propose perhaps a possible alternative instruction. And I take it that the Court is not going to consider it?
The Court: Yes, I’m going to give this one I have given repeatedly.
Counsel: I do have a shortened version.
The Court: I’m going to give this one.

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Bluebook (online)
230 F.3d 600, Counsel Stack Legal Research, https://law.counselstack.com/opinion/united-states-v-eastern-medical-billing-inc-ca3-2000.