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United States of America v. BlueWave Healthcare Consultants Inc, 9:11-cv-1593-RMG (2018)

Court: District Court, D. South Carolina Number: infdco20180116d29 Visitors: 8
Filed: Jan. 12, 2018
Latest Update: Jan. 12, 2018
Summary: ORDER and OPINION RICHARD MARK GERGEL , District Judge . This matter is before the Court on the United States' Objections to the BlueWave Defendants' Deposition Designations for the United States' 30(b)(6) witness Alison Coleman. (Dkt. Nos. 801-1, 803-1.) The Court has ruled on each Objection as set forth below. I. Deposition of Alison Coleman (Dkt. No. 728-4, 823-2) BlueWave's Government's Objections Ruling Designation Pg. 19, Ln. 9 — Not relev
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ORDER and OPINION

This matter is before the Court on the United States' Objections to the BlueWave Defendants' Deposition Designations for the United States' 30(b)(6) witness Alison Coleman. (Dkt. Nos. 801-1, 803-1.) The Court has ruled on each Objection as set forth below.

I. Deposition of Alison Coleman (Dkt. No. 728-4, 823-2)

BlueWave's Government's Objections Ruling Designation Pg. 19, Ln. 9 — Not relevant, per Court's 12/4/2017 The objection is sustained in Pg. 20, Ln. 16 ruling on materiality (Dkt. No. accordance with the Court's 795). Order at Dkt. No. 795. Pg. 21, Ln. 21 - 25 Not relevant, per Court's 12/4/2017 The objection is sustained in ruling on materiality (Dkt. No. accordance with the Court's 795). Order at Dkt. No. 795. Pg. 48, Ln. 12 — Beyond the scope; the deponent is The objection is overruled. Pg. 49, Ln. 5 asked about medical necessity Deponent was designated to reviews of HDL and Singulex, a speak about the process of AND topic for which she was not medical necessity reviews of designated. independent clinical lab testing Pg. 50, Ln. 3-18 services generally, Topic 14(e), and "How HDL's and Singulex's AND claims to Medicare and TRICARE including the claims Pg. 51, Ln. 6-9 which are the subject of this complaint, were reviewed, denied, and/or paid." (Dkt. No. 815-4 at 1, 7.) Therefore, questions about medical necessity reviews of HDL and Singulex are not outside the scope of the designation. Pg. 52, Ln. 21-24 Not relevant, per Court's 12/4/2017 The objection is sustained in ruling on materiality (Dkt. No. accordance with the Court's 795); vague. Order at Dkt. No. 795. Pg. 71, Ln. 16 - 25 Beyond the scope; the deponent is The objection is overruled. For asked about pre-payment medical reasons stated above, questions necessity reviews of HDL and about medical necessity reviews Singulex, a topic for which she was of HDL and Singulex are not not designated. outside the scope of the designation. Pg. 84, Ln. 6 — Lacks foundation; witness asked to The objection is overruled. The Pg. 85, Ln.13 draw conclusions from a document deposition transcript shows that with which she is not familiar. the deponent was able to understand the questions and the document and to answer questions that were otherwise within the scope of the designation. Pg. 86, Ln. 23 — Incomplete. The objection is overruled Pg. 87, Ln. 5 because the Government's counter-designation resolves incompleteness [Pg. 87, Ln. 6-7], and Defendants have not objected to the counter-designation. Pg. 87, Ln. 22 — Lacks foundation; incomplete. The objection is overruled Pg. 88, Ln. 4 because the Government's counter-designation resolves incompleteness [Pg. 88, Ln. 5-7], and Defendants have not objected to the counter-designation. Pg. 97, Ln. 15 — Incomplete; repetitive; beyond the The objection is overruled. The Pg. 99, Ln. 2 scope; the deponent is asked about deponent was asked several state prevailing rates and provider questions about how Tricare billed rates, topics for which this determines the appropriate deponent was not designated. reimbursement for a claim. This subject falls within Topic 14 (Dkt. No. 815-4 at 7) which broadly covers claims processing and review and is therefore within the scope of the designation. The Government also objected that the designation is incomplete but did not offer a counter-designation, so the objection as to incompleteness is overruled. Pg. 100, Ln. 23 — Incomplete; no end to designation. The objection is moot because Pg. 101, Ln. 3 Designation should end at Pg. 101, Defendants updated their Ln. 3. designation to end at Pg. 101, Ln. 3 Pg. 106, Ln. 7 — Incomplete; compound; beyond the The objection is overruled. The Pg. 109, Ln. 1 scope. The deponent is asked about deponent was asked several state prevailing rates and provider questions about how Tricare billed rates, topics for which she determines the appropriate was not designated. reimbursement for a claim. This subject falls within Topic 14 (Dkt. No. 815-4 at 7) which broadly covers claims processing and review and is therefore within the scope of the designation. Pg. 112, Ln. 15 — Incomplete; lacks foundation; The objection is overruled. The Pg. 113, Ln. 2 misstates testimony. The deponent deponent was asked several is asked about state prevailing rates questions about how Tricare and provider billed rates, topics for determines the appropriate which this deponent was not reimbursement for a claim. This designated. Counsel's question (not subject falls within Topic 14 included in the designation), (Dkt. No. 815-4 at 7) which assumes certain activity regarding broadly covers claims processing physician billing. and review and is therefore within the scope of the designation. Pg. 134, Ln. 20 - 23 Incomplete. The objection is overruled. The Government's counter-designation resolves incompleteness [Pg. 134, Ln. 8-19], and Defendants have not objected to the counter-designation. Pg. 145, Ln. 8 - 12 Vague, misleading; beyond the The objection is overruled. scope; the question is vague and Deponent was designated to misleading in referring to speak about the reimbursement TRICARE's payment of a "process of P&H fees, so this question is and handling fee" "for a blood not outside the scope of the sample." designation. (Dkt No. 815-4 at 7, Topic 19.) Deponent did not appear confused by the question or ask for clarification, so the objection as to vagueness is overruled. Pg. 153, Ln. 15 - 23 Lacks foundation; beyond the The objection is overruled. scope; the deponent is asked about Deponent was asked, "have you her personal experience with seen any literature distributed by literature distributed by TRICARE TRICARE to providers regarding to providers. the potential for a process and handling fee to be an inducement and therefore a violation of the Anti-Kickback Statute?" Deponent responded, "I have not seen anything." Deponent was designated to answer questions about, "CMS's past and existing policies, guidance and valuation determinations regarding its payments of blood specimen handling fees pursuant to Medicare's Fee Schedule . . ., and CMS's past and existing policies, guidance and valuation regarding its payments of venipuncture fees pursuant to Medicare's Fee Schedule." (Dkt. No. 815-4 at 2, 7.) Counsel's question about whether deponent was aware of any guidance issued by TRICARE to providers about process and handling fees is therefore within the scope of the designation. The excerpt is not reasonably read as an inquiry into deponent's personal experience even though counsel asked about what deponent herself had "seen." The objection as to lack of foundation is also overruled.

AND IT IS SO ORDERED.

Source:  Leagle

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