United States v. Zafar Mehmood

CourtCourt of Appeals for the Sixth Circuit
DecidedJuly 15, 2021
Docket19-1669
StatusUnpublished

This text of United States v. Zafar Mehmood (United States v. Zafar Mehmood) is published on Counsel Stack Legal Research, covering Court of Appeals for the Sixth 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. Zafar Mehmood, (6th Cir. 2021).

Opinion

NOT RECOMMENDED FOR PUBLICATION File Name: 21a0340n.06

Nos. 19-1243/19-1667/19-1669

UNITED STATES COURTS OF APPEALS FOR THE SIXTH CIRCUIT

FILED UNITED STATES OF AMERICA, ) Jul 15, 2021 ) DEBORAH S. HUNT, Clerk Plaintiff-Appellee, ) ) v. ) ON APPEAL FROM THE ) UNITED STATES DISTRICT ZAFAR MEHMOOD, ) COURT FOR THE EASTERN ) DISTRICT OF MICHIGAN Defendant-Appellant. ) )

BEFORE: BATCHELDER, WHITE, and DONALD, Circuit Judges.

HELENE N. WHITE, Circuit Judge. We previously affirmed Defendant Zafar

Mehmood’s convictions for fraud, money laundering, and obstruction of justice, but we vacated

his sentence and remanded for resentencing. On remand, the district court recalculated the loss

amount attributable to Mehmood’s fraudulent activity and sentenced him to a below-Guidelines

term of imprisonment. In this appeal, Mehmood argues that the district court failed to follow our

instructions on remand and erred in calculating the loss amount, which also resulted in an

erroneous restitution determination. He further challenges the district court’s denial of his motion

for new trial based on newly discovered evidence. We AFFIRM.

I.

From 2006 to 2011, Mehmood and others ran a fraudulent scheme involving several home-

health-care companies that purported to provide physical therapy to home-bound Medicare Nos. 19-1243/19-1667/19-1669, Unites States v. Mehmood

beneficiaries and submitted fraudulent claims to Medicare.1 During the conspiracy, Mehmood’s

companies submitted $47,219,535.47 in Medicare claims for in-home care. Medicare paid

$40,488,106.98 on those claims.

A grand jury returned an indictment charging Mehmood with one count of conspiracy to

commit health-care fraud, in violation of 18 U.S.C. § 1349; four counts of health-care fraud, in

violation of 18 U.S.C. §§ 1347 and 2; one count of conspiracy to pay and receive health-care

kickbacks, in violation of 18 U.S.C. § 371; one count of conspiracy to commit money laundering,

in violation of 18 U.S.C. § 1956(h); and two counts of money laundering, in violation of 18 U.S.C.

§§ 1956(a)(1)(B)(i) and 2. A grand jury later returned a separate indictment charging Mehmood

with two counts of obstruction of justice, in violation of 18 U.S.C. §§ 1512 and 2. These latter

charges stemmed from the government’s contention that Mehmood took incriminating parts of

patient files from the government’s offices while he was there reviewing the evidence in

preparation for trial.

At trial, numerous former employees of Mehmood’s companies testified about the

scheme’s design and scope. This included evidence that Mehmood and others paid bribes to

recruiters for Medicare beneficiaries recruited or referred to his companies; recruiters offered and

paid bribes, including prescriptions for controlled medications, for the beneficiaries’ Medicare

information and signatures on medical records; Mehmood and his employees created fake patient

records with fabricated medical information; Mehmood taught his employees how to fabricate

medical data to make it appear that the patient was making progress; Mehmood’s companies

submitted claims for beneficiaries who were deceased or hospitalized at the time of the alleged in-

1 The companies listed in the indictment included Access Care Home Health Care, Inc. (Access), All State Home Health Care, Inc. (All State), Patient Care Home Care, Inc. (Patient), and Hands on Healing Home Care, Inc. (HOH). Mehmood was the owner and president of Access, Patient, and All State, and co-owner of HOH.

-2- Nos. 19-1243/19-1667/19-1669, Unites States v. Mehmood

home therapy; Mehmood, who was also a physical-therapist assistant, submitted bills showing that

he provided services for multiple patients at the same time, sometimes in different cities; and

Mehmood created shell companies and tasked intermediaries with facilitating payments.

A jury convicted Mehmood on all counts. The district court sentenced Mehmood to 360

months’ imprisonment, based in part on its determination that the loss amount from Mehmood’s

fraud was the full amount of gross billings submitted by Mehmood’s companies.

On appeal, we affirmed Mehmood’s convictions but vacated his sentence. United States

v. Mehmood, 742 F. App’x 928, 931 (6th Cir. 2018) (Mehmood I). As relevant here, we rejected

Mehmood’s sufficiency-of-the-evidence argument on the obstruction-of-justice counts:

The government presented evidence that although Mehmood was detained pending trial he was granted temporary release from custody to accompany his attorneys to the office of the U.S. Department of Health and Human Services (“HHS”) in Detroit to prepare for trial and review original patient records and other materials seized from Mehmood’s companies. HHS discovered that certain incriminating, original pages were missing following Mehmood’s three visits and law enforcement found these pages in Mehmood’s cell upon executing a search warrant. At trial, the government presented evidence that the original patient files had been scanned by the government prior to Mehmood’s examination of those files at HHS. The government argued: “we’re able to take both what was left after Mehmood’s visit [to HHS,][(Ex. 352)], as well as the documents that were seized from Mr. Mehmood’s cell[, (Ex. 350A)], and if we put them together, they match exactly” to the scan of the original records produced before Mehmood’s visit to HHS, (Ex. 351). (R. 322, PID 9340.) Specifically, the government focused on the file of Janie Drake, comparing a scanned version of the Drake file made before Mehmood’s visit, to a version of the original Drake file scanned immediately after Mehmood’s visit, (Ex. 352), to reveal the missing pages. The missing pages, (Ex. 350A), were later found in Mehmood’s cell. Mehmood now seizes on the government’s argument at trial that the pre- and post-HHS-visit scans “match[ed] exactly.” (R. 322, PID 9340.) He argues that because the two scans contain certain dissimilarities, they do not “match exactly,” and thus Exhibit 351 cannot be a reliable representation of the contents of the Drake file as originally seized. (Mehmood Br. at 34 (“In light of the dissimilarities . . . , the case agent’s testimony that Exhibit 351 is a scanned duplicate of the original Drake file viewed by Mehmood at the HHS field office ‘defies physical realities’ and ‘contradicts indisputable physical facts.’”) (citing United States v. Farley, 2 F.3d 645, 652 (6th Cir. 1993)).) Stated differently, Mehmood argues that the -3- Nos. 19-1243/19-1667/19-1669, Unites States v. Mehmood

dissimilarities prove that “Exhibit 351 and Exhibit 352 . . . were not created from the same physical document,” (Mehmood Reply Br. at 15), and thus Exhibit 351 “should be excluded from this Court’s review of the sufficiency of the evidence.” (Mehmood Br. at 34.) Mehmood’s argument fails.

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