Oji Fit World, LLC v. District of Columbia ( 2024 )


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    DISTRICT OF COLUMBIA COURT OF APPEALS
    No. 22-CV-0821
    OJI FIT WORLD, LLC, et al., APPELLANTS,
    V.
    DISTRICT OF COLUMBIA, APPELLEE.
    Appeal from the Superior Court
    of the District of Columbia
    (2021-CA-001259-B)
    (Hon. William M. Jackson, Motions Judge)
    (Hon. Hiram E. Puig-Lugo, Motions Judge)
    (Hon. Ebony M. Scott, Motions Judge)
    (Submitted April 17, 2024                                Decided October 24, 2024)
    Michael Lasley was on the brief for appellants Oji Fit World, LLC, and
    Amaka Oji.
    Brian L. Schwalb, Attorney General for the District of Columbia, Caroline S.
    Van Zile, Solicitor General, Ashwin P. Phatak, Principal Deputy Solicitor General,
    Thais-Lyn Trayer, Deputy Solicitor General, and Brian J. Leitch and Eric M. Levine,
    Assistant Attorneys General, were on the brief for appellee.
    Before EASTERLY and DEAHL, Associate Judges, and THOMPSON, Senior
    Judge.
    EASTERLY, Associate Judge: Appellants, Amaka Oji and Oji Fit World, LLC
    (“OFW”), appeal from the Superior Court’s order granting summary judgment in
    2
    favor of appellee the District of Columbia on its claims under the D.C. False Claims
    Act and the common law doctrine of unjust enrichment and ultimately awarding the
    District $1,001,362.50 in treble damages and $497,000 in civil penalties. For the
    reasons set forth below, we affirm the summary judgment order, but we remand for
    further consideration of damages and penalties.
    I.     Factual and Procedural Background
    The D.C. Department of Health Care Finance (“DHCF”) approved Ms. Oji as
    a Medicaid provider in 2011. In this role, Ms. Oji was eligible for reimbursement
    from the District Medicaid program for certain wellness services, including fitness
    training, that she provided to Medicaid beneficiaries with intellectual and
    developmental disabilities. Ms. Oji provided these services through a number of
    trainers employed by OFW, of which she was the sole owner and manager. In the
    span of approximately three and a half years, between 2012 and 2015, Ms. Oji and
    her company submitted more than 24,000 claims for reimbursement to DHCF.
    This billing caught the attention of DHCF, the Office of the Inspector General
    for the Centers for Medicare and Medicaid Services, and the Federal Bureau of
    Investigation, each of which investigated Ms. Oji and her company for fraudulent
    Medicaid billing practices. In April 2021, the District of Columbia filed suit against
    Ms. Oji and her company under 
    D.C. Code § 2-381.02
     (the False Claims Act) and
    3
    the common law doctrine of unjust enrichment. The complaint alleged that between
    2012 and 2015, Ms. Oji, through her company, regularly overbilled DHCF for
    Medicaid payments. Trainers employed by OFW would submit “daily fitness
    reports” (but not timecards) to OFW’s administrative employees following each
    training session, and Ms. Oji, who made all final billing decisions, would submit
    corresponding claims for reimbursement to DHCF. Regardless of how long a
    training session actually lasted, Ms. Oji almost always “billed Medicaid and
    accepted payment for a full hour of service.” For example, Ms. Oji billed a full hour
    for sessions where the trainer’s daily fitness report reflected that the beneficiary had
    canceled their session or had not shown up, or that the session had taken place but
    lasted less than an hour, or that a trainer had provided back-to-back trainings with
    different clients in locations that would have required significant travel time to move
    between. Although the complaint provided some specific examples of daily fitness
    reports that did not accord with Ms. Oji’s corresponding claim for reimbursement
    (and noted that “[h]undreds of daily fitness reports lack information necessary to
    assess proper billing”), it did not specify an exact number of times Ms. Oji and her
    company allegedly overbilled, nor did it provide a comprehensive list of dates on
    which the overbilling occurred.
    Ms. Oji (but not OFW) filed an answer, which the District moved to strike on
    the ground that it “failed to respond to the majority of individual allegations” or
    4
    “assert a proper general denial of all allegations” in the complaint, in violation of
    Super. Ct. Civ. R. 8(b). Ms. Oji did not oppose the motion to strike, and the Superior
    Court (Hon. William M. Jackson) granted it. Ms. Oji subsequently filed a revised
    answer. 1 Neither her first nor second answer raised any affirmative defenses related
    to laches or any statute of limitations.
