United States v. St. Joseph's Regional Health Center

240 F. Supp. 2d 882, 2002 U.S. Dist. LEXIS 26192, 2002 WL 31818215
CourtDistrict Court, W.D. Arkansas
DecidedOctober 28, 2002
Docket6:01-cv-06145
StatusPublished
Cited by4 cases

This text of 240 F. Supp. 2d 882 (United States v. St. Joseph's Regional Health Center) is published on Counsel Stack Legal Research, covering District Court, W.D. Arkansas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
United States v. St. Joseph's Regional Health Center, 240 F. Supp. 2d 882, 2002 U.S. Dist. LEXIS 26192, 2002 WL 31818215 (W.D. Ark. 2002).

Opinion

ORDER

HENDREN, District Judge.

On the 19th day of July, 2002, came on for hearing Defendant’s Motion To Unseal File (document # 12) and Defendant St. Joseph’s Regional Health Center’s Motion To Dismiss (document # 14), and from said motions, the supporting documentation, the response thereto, and the arguments of counsel, the Court finds and orders as follows:

I. This- action was commenced on February 27, 1996, in the United States District Court for the Eastern District of Pennsylvania, when Health Outcomes Technologies (“the Relator”) filed a Complaint against St. Joseph’s Regional Health Center (“StJoseph’s) and ninety-nine other defendants pursuant to the False Claims Act, 31 U.S.C. § 3729 et seq. The gravamen of the Complaint was that the defendants “knowingly and willfully utilized inaccurate and improper ICD-9 codes and DRGs in order to receive higher *884 reimbursement under the Medicare Program than that to which they were otherwise entitled,” a practice referred to as “upeoding.” The Complaint recited, for each defendant, the number and percentage of such cases, and contrasted those statistics to national averages.

The case number assigned to the Complaint was 96-1552. Pursuant to the False Claims Act, the Complaint in case number 96-1552 was sealed and was not served upon the defendants until the government had an opportunity to determine whether it wanted to intervene. Under the Act, the government initially has sixty days in which to determine whether to intervene, but may obtain an extension of that period for good cause. Over the next five years, the government at various times intervened in the action as against one or more, but fewer than all, of the defendants. The files as against the remaining defendants remained sealed.

On April 30, 2001, the Pennsylvania court severed the Relator’s claims in case number 96-1552 as against twenty-four defendants, created a new case as to each of those defendants, and then transferred the new cases (still under seal) to other districts. The Complaint in each of the severed cases was redacted so as to remove any reference to the other defendants.

The instant case was one such severed case. In the Eastern District of Pennsylvania it was assigned case number 01-2241. Case number 01-2241 was then transferred to the Western District of Arkansas, where St. Joseph’s is located, and became the instant case. This Court denied further extensions of the seal period, and unsealed the file as transferred to it, with the exception of one document which identified other transferred cases by the names of the defendants therein.

The government elected to intervene in the instant case, and on December 27, 2001, filed a document entitled The United States’ Complaint. The United States’ Complaint states not one, but three, separate counts against St. Joseph’s: Count I alleges violations of the False Claims Act by the making of false claims between October 1, 1992, and September 30, 1997; Count II alleges common law fraud for the same acts during the same period of time; and Count III alleges that St. Joseph’s has been unjustly enriched by the acts upon which Counts I and II are based.

St. Joseph’s now moves for full or partial dismissal of The United States’ Complaint, and for the unsealing of those portions of the file which remain sealed.

2. St. Joseph’s request that the file be unsealed is easily resolved. The file in the instant case has been unsealed, with the exception of the single document mentioned in ¶ 1. The file to which defendant seeks access is the file in case number 96-1552, the original multi-defendant Eastern District of Pennsylvania case, over which this Court has no jurisdiction. Accordingly, St. Joseph’s arguments for lifting the seal should be addressed to the court with jurisdiction over the case and the motion to unseal must be denied.

3. In support of its motion for dismissal, St. Joseph’s argues (a) that the Court lacks subject matter jurisdiction; (b) that the statute of limitations expired before The United States’ Complaint was filed; and (c) that Count III of The United States’ Complaint fails to state a claim.

4. The Issue of Subject Matter Jurisdiction:

The False Claims Act provides, in relevant part, as follows:

(A) No court shall have jurisdiction over an action under this section based upon public disclosure of allegations .... from the news media, unless ... the person bringing the action is an original source of the information.
*885 (B) For purposes of this paragraph, “original source” means an individual who has direct and independent knowledge of the information on which the allegations are based and has voluntarily provided the information to the Government before filing an action under this section which is based on the information.

31 U.S.C. § 3730(e)(4).

St. Joseph’s initially contended that Count I of The United States’ Complaint should be dismissed because it is based on publicly-disclosed information and government-issued administrative reports, and the relator is not an original source as defined in § 3730(e)(4)(B). This argument is without merit as to the claims of the government, inasmuch as the United States “may properly intervene in a suit by a putative source regardless of jurisdictional failures in the underlying suit.” Federal Recovery Services, Inc. v. U.S., 72 F.3d 447 (5th Cir.1995). St. Joseph’s conceded this argument at the hearing, inasmuch as the relator has been dismissed from the case and the action is being conducted entirely by the government. The Court need not, therefore, further address this argument.

5. The Statute of Limitations Argument:

The False Claims Act provides that a civil action thereunder may not be brought more than six years after the date of the violation or more than three years after the date when material facts were or reasonably should have been known — but in any event must be brought within ten years. 31 U.S.C. § 3731.

With regard to the common law claims asserted in Count II (fraud) and Count III (unjust enrichment), the statute of limitations is established by 28 U.S.C. § 2415. Actions for money damages sounding in tort are governed by a three-year statute of limitations and those sounding in contract by a six-year statute of limitations. For purposes of computing these limitations periods, time during which the government did not know and could not reasonably have known of material facts is excluded. 28 U.S.C. § 2416.

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Bluebook (online)
240 F. Supp. 2d 882, 2002 U.S. Dist. LEXIS 26192, 2002 WL 31818215, Counsel Stack Legal Research, https://law.counselstack.com/opinion/united-states-v-st-josephs-regional-health-center-arwd-2002.