United States of America et al v. Institute of Cardiovascular Excellence, PLLC et al
ORDER Signed by Judge Roy B. Dalton, Jr. on 6/2/2015. (VMF)
UNITED STATES DISTRICT COURT
MIDDLE DISTRICT OF FLORIDA
UNITED STATES OF AMERICA ex rel.
ROBERT A. GREEN; HOLLY A.
TAYLOR; and STATE OF FLORIDA,
Case No. 5:11-cv-406-Oc-37TBS
INSTITUTE OF CARDIOVASCULAR
EXCELLENCE, PLLC; ICE HOLDINGS,
PLLC; ASAD ULLAH QAMAR; and
HUMERA A. QAMAR,
This cause is before the Court on its own motion. On July 15, 2011, Relator
Robert A. Green filed this qui tam action against Defendants for alleged violations of the
False Claims Act (the “Act”), 31 U.S.C. § 3279. (Doc. 1.) On June 13, 2014, Relator
Holly A. Taylor filed a similar qui tam case against Asad Qamar and the Institute of
Cardiovascular Excellence. (See Doc. 10, ¶ 12); see also United States ex rel.
Holly Taylor v. Asad Qamar, et al., No. 8:14-cv-1454-T-35EAJ. On December 22, 2014,
the United States (the “Government”) intervened in both cases, and on April 9, 2015, the
cases were consolidated. (Doc. 9; Doc. 10, ¶ 10; see also Doc. 2.) On April 20, 2015, the
Government filed a seven-count consolidated complaint, alleging, inter alia, four violations
of the Act (the “Qui Tam Case”). (Doc. 10.)
Currently pending is Defendants’ Amended Motion for Preliminary Injunction or,
Alternatively, an Injunction Pursuant to Inherent Authority, to Preserve the Status Quo
and Enjoin Ongoing Retaliation. (Doc. 18.) Defendants seek a preliminary injunction to
enjoin the Government from enforcing a suspension of their Medicare payments that was
implemented one week after the breakdown of settlement discussions for the Qui Tam
Case in February of 2015. (Id.) The Court ordered an expedited briefing schedule on the
Motion (see Docs. 20, 29, 30) and heard argument on May 29, 2015 (see Doc. 39).
The Court understands the parties’ positions to be as follows. Defendants, relying
on the temporal proximity between the breakdown in qui tam settlement discussions on
February 27, 2015, and the implementation of the suspension decision on March 6, 2015,
allege that the Government acted in a bad faith retaliatory manner in response to their
engagement in protected activity, to wit: the exercise of a 5th amendment right to defend
against the Government’s claim of fraud, sufficient to invoke the Court’s inherent authority
to enter an injunction to maintain the status quo. (Doc. 18, pp. 16–17, 19–21; Hr’g Tr. 9–
14, 16–17, 41–43.)1 The Government denies any retaliatory motive or causal connection
between the two events. (Doc. 29, pp. 14–17; Hr’g Tr. 20, 22–23, 27. 31–32, 34, 36–37.)
The Government points to an affidavit from a Director within the Center for Medicare and
Medicaid Services (“CMS”), Zabeen Chong, who avers that the steps to implement the
temporary suspension began in January of 2015. (Doc. 29-1; see also Hr’g Tr. 46).
Defendants were not able to respond to Plaintiff’s affidavits with any new evidence of their
own (see Doc. 20 (“Defendants may file a reply . . . which shall not include any new
issues, rebuttal affidavits, or other evidence in support.”), but they assert that Director
Citations to the transcript from the May 29, 2015 hearing are based on the rough
draft of the transcript. The Court presumes the pagination of the final draft will be very
Chong was not the individual who formally approved the suspension order (Hr’g Tr. 16–
17, 39–40, 48) and that the Government did not rebut their prima facie showing of a
temporal connection (Hr’g Tr. 39). Defendants argue that the Court should weigh these
facts when considering the causation issue. (Hr’g Tr. 16–17, 39–40.)
The temporal proximity of the suspension decision to the Government’s
appearance in the Qui Tam Case and the breakdown of settlement discussions raises the
index of suspicion of concerted action between the Department of Justice and CMS.
However, the record before the Court is not sufficient to reach a determination that
Defendants have a substantial likelihood of success on their claim of bad faith retaliation
so as to invoke the Court’s inherent power to enter a status quo injunction. Thus, the
Court will reserve ruling on Defendants’ Motion pending development of the record
through limited, expedited discovery.
Accordingly, it is hereby ORDERED AND ADJUDGED:
Between now and Friday July 24, 2015, the parties have leave to conduct
discovery on the limited issue of the causal connection necessary for
retaliation—that is, the connection between the administrative suspension
of payments and the parallel qui tam litigation and the presence or absence
of any bad faith or retaliatory motive on the part of the U.S. Department of
Health and Human Services in suspending or revoking Medicare payments.
The parties are authorized to take deposition testimony in an aggregate
amount not to exceed ten (10) hours total, per side, allocated among
witnesses as counsel see fit. The parties are strongly encouraged to work
cooperatively in the scheduling of any depositions and to produce
necessary witnesses without the formality of subpoena where possible
without adversely impacting the substantial rights of the parties or
While the Court envisions that the parties will find deposition to be the most
useful, other forms of discovery may be utilized. A single, narrowly tailored
request for documents must be responded to within fourteen (14) days for
both sides. Narrow and specific interrogatories, not to exceed ten (10) in
number, must be responded to within fourteen (14) days, absent extensions
granted for good cause. Counsel are free to agree to extend these time
periods so long as any extension is not claimed as grounds to modify any
part of the Court’s schedule or to request an extension of the expedited
DONE AND ORDERED in Chambers in Orlando, Florida, on June 2, 2015.
Counsel of Record
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