United States v. Phythian

529 F.3d 807, 2008 U.S. App. LEXIS 13272, 2008 WL 2485184
CourtCourt of Appeals for the Eighth Circuit
DecidedJune 23, 2008
Docket07-2771
StatusPublished
Cited by25 cases

This text of 529 F.3d 807 (United States v. Phythian) is published on Counsel Stack Legal Research, covering Court of Appeals for the Eighth 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. Phythian, 529 F.3d 807, 2008 U.S. App. LEXIS 13272, 2008 WL 2485184 (8th Cir. 2008).

Opinion

RILEY, Circuit Judge.

After a jury trial, Audrey Joan Phythian (Phythian) was convicted on all counts of a nine count indictment — three counts of theft or embezzlement in connection with healthcare, three counts of money laundering, and three counts related to her receipt of social security disability benefits. The district court 1 sentenced Phythian to concurrent 52-month sentences on each count. Phythian appeals her conviction asserting there was insufficient evidence to support her conviction on any of the counts. Finding sufficient evidence to support each count and no error, we affirm.

1. BACKGROUND

During the 1980s, Phythian operated a medical billing business. In August, 1985, Phythian was excluded from participation in the Medicare and Medicaid health insurance program because of a prior criminal conviction related to defrauding the Medicaid program. Her debarment prohibited Phythian from submitting claims to the Medicare or Medicaid programs on behalf of healthcare providers. 2

In approximately 2000, Phythian and her husband, Milt Goossen (Goossen), purchased a medical billing business doing business as Progressive Health Care Management (PHCM). Goossen was registered as the business’s manager; however, Goossen never had any involvement with PHCM in any capacity, and Goossen failed to disclose this fact in an April 2005 report *810 to the Social Security Administration (SSA). In fact, Phythian oversaw PHCM’s day to day operations, opened and maintained PHCM’s business bank account with Preferred Bank and was listed, along with Goossen, as an owner of this account. Goossen was incapable of managing a bank account, so Phythian effectively controlled this account. 3

Phythian employed her son, Jeff Gus-ciora (Gusciora) to do menial tasks for PHCM including making deliveries to and pickups from PHCM’s clients. Gusciora described himself as a “gopher” running errands. Gusciora also made bank deposits for PHCM. Phythian would prepare envelopes with checks and deposit slips for Gusciora with instructions on the envelopes specifying the accounts into which Gusciora was to deposit the checks. Gus-ciora characterized his computer work as “idiot work.”

Phythian, through PHCM, contracted with healthcare providers to process and submit health insurance claims on behalf of the healthcare providers. Among the healthcare providers contracting with PHCM for this service were Mark Whea-ton (Wheaton), Peter J. Dorsen (Dorsen), and Steven D. Moe (Moe). Wheaton and Dorsen were authorized Medicare providers providing healthcare services to Medicare and Medicaid beneficiaries. The healthcare providers would give PHCM information about the medical services and benefits provided to patients, as well as the patients’ identifying information, descriptions of the services provided to the patients and the dates of service. PHCM then submitted claims for reimbursement on behalf of the providers to health insurance programs including Medicare, Medicaid and private payors. The health insurance programs would then pay the submitted claims with checks made payable to the healthcare providers, which were delivered either to the providers or to PHCM. When checks were sent to PHCM, PHCM was responsible for either delivering the checks to the provider or depositing the checks directly into the provider’s bank account. Phythian and PHCM were not authorized to deposit the reimbursement checks into PHCM’s bank account.

Without the knowledge or authorization of the healthcare providers, certain funds of the healthcare providers were embezzled and deposited into PHCM’s bank account. Phythian then wrote checks, drawn on the PHCM account, to Goossen totaling over $100,000. Phythian deposited the checks written to Goossen into a Wells Fargo bank account jointly owned by Phythian and Goossen. Next, Phythian cashed checks drawn on the Wells Fargo account at casinos or made ATM withdrawals from the Wells Fargo account and gambled with the money, all without Goos-sen’s knowledge.

