Division of Administrative Hearings, Florida
Filed: Oct. 27, 2017
Pursuant to section 409.913(15), (16), and (17), Florida Statutes; Florida Administrative Code rule 59G-9.070; and the Final Audit Report issued on November 17, 2015 (FAR), the issues are whether Petitioner overpaid Medicaid reimbursements to Respondent during the audit period of January 1, 2011, through February 28, 2014 (Audit Period), and, if so, the amount of the total overpayments; whether Petitioner may impose a fine against Respondent and, if so, the amount of the fine; and whether Petitioner may recover costs from Respondent and, if so, the amount of the costs.Pet. proved overpayments of Medicaid claims for 35 patients during audit period & may extend this total to all claims during audit period. Pet may impose fine of lesser of $100 per violation re 35 patients or 5% of extended overpayment.