    At a scheduling conference in October 2021, the Superior Court instructed
    counsel for Ms. Oji and OFW that he needed to file an answer on behalf of the
    corporation. The court also sua sponte expressed concern about the length of time
    that had elapsed between the alleged fraudulent conduct in 2012-2015 and the
    eventual filing of the District’s lawsuit in 2021. To the court’s first point, counsel
    for Ms. Oji and her company stated that his failure to file an answer on OFW’s behalf
    had been an oversight. To the court’s second point, the District explained that its
    suit was an outgrowth of the DHCF investigation, which launched in 2015 and had
    provided Ms. Oji and OFW with ample notice of the fraud allegations; that the
    lawsuit was filed within the statute of limitations; and that Ms. Oji and her company
    had not filed a motion to dismiss the District’s suit on statute of limitations grounds.
    1
    In a later order, the Superior Court mistakenly stated that the second answer
    had also been stricken. The Superior Court docket, however, indicates that although
    the District filed a motion to strike Ms. Oji’s first revised answer, that motion was
    denied.
    5
    In response, counsel for Ms. Oji and her company did not contest the timeliness of
    the District’s action; instead, he argued that his clients had not been given adequate
    information about the basis for the suit. The court refused to entertain this lack-of-
    specificity argument, admonishing counsel for Ms. Oji and OFW that
    [Y]ou need to put that in writing . . . [I]f you [have] issues
    or claims of laches . . . or whatever you have claimed, then
    you need to file something . . . [I]f you have appropriate
    request[s] for discovery from the Government, then make
    those requests in writing.
    The court then underscored its statements, observing, “[t]his is not an oral argument
    where I’m just going to say, okay, you said this and I’m going to order that. . . . [It]
    doesn’t work that way.” A few days later, OFW, alone, filed what it entitled a
    “Revised Answer,” though it was OFW’s first responsive pleading, which still did
    not raise laches, statute of limitations, or any other affirmative defense.
    The following month Ms. Oji and OFW together filed a motion to dismiss,
    arguing for the first time that the District’s suit was time barred by a six-year statute
    of limitations and laches. The Superior Court (Hon. Hiram E. Puig-Lugo) denied
    the motion, ruling that it was untimely under Super. Ct. Civ. R. 12(b), which requires
    that a motion to dismiss be filed before an answer. The court also “note[d] that
    Defendants failed to raise statute of limitations and laches as affirmative defenses in
    their” answer, and that “[f]ailure to properly plead an affirmative defense may result
    6
    in waiver of the affirmative defense.” Ms. Oji and OFW then sought to raise a
    variety of objections to the District’s complaint in a document entitled a
    “counterclaim.” The District moved to strike this filing because it failed to state a
    claim for relief under Super. Ct. Civ. R. 12(b)(6). In the absence of any opposition
    from Ms. Oji and OFW, the court granted the District’s motion to strike, agreeing
    that the pleading “d[id] not seek any relief from the Plaintiff.”
    The District moved for summary judgment in March 2022, asserting that the
    undisputed facts established that Ms. Oji and OFW had submitted false claims to the
    District’s Medicaid program and falsified records in support of their false claims.
    More specifically, in its statement of undisputed facts, the District asserted that (1) of
    the 24,702 billed sessions between February 13, 2012 and August 30, 2015, 99.6%
    were for a full hour of training services, rather than a lesser authorized increment of
    fifteen, thirty, or forty-five minutes; (2) “[m]any Medicaid recipients who received
    fitness services from Oji Fit World were not capable of exercising for a full hour”;
    and (3) “the average fitness training session [according to one OFW fitness trainer]
    lasted only 20 to 30 minutes and . . . most of the Medicaid beneficiaries trained by
    Defendants were unable to train for longer than 20 to 30 minutes.” Also in its
    statement of undisputed facts, the District described more than seventy known
    training sessions for which Ms. Oji and OFW submitted claims for an hour of
    services when either no training services, or less than an hour of services, had been
    7
    provided. Based on these facts, the District asserted that there was no genuine
    dispute that Ms. Oji and OFW owed at least $1,001,362.50 in damages and $994,000
    in civil penalties under 
    D.C. Code § 2-381.02
    (a), which allows the District to recover
    “3 times the amount of damages which [it] sustains” as a result of a False Claims
    Act violation and civil penalties of “not less than $5,500, and not more than
    $11,000” 2 for each false claim.