In addition to the PHCM business, Phythian and Goossen also owned and operated AM Antiques from February 2001 through July 2004. AM Antiques sold antiques in an antiques mall, continuing operations until the antiques mall ceased operations in July 2004.

In April 2000, Phythian applied for social security disability insurance (SSDI), claiming she was unable to work beginning in April 1999. Her application for benefits was denied. Phythian reapplied for SSDI in August 2003, claiming a disability onset date of September 30, 2000— *811 the date Phythian asserts she was no longer able to work. The SSA approved Phythian’s application for SSDI benefits and paid Phythian a lump sum of $17,050 for back benefits and monthly payments of approximately $1,140 which continued until March 2006. From April 2000 until March 2006, SSA periodically required Phythian to disclose whether she had been working or currently was working. Phyt-hian always denied working. In 2006, the SSA reopened Phythian’s application to consider denying benefits. Phythian certified she had not been working since July I, 2003. On March 7, 2006, the SSA terminated Phythian’s SSDI benefits, concluding she had been working.

On February 22, 2006, a federal grand jury returned a nine-count indictment against Phythian charging her with embezzlement from healthcare providers in violation of 18 U.S.C. §§ 669 and 24(b), money laundering in violation of 18 U.S.C. § 1956(a)(l)(B)(i), and social security disability insurance fraud in violation of 42 U.S.C. § 408(a)(3) and (4). On February 9, 2007, after a three day trial, the jury returned a verdict finding Phythian guilty on all counts. This appeal follows.

II. DISCUSSION

Phythian asserts there was insufficient evidence presented at her jury trial to allow a reasonable jury to convict her of any of the nine counts of the indictment. This court reviews the sufficiency of the evidence supporting a conviction de novo, “viewing evidence in the light most favorable to the government, resolving conflicts in the government’s favor, and accepting all reasonable inferences that support the verdict.” United States v. Washington, 318 F.3d 845, 852 (8th Cir.2003) (citing United States v. Grimaldo, 214 F.3d 967, 975 (8th Cir.2000)). “[W]e reverse only if no reasonable jury could have found the defendant guilty beyond a reasonable doubt.” United States v. Pruneda, 518 F.3d 597, 605 (8th Cir.2008).

A.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

State Of Louisiana v. Kristian Gaudet
Louisiana Court of Appeal, 2024
Commonwealth v. Erin Kipeum Lee
Massachusetts Appeals Court, 2024
United States v. James Workman
71 F.4th 661 (Eighth Circuit, 2023)
United States v. Rivera-Ortiz
14 F.4th 91 (First Circuit, 2021)
United States v. Muhammad Anwar
880 F.3d 958 (Eighth Circuit, 2018)
State of Louisiana v. Martin G. Lemoine
222 So. 3d 688 (Supreme Court of Louisiana, 2017)
United States v. Charles Koss
769 F.3d 558 (Eighth Circuit, 2014)
United States v. Christopher Perry
757 F.3d 166 (Fourth Circuit, 2014)
United States v. Klinefelter
38 F. Supp. 3d 965 (C.D. Illinois, 2014)
United States v. Violeta Hinojosa
728 F.3d 787 (Eighth Circuit, 2013)
United States v. Milo Davis
690 F.3d 912 (Eighth Circuit, 2012)
United States v. Rubashkin
655 F.3d 849 (Eighth Circuit, 2011)
United States v. Delgado
653 F.3d 729 (Eighth Circuit, 2011)
United States v. Valerie Manzella
443 F. App'x 695 (Third Circuit, 2011)
United States v. Slagg
651 F.3d 832 (Eighth Circuit, 2011)
United States v. Heid
651 F.3d 850 (Eighth Circuit, 2011)
United States v. Timothy Lewis
438 F. App'x 145 (Third Circuit, 2011)
United States v. Dvorak
617 F.3d 1017 (Eighth Circuit, 2010)

Cite This Page — Counsel Stack

Bluebook (online)
529 F.3d 807, 2008 U.S. App. LEXIS 13272, 2008 WL 2485184, Counsel Stack Legal Research, https://law.counselstack.com/opinion/united-states-v-phythian-ca8-2008.