United States v. James Best

219 F.3d 192, 55 Fed. R. Serv. 568, 2000 U.S. App. LEXIS 17869
CourtCourt of Appeals for the Second Circuit
DecidedJuly 25, 2000
Docket1999
StatusPublished
Cited by128 cases

This text of 219 F.3d 192 (United States v. James Best) is published on Counsel Stack Legal Research, covering Court of Appeals for the Second 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. James Best, 219 F.3d 192, 55 Fed. R. Serv. 568, 2000 U.S. App. LEXIS 17869 (2d Cir. 2000).

Opinion

*195 KEARSE, Circuit Judge:

Defendant James Best appeals from a judgment: of conviction entered in the United States District Court for the Northern District of New York following a jury trial before Thomas J. McAvoy, then- Chief Judge, convicting him of aiding and abetting a fraud against the United States, in violation of 18 U.S.C. §§ 1031 and 2, and sentencing him principally to three years’ probation. On appeal, Best contends (1) that the trial court improperly admitted in evidence a codefendant’s out-of-court statement that the codefendant intended to ask Best to create a fraudulent document, (2) that the evidence was insufficient to support his conviction, and (3) that he received ineffective assistance of counsel. Finding no merit in his contentions, we affirm.

I. BACKGROUND

The present prosecution of Best and his codefendant Jerome Maciejewski arose out of the 1992 operations of WholeHealth Insurance Network, Inc. (“WIN” or the “Company”), a private insurance company in New York State that had a contract with the United States Health Care Financing Administration (“HCFA”), which administers the Medicare program. WIN’s contract with HCFA (“the Medicare contract”) called for WIN to process certain Medicare claims, respond to beneficiary and provider requests for information, and' deal with requests for reviews and hearings. The contract prohibited WIN from using Medicare funds for its private business costs.

In a six-count indictment, Maciejewski was charged principally with causing fraudulent claims to be submitted to HCFA at various times in 1992; Best was charged in one count with aiding and abetting the submission of such fraudulent claims beginning in May 1992. Best and Maciejewski were tried jointly, and each defendant was convicted on the counts against him. Only Best’s conviction is at issue on this appeal. The evidence at trial, taken in the light most favorable to the government, showed the following.

WIN’s operations were divided among three divisions, headquartered respectively in Albany, Buffalo, and Binghamton. Each division had a “professional relations” department that served as a liaison between the Company and the health care providers who submitted claims for reimbursement. WIN’s Medicare business was handled in its Binghamton division, which was also known as its “Upstate Medicare Division”; the Company’s Albany and Buffalo divisions were involved only in private insurance, not Medicare. The employees in the Albany division’s professional relations department were not trained to do Medicare-related work and did not do such work. Best was a senior vice president of the Company and was chief operating officer of the Albany division.

In April 1992, Maciejewski became the Company’s chief operating officer, with responsibility for all three divisions. Because WIN was having serious financial difficulties, Maciejewski began to cut corporate costs and sought other sources of funds, including increased payments from HCFA.

Evidence as to Maciejewski’s plans for obtaining increased payments from HCFA was introduced at trial largely through the testimony of Robert Gastle, an employee in the Company’s finance department who was responsible for the Company’s Medicare budgeting and reporting process.. In that capacity, Gastle reported to Martin Benz, who reported to David Voss, the Company’s vice president of finance. Gas-tle testified that in May 1992, Maciejewski instructed him to inform Voss that Macie-jewski wanted 50 percent of the expenses of the Buffalo division’s professional relations department to be reallocated to Medicare, retroactively to January 1992. As a result of such'an increased allocation, the Buffalo division would receive more money from HCFA on the Medicare contract, which would help fund WIN’s non- *196 Medicare expenses. Maciejewski said he would have the Buffalo professional relations representatives distribute Medicare materials at meetings with the western New York provider community in order to justify the allocation; but he did not indicate that the representatives had been making such distributions since January 1992, and in Gastle’s view such distributions could not justify allocating 50 percent of that department’s expenses to the Medicare contract.

Gastle relayed Maciejewski’s instructions to Voss, but Voss balked at carrying them out unless they were in writing. When Gastle reported Voss’s response to Maciejewski, Maciejewski called Voss “wimpy” and expressed displeasure at being forced to put his instructions in writing. The government introduced evidence that Maciejewski nonetheless promptly prepared a Medicare reallocation memorandum to Voss, instructing that 50 percent of the Buffalo division’s professional relations department expenses be reallocated to the Medicare contract, retroactively to January 1, 1992. Maciejewski’s secretary testified that she typed the memorandum to Voss, at Maciejewski’s request, on May 6, 1992. The memorandum was backdated to February 3, 1992, and was apparently received by Voss on June 3, 1992; however, the secretary testified that the word-processing program she used showed that the document was generated on May 6. Maciejewski’s memorandum stated as follows:

As you know, we have recently discussed the Professional Relations (PR) activity that Buffalo is performing for our Medicare division. With this in mind, it seems reasonable to allocate 50 percent of the PR cost centers to the Medicare division. This activity was reinstituted on January 1, 1992, therefore, this allocation should be retroactive to that date.
If you have any questions, please contact me.

(Memorandum from Jerry Maciejewski to David Voss, dated “February 3, 1992.”)

Over Best’s objection, Gastle further testified that when he reported to Macie-jewski Voss’s refusal to implement the Medicare reallocation without written instructions, “Mr. Maciejewski told [Gastle] that he would call Albany and talk to Jim and take care of it with the Albany division” (Transcript (“Tr.”), at 689). The government introduced evidence that Ma-ciejewski and James Best were friends; that beginning on or about May 13, Macie-jewski attended a series of meetings with Best in Albany and had daily contact with him; and that sometime between May 13 and May 15, Best wrote Voss instructing that 50 percent of the Albany division’s professional relations department expenses be reallocated to the Medicare contract, retroactively to January 1,1992. Although Best’s Medicare reallocation memorandum was backdated to February 18, 1992, Voss received it on May 15. Best’s secretary testified that Best had asked her to type the memorandum during the second week of May; and Best testified that he wrote the memorandum within a day or two of his May meetings with Maciejewski. The Best memorandum stated as follows:

Per this morning’s ' conversation, please make the necessary adjustment in the cost allocation system to properly credit this department for its Medicare involvement.

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Bluebook (online)
219 F.3d 192, 55 Fed. R. Serv. 568, 2000 U.S. App. LEXIS 17869, Counsel Stack Legal Research, https://law.counselstack.com/opinion/united-states-v-james-best-ca2-2000.