    Ms. Oji and her company filed a four-page opposition but did not file their
    own statement of disputed facts, as required by Super. Ct. Civ. R. 56(b)(2)(B). At
    the hearing on the District’s motion, the Superior Court (Hon. Ebony Scott) noted
    that Ms. Oji and OFW’s failure to file a statement of facts made it “unclear as to
    what the arguments are in opposition to the District’s claims,” and asked counsel for
    Ms. Oji and her company why, given this omission, it should not consider all of the
    District’s alleged facts undisputed. Counsel did not respond to the court’s question
    directly, instead referencing “the statute of limitations” and the District’s
    “questionable litigation tactics.” The court rejected this argument, explaining that it
    2
    The False Claims Act was amended in 2013, raising the minimum and
    maximum civil penalties to which the District is entitled; before that time, the statute
    authorized civil penalties of “not less than $5,000 and not more than $10,000” per
    violation. Compare 
    D.C. Code § 2-381.02
    (a) (2011) with 
    D.C. Code § 2-381.02
    (a)
    (2013). In light of this change, the District, in calculating its request for civil
    penalties, explained that the “penalty amounts applied to each of the . . . violations
    depends on whether the violation occurred before or after March 18, 2013.”
    8
    had already “deal[t] with the issue of statute of limitations and laches,” these
    defenses “w[ere] not raised timely,” and they therefore were waived.
    The court ultimately granted summary judgment for the District but ordered
    supplemental briefing on damages and penalties. In their supplemental brief, the
    District proposed what it characterized as a “straightforward and conservative”
    “damages calculation.” The District explained that 24,584 of the “fitness training
    sessions that [Ms. Oji and OFW] billed to the District’s Medicaid program . . . were
    for a full hour of fitness training services,” but that, based on testimony from one
    OFW trainer, “the average fitness training session lasted just twenty to thirty
    minutes.” Thus, the District asserted that Ms. Oji and OFW had “double billed the
    District” for each of these 24,584 claims “by submitting claims for four quarter hour
    units [each $18.75] when [at most] only two quarter hour units of service were
    provided.” Even so, the District requested “damages for just one quarter hour” of
    each of the purportedly hour-long sessions billed to the Medicaid program.
    In addition to damages, the District requested that the court impose the
    maximum civil penalty allowed under the False Claims Act (either $10,000 or
    $11,000, see supra note 2) for each false claim. The District put forward what it
    described as a “conservative[]” request that the court impose “a civil penalty for just
    one false claim per bi-monthly payment processing cycle,” ninety-three in all. The
    9
    District based this request on its contention that “at least one claim for payment per
    cycle was clearly a false claim subject to civil penalty.”
    In a one-page order without analysis, the Superior Court awarded the District
    the full damages award it sought ($1,001,362.50) and half of its requested civil
    penalties ($497,000), for a total of $1,498,362.50. This appeal followed.
    II.    Analysis
    Many of the arguments raised by Ms. Oji and her company are difficult to
    decipher due to the quality of the briefing, which contains disjointed and fragmented
    sentences; lacks proper citations to the record or supporting authority, much less
    explanatory parentheticals; confusingly intertwines and repeats strands of
    arguments; and largely fails to coherently orient the reader within any clear analytic
    framework. We decline to pick up the breadcrumbs of Ms. Oji and her company’s
    challenges to the Superior Court’s rulings in the order in which they have been
    scattered, and we have instead attempted to decipher and reorganize these arguments
    in the manner that makes the most sense to us. We address first all the arguments
    related to matters preceding the Superior Court’s summary judgment ruling, then
    address the challenges to the court’s dispositive ruling, and lastly address the court’s
    award of damages and penalties.
    10
    A.     Matters Preceding Summary Judgment
    1.     Motion to Dismiss
    Ms. Oji and OFW argue that the Superior Court abused its discretion by
    denying their motion to dismiss as untimely without “review[ing], consider[ing], or
    rul[ing] on [its] merits.” A motion to dismiss “must be made before a pleading if a
    responsive pleading is allowed.” Super. Ct. Civ. R. 12(b). There is no legitimate
    dispute that the defendants’ motion was untimely; by the time they filed their motion
    to dismiss, they had already filed three responsive pleadings. See supra Part I.
    Ms. Oji and her company nonetheless assert, without citation to the record,
    that “Judge Jackson’s [o]rder implied that the Appellants’ Motion to Dismiss
    presented significant issues for the [j]ury to decide regarding [l]aches and the [statute
    of] limitation,” and that “[h]is [o]rder was timely and still pending a decision on the
    merits of that [m]otion, contrary to” the court’s subsequent denial. We presume
    these quoted clauses refers to Judge Jackson’s oral directive to their counsel at the
    October 1, 2021 status conference to “file something” if they had “issues or claims
    of laches . . . or whatever,” and we understand Ms. Oji and her company to argue
    that, with this directive, Judge Jackson gave them permission to file a motion to
    dismiss. We disagree. The court’s reminder to counsel that it was inappropriate to
    raise challenges to the complaint at a scheduling conference did not absolve Ms. Oji
    11
    and OFW of the responsibility to file pleadings in accordance with court rules. And
    we note that counsel for Ms. Oji and OFW did not in fact rely on the court’s
    statement to file a motion to dismiss; instead, his next filing after the scheduling
    conference was a “revised answer” for OFW (which did not include laches or statute
    of limitations arguments). Furthermore, whether the motion that they ultimately
    filed raised “significant issues” has no bearing on whether the court was within its
    discretion to dismiss it as untimely. Indeed, rejecting substantive claims regardless
    of their merits is the necessary byproduct of enforcing timing rules for filing.
