On May 20, 2009, US District Judge Virginia Hernandez Covington dismissed, with prejudice, the lawsuit styled United States of America ex rel., Greg Westfall and Suzanne Westfall vs. Axiom Worldwide, Inc., Axiom Worldwide, LLC, James J. Gibson, Jr., Nicholas Exarhos, Timothy Exarhos, Peer Review Network, Inc. The details below were distributed by Axiom this past week. The lawsuit, filed by Greg and Suzanne Westfall on behalf of the United States under the federal False Claims Act, had been pending in the United States District Court for the Middle District of Florida, Tampa Division, since 2006. Lawsuits filed under the False Claims Act are commonly referred to as “qui tam” suits.
Greg Westfall is a former independent sales representative for Axiom Worldwide, and Suzanne Westfall, his wife, served as his assistant. In their complaint, the Westfalls alleged that Axiom’s DRX devices are mechanical traction devices, and that Axiom and others devised a sales scheme to promote the sale of the Axiom products by knowingly, falsely, and fraudulently using misleading representations to physicians which they knew would cause physicians to submit false and fraudulent claims for payment to Medicare and other federal healthcare programs for services rendered with Axiom’s devices.
The Westfalls filed their original sealed complaint on April 5, 2006. A search warrant was executed upon Axiom’s corporate headquarters on March 8, 2007 and the case was subsequently unsealed. Later that year, on August 3, 2007, the United States declined to intervene in the lawsuit. As a result, Axiom Worldwide filed a motion on February 19, 2008 to dismiss the complaint with prejudice. The very next day, the Westfalls and their attorneys filed a motion to amend their original complaint, which was granted. On March 31, 2008, the Westfalls filed their first amended complaint with the Court. In response to the content of the Westfall’s amended complaint, Axiom again filed a motion to dismiss on June 10, 2008.
On March 20, 2009, the court dismissed the first amended complaint without prejudice, noting: “Reading the first amended complaint carefully, this court was not able to connect with any certainty the numerous allegations with the individual defendants.” On April 6, 2009, the Westfalls filed a second amended complaint containing nineteen counts against the defendants. Once again and in response to the content of the Westfalls’ second amended complaint, Axiom filed a motion to dismiss, and on May 20, 2009, the Court granted Axiom’s motion to dismiss with prejudice. In legal terms, a dismissal without prejudice allows for re-filing the complaint in the future. This means that the action is dismissed, but the possibility remains open that the plaintiff may file another complaint. A dismissal with prejudice closes the case, unless the Court’s decision is appealed to the Eleventh Circuit Court of Appeal and the decision is reversed.
The Court’s order noted that qui tam suits “are motivated primarily by prospects of monetary reward, rather than public good” and “raise a high risk of abusive litigation.” In reaching its decision the Court stated, “[i]n an abundance of caution and fairness, this Court allowed Relators [the Westfalls] to amend their complaint to comply with Rule 9(b) as to these bare allegations. Though given ample opportunity, Relators failed to comply with Rule 9(b) and this Court’s Order . . . . Even if this Court were to take judicial notice, as requested by Relators, of the CPT codes and their meanings, this Court could not allow counts one through four and counts nine through eighteen to stand. This is because Relators have provided no reliable basis to support the allegations that claims submitted by these physicians were false.” In regard to counts five through eight, the Court states, “The same analysis applies with equal force…, which concern false records. The breadth of the allegations concerning false records is of particular concern to this court…This vague allegation cannot carry the day in an FCA case concerning false records.” The Court continued, “[t]he allegations concerning conspiracy . . . are merely legal conclusions masquerading as factual allegations, which do not survive the motion to dismiss. . . . The stringent standards imposed by Rule 9(b) safeguard a defendant’s reputation from the injury which can result from fraud allegations. Rule 9(b)’s requirements also rebuff ‘fraud actions in which all of the facts are learned through discovery after the complaint is filed.”
In its conclusion, the Court wrote, “[t]his court roundly refuses to open the door to discovery and litigation when, after three attempts, Relators failed to file a complaint in compliance with Rule 9(b) of the Federal Rules of Civil Procedure. Thus, upon due consideration, this Court dismisses this case with prejudice.”