United States v. Rasco

262 F.R.D. 682, 2009 U.S. Dist. LEXIS 108477, 2009 WL 4040601
CourtDistrict Court, S.D. Georgia
DecidedNovember 20, 2009
DocketNo. CR408-100
StatusPublished
Cited by1 cases

This text of 262 F.R.D. 682 (United States v. Rasco) is published on Counsel Stack Legal Research, covering District Court, S.D. Georgia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
United States v. Rasco, 262 F.R.D. 682, 2009 U.S. Dist. LEXIS 108477, 2009 WL 4040601 (S.D. Ga. 2009).

Opinion

ORDER

G.R. SMITH, United States Magistrate Judge.

Before the Court in this Medicare fraud case are the following defense motions: joint motion to dismiss counts 1-31, or, alternatively, for a Bill of Particulars, doc. 36; Alfredo Rasco’s motion to sever, doc. 50; a joint motion, by Alfredo Rasco, Niurka Ras-co, and Riccy Mederos (who has since pled guilty), to dismiss counts 2-77 of first superseding indictment, doc. 54; Alfredo Ras-eo’s motion to amend a previous motion (doc. 67), doc. 77 (styled as a “notice” but which in fact “moves for leave to file” a document); and Alfredo Rasco’s motion for return of property. Doc. 128. As will be further explained below, two other motions were erroneously denied and, when combined with various “amendment” and “correction” filings, form the core motion here, which is Alfredo Raseo’s motion dismiss the indictment because, he contends, the government violated Fed.R.Evid. 410 by using against him information gleaned from his guilty-plea proffers. Alternatively, he seeks to exclude tainted evidence arising from the violation. Doc. 67 at 4.

I. BACKGROUND

Some factual background, per the original indictment,1 informs the core motion. The [684]*684first (June 6, 2008) indictment ran only against Alfredo and Niurka Rasco. Doc. 11. It alleges — and for the purposes of resolving the instant motions, all indictment allegations are accepted as fact — that in 2005 the two of them set up a Medicare provider,2 “United Therapy,” in Savannah, Georgia, with Alfredo as its owner-president. Id. at 1-2. A month later, Alfredo, aided by others, had United Therapy submit fraudulent bills to Medicare for infusion therapy. Niurka did the same thing for a second entity called United Medical Center, Inc. (with her as its owner), also in Savannah. Through March 2008, the two submitted over $5,600,000 in false medical services claims to Medicare, thus violating 18 U.S.C. §§ 371 (Conspiracy) and 1347 (Health Care Fraud), and supporting a criminal forfeiture allegation under 18 U.S.C. §§ 982(a)(1), 982(a)(7), and 982(b). Doc. 11 at 3-5. The services either were never provided under the supervision of a physician, or were overstated. Id. at 6-12. The two also committed identity theft by misappropriating personal provider information from medical doctors in order to submit the fraudulent medical bills to Medicare. Id. at 5-6,12-15.

In the First Superseding Indictment (hence, the second indictment, filed October 9, 2008), the government added defendant Ricey Mederos (the “infusion queen,” doc. 127 at 12, 32), who owns “Florida Quality Associates, Inc.” (FQI) in Miami, Florida. Doc. 38 at 1. This indictment basically restated the original’s allegations but also revealed Mederos’s involvement, alleging that between 2005-2008 the three “opened several purported health care clinics throughout South Georgia for the purpose of submitting fraudulent bills to Medicare relating to claimed infusion services.” Id. at 3. Mederos and Alfredo, for example, both submitted United Therapy’s Medicare Provider enrollment application. Id. She also assisted Alfredo in billing for services under doctors’ names and authorization numbers without those doctors’ knowledge. Id. at 4-5. Me-deros also aided and abetted Niurka’s misuse of United Medical to defraud Medicare. Id. at 6.

By this time, then, the government had learned about, and thus indicted Mederos for, similarly using (along with the Ráseos) “Savannah Medical Services” (SMS), by fraudulently billing Medicare while identity-thieving a doctor’s Medicare ID. Id. at 2, 6-8. The three did the same for “Longevity Care Services” (Longevity). Id. at 2, 6-10. Mederos and the Ráseos were thus indicted for conspiracy on those schemes, id. at 10-17, along with Health Care Fraud, 18 U.S.C. § 1347, id. at 17-26, with just Alfredo and Mederos on three Aggravated Identity Theft counts, 18 U.S.C. § 1028A, id. at 26-27, 28-29, and Mederos alone on two separate Aggravated Identity Theft counts. Id. at 27-28. The government also charged Niurka with making a false statement to an FBI agent, id. at 29, and renewed its forfeiture allegations against the Ráseos, only this time adding Mederos, too. Id. at 29-30.3

[685]*685Since that time Mederos has pled guilty, doe. 106, and the government has filed two more superseding indictments. Hence, a total of four indictments have been handed down thus far in this case.4 Doc. 11 (“Indictment”); doc. 38 (“Superseding Indictment”); doc. 118 (“Second Superseding Indictment”); doe. 137 (“Third Superseding Indictment”). Meanwhile, a confusing mix of motions remains on the Court’s docket. Evidently to avoid motion-filing deadline cutoffs, the Ráseos filed “amendments” to earlier motions, thus confusing court staff to the point that two motions were erroneously terminated. The Court will thus revive them, but to understand even that much requires some additional procedural history.

A. Motion to Dismiss Counts 1-31 (Original Indictment)

In a routine criminal motion, Alfredo and Niurka move to dismiss counts 1-31 of the original indictment as too vague because the counts failed to specify any false claim or any particular falsity in any claim submitted. The government, they complain, failed to even furnish them with a copy of a false claim. Doc. 36 at 3. And counts 1-31, they contend, are also duplicitous, in that they charged two or more separate offenses in a single count. “In the event a jury returns a general verdict of guilty on any of the said counts, it would be impossible to determine whether the jury found that the defendants had billed for services that were not medically necessary, had billed for medications that were not administered to the patient, or had failed to comply with some unspecified regulation requiring medical supervision of the service for which the claim was submitted.” Id. at 4. Hence, they conclude, these counts are impermissibly duplicitous. Id.

B. Motion to Sever

Alfredo has filed a Fed.R.Crim.P. 14 motion to sever. Doc. 50. There he notes that, as of the November 14, 2008 date of his motion, the government had not provided him with the substance of statements of the respective defendants that may be introduced at trial. Id. at 2. He anticipates, however, that the government would attempt to introduce in its ease-in-ehief the statements he made during two proffer sessions. Id.

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

Related

United States v. Deantoni
171 F. Supp. 3d 477 (E.D. Virginia, 2016)

Cite This Page — Counsel Stack

Bluebook (online)
262 F.R.D. 682, 2009 U.S. Dist. LEXIS 108477, 2009 WL 4040601, Counsel Stack Legal Research, https://law.counselstack.com/opinion/united-states-v-rasco-gasd-2009.