    2.     “8(b) strategy”
    Ms. Oji and her company argue that “[a]fter [they] filed several [a]nswers to
    the bogus Appellee pleadings, it became clear . . . that the Appellee was using an
    ‘8(b) strategy,’ to cover up the inadequate and incomplete [c]omplaint and the
    [District]’s failure to provide information and evidence that [Ms. Oji and her
    company] filed and committed false claims.” And they assert that Judge Scott erred
    in “accept[ing] . . . the [District’s] 8(b) litigation and strategy and tactics.” Rule 8(b)
    of the Superior Court Rules of Civil Procedure governs “Admissions and Denials”
    in a defendant’s answer to a complaint. By referring to the District’s “8(b) strategy,”
    Ms. Oji and her company seem to imply there was something nefarious about the
    District moving to strike Ms. Oji’s first and second answer (only the first motion
    12
    was granted, see supra note 1), 3 but they never explain the nature of the alleged
    impropriety, much less provide a legal foundation for it, beyond invoking Rule 8(b).
    See Comford v. United States, 
    947 A.2d 1181
    , 1188 (D.C. 2008) (explaining that this
    court will decline to address arguments that are inadequately developed in briefing
    because “[i]t is not enough merely to mention a possible argument in the most
    skeletal way, leaving the court to do counsel’s work”) (quoting United States v.
    Zannino, 
    895 F.2d 1
    , 17 (1st Cir. 1990)). Ms. Oji and her company themselves did
    not even oppose the District’s motions to strike various pleadings when they had the
    opportunity, making it all the harder to understand their claim that the Superior Court
    (Judge Jackson, not Judge Scott as they assert) abused its discretion in granting this
    motion and rendering this claim forfeited. See Super. Ct. Civ. R. 12-I(e) (“If an
    opposition is not filed within the prescribed time, the court may treat the motion as
    conceded.”). For all these reasons we reject any challenge to the District’s “8(b)
    strategy” or the Superior Court’s response thereto.
    3.     Discovery
    Ms. Oji and her company argue that the Superior Court abused its discretion
    3
    The District also moved to strike Ms. Oji and OFW’s “counterclaim,” but
    that was based on the District’s argument that the counterclaim “fail[ed] to state a
    claim for relief under Super. Ct. Civ. R. 12(b)(6),” not on Rule 8(b). See infra Part
    II.A.4.
    13
    by failing to “compel the [District] to respond to [their] [d]iscovery demands.” We
    disagree.
    Ms. Oji and OFW claim that they “submitted the[ir] first [d]iscovery
    [r]equest” in May 2021. But the record indicates they never served separate
    discovery requests on the District; they only mailed the District a “discovery
    motion,” in which they asked the court to order the District to respond to a mishmash
    of requests for information and documents. It is unclear whether this motion could
    serve as a legitimate request for discovery under our rules. See Super. Ct. Civ. R. 30,
    31, 33, 34 & 36 (requiring that a party propound a specific type of discovery, e.g.,
    deposition, interrogatories, admissions, or document requests); see also R. 26(g)(1)
    (requiring counsel to sign each discovery request). In any event, it appears that
    Ms. Oji and OFW’s discovery motion was not filed with the court, given that it does
    not appear on the Superior Court docket, nor did the court ever rule on it. The fact
    that the District nevertheless filed an opposition with the court (in which it argued
    that Ms. Oji and OFW had failed to comply with Super. Ct. Civ. R. 37, by filing a
    motion to compel “before the District received any actual discovery requests”) did
    not create an obligation for the court to rule on a motion that it had never received.
    Super. Ct. Civ. R. 37(a)(2) (requiring “an application for an order to a party . . . to
    be made to this court”); see also Fox v. Am. Airlines, Inc., 
    389 F.3d 1291
    , 1294 (D.C.
