United States v. Tiffany Foster

CourtCourt of Appeals for the Eleventh Circuit
DecidedJanuary 8, 2019
Docket16-17347
StatusUnpublished

This text of United States v. Tiffany Foster (United States v. Tiffany Foster) is published on Counsel Stack Legal Research, covering Court of Appeals for the Eleventh 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. Tiffany Foster, (11th Cir. 2019).

Opinion

Case: 16-17347 Date Filed: 01/08/2019 Page: 1 of 20

[DO NOT PUBLISH]

IN THE UNITED STATES COURT OF APPEALS

FOR THE ELEVENTH CIRCUIT ________________________

No. 16-17347 ________________________

D.C. Docket No. 1:14-cr-20323-CMA-4

UNITED STATES OF AMERICA,

Plaintiff - Appellee,

versus

TIFFANY FOSTER, a.k.a. Tiffany Coleman, a.k.a. Tiffany Lee, a.k.a. Tiffany Smith, a.k.a. Tiffany Coleman Smith,

Defendant - Appellant.

________________________

Appeal from the United States District Court for the Southern District of Florida ________________________

(January 8, 2019) Case: 16-17347 Date Filed: 01/08/2019 Page: 2 of 20

Before MARTIN, JORDAN and WALKER, * Circuit Judges.

PER CURIAM:

A jury convicted Tiffany Foster of charges involving patient recruiting and

illegal kickbacks in a health-care fraud scheme. See 18 U.S.C. §§ 1349, 371. The

district court granted her motion for judgment of acquittal, see Fed. R. Crim. P.

29(c), ruling that she had withdrawn from the scheme more than five years before

the date of the indictment (which was in May of 2014). See United States v. Foster,

103 F.Supp.3d 1335, 1340-43 (S.D. Fla. 2015). The government appealed, and we

reversed, holding that a reasonable jury could have found that Ms. Foster did not

withdraw from the scheme more than five years prior to her indictment. See United

States v. Foster, 668 F.App’x 881, 881-82 (11th Cir. 2016). On remand, the district

court sentenced Ms. Foster to 97 months of imprisonment. See D.E. 508 at 2.

Ms. Foster now appeals her conviction. She argues that government counsel

engaged in misconduct during his cross-examination of her only witness by

referencing the convictions of co-defendants, implying knowledge of facts not in

evidence, inserting his own personal opinion regarding the witness’ credibility, and

placing the imprimatur of a federal judge on his personal evaluation of the witness.

* Honorable John M. Walker, Jr., United States Circuit Judge for the Second Circuit, sitting by designation. 2 Case: 16-17347 Date Filed: 01/08/2019 Page: 3 of 20

After review of the briefs and extensive trial record, and with the benefit of

oral argument, we agree with Ms. Foster that government counsel improperly

inserted his own personal opinion regarding the defense witness’ credibility into the

proceedings, and improperly placed the imprimatur of a magistrate judge on his own

personal evaluation of the witness. We conclude, however, that the error was not

prejudicial to Ms. Foster given the witness’ limited testimony. As a result, we

affirm.

I

Testimony at trial established that, to receive Medicare benefits for inpatient

psychiatric services, beneficiaries must have a need for 24-hour medical supervision

due to a mental disorder. See D.E. 351 at 196, 198-99. Medicare beneficiaries have

a lifetime maximum of 190 days’ coverage for inpatient psychiatric services. See

42 C.F.R. § 409.62.

Hollywood Pavilion operated a facility that, among other things, billed

Medicare for inpatient psychiatric services. Hollywood Pavilion and several of its

high-level employees, including Chief Executive Officer Karen Kallen-Zury,

engaged in a scheme to defraud Medicare by submitting bills for beneficiaries who

did not satisfy the requirements for inpatient psychiatric services. Hollywood

Pavilion relied on patient recruiters like Ms. Foster to illegally refer patients in

exchange for money.

3 Case: 16-17347 Date Filed: 01/08/2019 Page: 4 of 20

A

Ms. Foster does not challenge the sufficiency of the evidence demonstrating

the charged offenses or conspiracies centering around Hollywood Pavilion. She also

does not contest the evidence showing her membership in the charged schemes until

September of 2005. See Br. for Appellant at 3.

The crucial jury issue in Ms. Foster’s case was whether she withdrew from

the conspiracy before the five-year statute of limitations period. See 18 U.S.C. §

3282(a). In support of her withdrawal defense, Ms. Foster introduced evidence of

conduct she claimed demonstrated withdrawal.

First, Ms. Foster resigned from Hollywood Pavilion on September 13, 2005,

by faxing a letter of resignation to Ms. Kallen-Zury. The government tried to counter

the resignation with evidence that Ms. Foster severed ties with Hollywood Pavilion

because her pay was reduced and because she could make more money elsewhere.

Second, Ms. Foster elicited testimony from Andres Durango, an FBI special

agent who testified for the government, about statements she made to federal

authorities. Agent Durango testified that Ms. Foster disclosed the Hollywood

Pavilion scheme to the FBI in March of 2009 during an interview. Agent Durango

further testified that Ms. Foster informed him that Hollywood Pavilion had engaged

in illegal conduct, including “recycling clients,” “assess[ing] the same person

numerous times within a month,” “billing Medicare for services that [were] not

4 Case: 16-17347 Date Filed: 01/08/2019 Page: 5 of 20

provided,” “threaten[ing] some clients of withholding their disability checks if they

did not return within 30 days,” and providing improper brokerage contracts between

Hollywood Pavilion and patient brokers. See D.E. 351 at 121-26. The government

attempted to show that Ms. Foster did not provide the agents with any inculpatory

statements and that she misled them in many ways.

Third, Ms. Foster called Aaron Danzig—who had already testified on behalf

of a co-defendant—as her only witness. Mr. Danzig, an attorney in private practice,

had been an Assistant U.S. Attorney. He and his firm had been retained to defend

Hollywood Pavilion and Ms. Kallen-Zury against potential federal criminal charges.

Mr. Danzig explained that his firm investigated the alleged Hollywood Pavilion

kickback scheme and tried to convince government officials that criminal charges

were inappropriate. Mr. Danzig testified that he called Ms. Foster in the fall of 2008

to request her assistance with his internal investigation. He recounted that Ms.

Foster refused to assist him in any manner because she “hated Karen Kallen-Zury”

and because “working for her was like Nightmare on Elm Street Part III.” D.E. 358

at 52.

B

On cross-examination, the prosecutor tried to impugn Mr. Danzig’s integrity

and credibility in a number of ways. Because they bear on our analysis, we set out

the prosecutor’s questions and Mr. Danzig’s answers in detail.

5 Case: 16-17347 Date Filed: 01/08/2019 Page: 6 of 20

First, the prosecutor suggested through questions that Mr. Danzig had not told

certain Hollywood Pavilion employees (as he was required to do) that he was

representing the company and had improperly implied that he could and did

represent them in an individual capacity. See id. at 56-64. Mr. Danzig said that he

had told one employee (but not others) that he was representing the company and

admitted that he had told at least one employee that he could represent her

individually in responding to the FBI’s request for an interview. See id. at 59-63.

Second, the prosecutor suggested that Mr. Danzig had obstructed justice by

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