few days later in Salt Lake City if she wanted to contest the subpoena.2 After reviewing the subpoena, Becker chose not to challenge it and instructed her staff to produce the records immediately. Wright and others from MFCU removed and copied dozens of patient records, which they returned to Becker’s office later that day. Hebert-Snow performed an initial review of the copied records and concluded that Becker had likely up-coded.
MFCU Threatens Prosecution and Proposes Settlement of the Charges
Becker was then asked to come to Salt Lake City to meet with Kroll to discuss the investigation. On January 20, 1999, Becker traveled to Salt Lake City and met with Kroll, Wright, and Hebert-Snow. According to Becker, this meeting was first an interview and then an impromptu settlement conference. Specifically, Becker claims she was told that if she did not pay $107,000 to MFCU within two weeks, she would face criminal prosecution. In his own words, Kroll testified that he informed Becker of the “parade of horrors” and “how bad it could get” if MFCU filed criminal charges. Supp.App. Aple. Kroll, et al. 294-97.
Becker maintained she was innocent of any up-coding and refused to settle with MFCU. Becker argued to Kroll that the medical experts who had reviewed her billing practices were not neurologists and therefore had no expertise to determine the validity of her billing statements. Following this exchange, and without telling Becker, MFCU contracted with Dr. Vine, an independent neurologist, to review Becker’s records. Vine concluded that Becker’s billing practices were appropriate.
In April 1999, Kroll again contacted Becker and offered to waive any criminal prosecution if Becker would pay $49,605 to MFCU. Kroll provided Becker with a draft criminal complaint against her seeking $646,000 in damages. Becker again maintained her innocence and refused to settle.
MFCU Files and Withdraws Civil Suit
On June 24, 1999, Kroll filed a civil suit against Becker, asking for $25,000 in damages plus fines and investigative costs. According to Kroll, he filed the suit as part of settlement discussions with Becker, and he dismissed the civil action less than two weeks later on July 7, 1999 when settlement failed to materialize.
Following the dismissal of the civil action, Becker began to publicly respond to the MFCU investigation. First, in November 1999, .she filed a Notice of Claim against MFCU.3 She and her husband also initiated a letter-writing campaign in which they contacted the Governor, federal and state legislators, and other officials, detailing what Becker believed were unprofessional investigative practices and bullying tactics of MFCU. Only one letter in the record, sent to the Chairman of the Utah Senate Appropriations Committee, and copied to the Chairman of the Utah House Appropriations Committee and the Utah Governor, is dated prior to the filing of criminal charges against Becker.
The state decided in 1999 to transfer oversight of MFCU from the Utah Department of Public Safety to the Attorney General’s Office, a transfer the district court attributed to political pressure from rural doctors claiming maltreatment by MFCU. In December 1999, David Gardner took over Kroll’s position as the lead prosecutor
2
It is worth noting that Salt Lake City is approximately 300 miles northeast of St. George.
3
A Notice of Claim is required under Utah law where any citizen seeks recovery from an arm of the state government.