    Cir. 2004) (describing counsel’s “obligat[ion] to monitor the court’s docket”). And,
    14
    in any event, the District was surely correct that the motion drafted by Ms. Oji and
    OFW was improper. See Super. Ct. Civ. R. 37(a)(1)(D) (governing motions to
    compel discovery, and requiring, inter alia, that a motion must be filed with the court
    and “must set out verbatim the question propounded and the answer given”). 4 We
    thus reject Ms. Oji and OFW’s argument that the Superior Court abused its
    discretion in failing to compel discovery pursuant to the May 2021 “discovery
    motion.”
    Ms. Oji and OFW filed another motion to compel discovery—still seemingly
    without having made any actual discovery requests—in September 2022, after the
    court had already granted summary judgment to the District and the parties had
    already filed their supplemental briefing on damages. Judge Scott denied this
    motion as moot “in light of [its] dispositive ruling” on the District’s motion for
    summary judgment, and we perceive no error in that decision.
    4
    Without grappling with the larger issues that their initial “discovery motion”
    preceded any actual discovery requests and was never filed with the court, Ms. Oji
    and her company dispute the District’s assertion that they never met and conferred
    with the District before filing their motion, as required by Super. Ct. Civ. R. 37(a).
    They assert that they “met on several occasions with multiple [District] attorneys in
    person or by phone to discuss this case . . . as early as October 2017 through 2021.”
    We fail to see how meetings (of which there is no record evidence), most of which
    were undertaken years before the District filed this suit, could have satisfied the
    requirement that parties meet and confer about specific discovery disputes arising
    out of litigation.
    15
    4.     Dismissal of their counterclaim
    Ms. Oji and OFW argue that the Superior Court’s “dismissal of [their]
    [c]ounterclaim, without an explanation or ruling, undermined, eliminated, and
    denied their ability to address the [District’s] . . . claims with accurate evidence,
    contrary to Superior Court Rule 13.” This argument has no record support. At the
    hearing on the District’s motion for summary judgment, the Superior Court clearly
    articulated its reasons for striking the counterclaim, explaining that although the
    pleading was styled as a “counterclaim,” it was “really an opposition . . . [a]nd it
    does not seek any relief from the Plaintiff as a counterclaim [from the] plaintiff
    would ordinarily do.” The court thus determined “that striking the pleading . . .
    [wa]s appropriate under [Super. Ct. Civ. R.] 12(f).” We agree with the Superior
    Court’s assessment that the so-called “counterclaim” did not in fact seek any relief,
    and the court was within its rights to strike the pleading. See Super. Ct. Civ.
    R. 8(a)(2), (3) (“A pleading that states a claim for relief must contain . . . a short and
    plain statement of the claim showing that the pleader is entitled to relief” and “a
    demand for the relief sought . . . .”); see also Super. Ct. Civ. R. 12(f).
    B.     Summary Judgment
    Ms. Oji and her company argue that, in granting summary judgment for the
    District, the Superior Court erred by not “consider[ing] or rul[ing] on whether the
    16
    [District’s] [c]omplaint[] violated” the applicable statute of limitations, by “fail[ing]
    to consider or rule on the [their] Opposition to” the District’s motion for summary
    judgment, and by violating the “basic common law standard . . . that every trial must
    be decided by substantial and sufficient evidence.” We review summary judgment
    rulings de novo. District of Columbia v. Place, 
    892 A.2d 1108
    , 1110-11 (D.C.
    2006). We may uphold the Superior Court’s ruling only if we conclude that there
    were no genuine issues of material fact and that, viewing the evidence in the light
    most favorable to the defendants, the District was entitled to judgment as a matter of
    law. See Ward v. Wells Fargo Bank, N.A., 
    89 A.3d 115
    , 126 (D.C. 2014).
    We turn first to the argument by Ms. Oji and OFW that the Superior Court
    failed to consider their statute of limitations defense in opposition to the District’s
    motion for summary judgment (Ms. Oji and OFW do not brief the actual merits of
    this argument). The court explained in its summary judgment order “that while
    Defendants make a statute of limitations and laches argument,” they “failed to raise
    this argument as an affirmative defense in their” answer and thus “waived this
    affirmative defense.” We agree with the Superior Court’s conclusion that, by failing
    to raise statute of limitations and laches arguments as affirmative defenses in any of
    the three answers they filed, Ms. Oji and OFW lost the opportunity to make this
    argument. Day v. McDonough, 
    547 U.S. 198
    , 202 (2006) (“Ordinarily in civil
    litigation, a statutory time limitation is forfeited if not raised in a defendant’s answer
    17
    or in an amendment thereto.”); see also Feldman v. Gogos, 
    628 A.2d 103
    , 104 (D.C.
    1993) (“The statute of limitations is an affirmative defense which . . . must be set
    forth affirmatively in a responsive pleading and may be waived if not promptly
    pleaded” (alteration omitted) (quoting Whitener v. WMATA, 
    505 A.2d 457
    , 458
    (D.C.1986)). 5   The Superior Court was therefore correct not to consider this
    argument at the summary judgment stage. See Wood v. Milyard, 
    566 U.S. 463
    , 470
    (2012) (“An affirmative defense, once forfeited, is ‘exclu[ded] from the case . . . .’”
    (alteration in original) (quoting 5 C. Wright & A. Miller, Federal Practice and
    Procedure § 1278 (3d ed. 2004))).
    Ms. Oji and OFW also argue that the court failed to consider their opposition
    to the District’s summary judgment motion. The premise of their argument appears
    5
    The Superior Court, consistent with the Superior Court Rules of Civil
    Procedure, said that Ms. Oji and OFW “waived” their statute of limitations
    argument. Super. Ct. Civ. R. 12(h)(1) (providing that “a party waives any defense
    listed in Rule 12(b)(2)–(5)” when they, inter alia, fail to “include it in a responsive
    pleading”). But as we recently held in Plus Properties Trust v. Molinuevo Then,
    
    2024 WL 4509252
     (D.C. 2024), it is more accurate to say that when a party fails to
    timely raise a defense under Rule 12, that defense is “forfeited.” 
    Id. at *4
     (explaining
    “the failure to raise a defense in a timely manner is ‘better characterized
    as . . . forfeiture,’ . . . while ‘waiver is the intentional relinquishment or
    abandonment of a known right’”); cf. Chew v. United States, 
    314 A.3d 80
    , 91 (D.C.
    2024) (Easterly, J., concurring). Forfeited issues are still reviewable on appeal under
    a demanding “miscarriage of justice” standard, Plus Properties at *5, but as noted
    above Ms. Oji and OFW have not asked us to review the merits of their statute of
    limitations argument; they have only asked us to review the Superior Court’s refusal
    to consider this belatedly raised defense.
    18
    to be that “[t]he Court wrongly stated that Appellants failed to file a statement of the
    material facts that they contend are genuinely disputed.” The Superior Court was
    correct in finding that no such statement had been filed. There is no statement in the
    record from Ms. Oji and her company that complies with Super. Ct. Civ.
    R. 56(b)(2)(B), 6 and they point to nothing in the record to demonstrate that they did
    file such a statement. Nor did they attempt to raise genuine factual disputes in their
    opposition to the District’s motion. The closest they came was to argue that the
    District “manipulated the statements of” one OFW fitness trainer, Darnell Bolding,
    whose deposition testimony was used to support the District’s premise that the
    “average” training session lasted only twenty to thirty minutes, but they did not
    explain how his statements should actually be understood, nor did they specifically
    address any of the facts alleged by the District or offer any alternative facts that
    would create a factual dispute. 7 Under Rule 56, “[i]f a party fails to properly . . .
    address another party’s assertion of fact” in a summary judgment opposition, “the
    6
    This rule states that “[a] party opposing the motion [for summary judgment]
    must file a statement of the material facts that the opponent contends are genuinely
    disputed. The disputed material facts must be stated in separate numbered
    paragraphs that correspond to the extent possible with the numbering of the
    paragraphs in the movant’s statement.” Super. Ct. Civ. R. 56(b)(2)(B).
    7
    In their opposition, Ms. Oji and OFW cited to an affidavit by Mr. Bolding,
    consisting mostly of yes/no questions, in which he denied “engag[ing] in a scheme
    and conspiracy” to overbill DHCF and asserted that he was “[not] told to over bill,
    or write false reports” and that “[t]his case is a bunch of nonsense,” but said nothing
    about the typical length of training sessions.
    19
    court may . . . consider the fact undisputed for the purposes of the motion.” See
    Super. Ct. Civ. R. 56(e)(2). 8
    Lastly, Ms. Oji and OFW argue that the court violated the “basic common law
    standard . . . that every trial must be decided by substantial and sufficient evidence.”
    This standard is inapplicable. This case was not decided after a trial, but instead on
    summary judgment, where the only questions are whether there is any “genuine
    dispute as to any material fact” and whether “the movant is entitled to judgment as
    a matter of law.” Super Ct. Civ. R. 56(a)(1). As noted, Ms. Oji and OFW never
    disputed the District’s recitation of facts in Superior Court and it is too late for them
    to do so now. See supra note 8. As for contesting the District’s entitlement to
    judgment as a matter of law based on those facts, Ms. Oji and OFW’s brief consists
    largely of descriptions of Medicaid regulations and procedural history and contains
    little in the way of identifiable legal argument. To the extent that Ms. Oji and OFW
    are arguing that any false billing was limited and that the District failed to prove
    widespread wrongdoing, their argument is untethered from the District’s complaint
    8
    Ms. Oji and her company seek to identify material disputes of fact in their
    brief on appeal. But they make their arguments in the wrong place at the wrong
    time. Per Rule 56, disputes of fact must be raised in the trial court before the court
    rules on a pending summary judgment motion, and this court will not entertain any
    factual material that was not presented to the trial court. See Futrell v. Dep’t of Lab.
    Fed. Credit Union, 
    816 A.2d 793
    , 802 n.10 (D.C. 2003) (“[A] party is bound by the
    factual disputes raised before the trial court and cannot raise new factual disputes for
    the first time on appeal.”).
    20
    or the court’s order. Although the District presented evidence of numerous false
    claims and false records, it was not required to allege a minimum number of
    fraudulent acts in order to prove liability under the statute. See 
    D.C. Code § 2
    -
    381.02(a). Thus, to conclude that Ms. Oji and her company were liable, all the
    Superior Court had to do was to find that, based on the undisputed facts presented
    by the District, they had committed one act of filing a false claim or a false record
    as a matter of law. The court did just that and more, giving numerous specific
    examples of false billing and false records derived from the District’s statement of
    undisputed facts, and Ms. Oji and OFW supply us with no argument to second guess
    that decision.
    Because Ms. Oji and her company have not put forward any meritorious
    argument for why the District is not entitled to judgment as a matter of law, 9 we
    9
    In addition to the arguments addressed above, Ms. Oji and her company
    argue that the Superior Court erred by “not consider[ing], address[ing], or rul[ing]
    on the Appellants’ ‘Reasonable Interpretation Defense.’” Again, without any
    citations to the record or adequate citation to the law—Ms. Oji and her company cite
    simply to a Supreme Court case “Safeco v. Burr” without providing any reporter
    information, much less an explanation of how this decision supports their
    argument—we struggle to discern the nature of their challenge to the Superior
    Court’s ruling. In any event, we see no mention of a “reasonable interpretation
    defense” in their opposition to the motion for summary judgment. Accordingly, we
    decline to address this undefined and seemingly unpreserved issue. See Pajic v.
    Foote Props., LLC, 
    72 A.3d 140
    , 145 (D.C. 2013) (“[T]his court’s review on appeal
    is limited to those issues that were properly preserved” except “in ‘exceptional
    21
    affirm the Superior Court’s order granting summary judgment.
    C.    Damages and Penalties
    Ms. Oji and OFW challenge the trial court’s decision to award the District
    treble damages and civil penalties under the False Claims Act, asserting the court
    relied on inaccurate or misleading representations by the District. We review for
    abuse of discretion. See James G. Davis Constr. Corp. v. HRGM Corp., 
    147 A.3d 332
    , 346 (D.C. 2016). Applying this standard, we must vacate the court’s ruling and
    remand. The Superior Court’s order awarding damages and penalties contains no
    situations and when necessary to prevent a clear miscarriage of justice.’”); Comford,
    947 A.2d at 1188.
    Ms. Oji and OFW raise for the first time on appeal that Ms. Oji “should not
    have been charged as a co-defendant in this case because OFW . . . is a separate legal
    entity.” Because this argument is unpreserved, we decline to address it on appeal.
    Pajic, 72 A.3d at 145.
    Ms. Oji and her company also argue that the trial court’s summary judgment
    order violates their Seventh Amendment right to a jury trial. They did not make this
    constitutional argument in the Superior Court in opposition to the District’s motion
    for summary judgment, and it is meritless. “It is well settled that a trial court does
    not violate the Seventh Amendment by granting summary judgment where that is
    appropriate.” Burrello Grp., LLC v. District of Columbia, 
    303 A.3d 618
    , 627 (D.C.
    2023).
    Lastly, Ms. Oji and OFW accuse Judge Scott of bias in ruling on their
    summary judgment motion. Because Ms. Oji and OFW offer no support for this
    assertion, we decline to address it as well. See Bardoff v. United States, 
    628 A.2d 86
    , 90 n.8 (D.C. 1993) (where “[a]ppellants provide no supporting argument in their
    brief for [a] general assertion . . . we consider [it] to be abandoned”).
    22
    supporting analysis or explication, leaving us unable to determine if it is the product
    of a reasonable exercise of discretion.
    A person found liable under the False Claims Act must pay the District treble
    damages and “a civil penalty of not less than $5,500, and not more than $11,000, for
    each false claim.” 
    D.C. Code § 2-381.02
    (a). 10 After the court granted summary
    judgment to the District, the parties filed supplemental briefing on damages and
    penalties. In that briefing, the District asserted that the “average fitness training
    session lasted just twenty to thirty minutes,” based upon the testimony of one trainer
    that that was what “most” of the individuals he trained had capacity for. The District
    then further assumed that Ms. Oji and OFW had double billed in every instance
    where they had billed for hour-long training sessions, and that they had submitted at
    least “one false claim per bi-monthly payment processing cycle.” Based on these
    assumptions, the District requested $1,001,362.50 in treble damages and $994,000
    in civil penalties. The District did note that it was working with limited records to
    make these assessments, explaining that its “ability to thoroughly document the full
    extent of the Defendants’ overbilling” was “impeded” by Ms. Oji and OFW’s failure
    to participate meaningfully in discovery, including by failing to produce thousands
    10
    See supra note 2.
    23
    of their trainers’ visit reports. 11 Thus the District also asked the court to treat the
    amount of damages as conceded by Ms. Oji and OFW as a discovery sanction under
    Super. Ct. Civ. R. 37(b)(2)(A)(i).
    The Superior Court issued a judgment order awarding the District
    $1,001,362.50 in treble damages and $497,000 in civil penalties—the full amount of
    damages and half the amount of civil penalties that the District had requested. The
    court, however, provided no explanation as to how it had arrived at the numbers it
    ultimately awarded.
    In the absence of any explanation from the Superior Court as to how it arrived
    at the damages and civil penalties awards, we are unable to review its decision.
    Perhaps, as the District had suggested, the court treated damages as conceded by
    Ms. Oji and OFW as sanction for their discovery violations; but if so, we have no
    explication of what, specifically, those discovery violations were and why they
    would support such a sanction. Alternatively, perhaps the court relied on the
    District’s assumptions to calculate damages and penalties, but if so, we do not know
    why the court thought those assumptions were legally and factually supported. In
    11
    For example, in granting a motion to compel discovery filed by the District,
    the Superior Court in July 2022 found that Ms. Oji and OFW “ha[d] exhibited a total
    failure to answer the first set of Requests for the Production of Documents and
    Interrogatories[] issued by the District.”
    24
    particular, the court made no findings as to whether the testimony of just one trainer
    that “most” individuals he trained were only able to train for twenty or thirty minutes
    was a sufficient basis to conclude that “the average fitness training session [across
    all OFW trainers] lasted just twenty to thirty minutes,” or whether there was any
    other basis for concluding that Ms. Oji and OFW had overbilled DHCF for each of
    its hour-long training sessions by either half an hour ($37.50)—as the District
    argued—or a quarter hour ($18.75)—as the District more “conservatively” estimated
    as the foundation for its damages request. With respect to penalties, it appears the
    court adopted the District’s calculations but took the minimum penalty ($5,000
    before March 2013 and $5,500 afterwards, see supra note 2) rather than the
    maximum, thereby arriving at exactly half the amount of penalties requested by the
    District. But even assuming this is the case, the court did not explain its reasoning
    in doing so, nor did it make any findings as to whether the undisputed facts showed
    that “at least one claim for payment per [bi-monthly billing] cycle was clearly a false
    claim subject to civil penalty.”
    “A trial court’s failure to explain . . . a nonobvious exercise of discretion
    generally requires a remand, particularly when it prevents adequate appellate review
    of the basis of its holding.” Long v. United States, 
    312 A.3d 1247
    , 1269 (D.C. 2024).
    “Although we accord the trial court substantial latitude in its exercise of discretion,
    this latitude comes with conditions: that the court take no shortcuts . . . and that it
    25
    explains its reasoning in sufficient detail to permit appellate review.” 
    Id. at 1270
    (internal quotation marks and alterations omitted) (quoting Cruz v. United States,
    
    165 A.3d 290
    , 294 (D.C. 2017)); see also Johnson v. District of Columbia, 
    144 A.3d 1120
    , 1140-41 (D.C. 2016) (remanding for the “trial court [to] fully come to grips
    with the appropriate measure of damages [under the False Claims Act] in light of all
    the facts of record and relevant decisional law”).
    For the foregoing reasons, we affirm the Superior Court’s order granting
    summary judgment for the District of Columbia under the False Claims Act and
    unjust enrichment, but we remand for further litigation on treble damages and civil
    penalties.
    So ordered.
    

Document Info

Docket Number: 22-CV-0821

Filed Date: 10/24/2024

Precedential Status: Precedential

Modified Date: 10/24/2024