Leon FL Administrative law, Federal regulation and Health ca -- eLawyers

06-003837 SA-PG-TAMPA, LLC, D/B/A PALM GARDEN OF TAMPA vs AGENCY FOR HEALTH CARE ADMINISTRATION (2006)

Division of Administrative Hearings, Florida Filed: Oct. 05, 2006

The issue in these consolidated cases is whether the Agency for Health Care Administration ("AHCA") properly disallowed Petitioners' expense for liability insurance and accrued contingent liability costs contained in AHCA's audit of Petitioners' Medicaid cost reports.Under the unique factual circumstances, Petitioners were justified in taking an accrual of expenses for contingent liability under the category of general and professional liability, pursuant to generally accepted accounting principles.

07-002650BID AIDS HEALTHCARE FOUNDATION DISEASE MANAGEMENT OF FLORIDA, INC. vs AGENCY FOR HEALTH CARE ADMINISTRATION (2007)

Division of Administrative Hearings, Florida Filed: Jun. 12, 2007

Whether, in making a preliminary decision to award a contract for the subject services, Respondent acted contrary to a governing statute, rule, policy, or project specification; and, if so, whether such misstep(s) was/were clearly erroneous, arbitrary or capricious, or contrary to competition. Also at issue is whether Petitioner’s response to the subject Request for Proposal (RFP) was responsive and whether Petitioner has standing to bring this proceeding.Petitioner`s bid was non-responsive. Respondent had insufficient information to ensure that Intervenor was a responsible bidder.

06-005335MPI AGENCY FOR HEALTH CARE ADMINISTRATION vs CENTRAL FLORIDA REGIONAL HOSPITAL (2006)

Division of Administrative Hearings, Florida Filed: Dec. 29, 2006

The issues are whether Petitioner overpaid Medicaid reimbursements to Respondent for inpatient hospital services due to the lack of medical necessity for such services and, if so, the amount of the overpayment.Petitioner proved that certain inpatient hospitalization services were not medically necessary.

06-001882MPI COLONIAL HEALTH CARE SERVICES, INC. vs AGENCY FOR HEALTH CARE ADMINISTRATION (2006)

Division of Administrative Hearings, Florida Filed: May 19, 2006

Whether Medicaid overpayments were made to Petitioner and, if so, what is the total amount of those overpayments. Whether Petitioner should be directed to submit to a "comprehensive follow-up review in six months."Respondent met its burden of proving that Petitioner, a provider of pharmacy services, received $480,832.31 in Medicaid overpayments.

02-004849PL DEPARTMENT OF HEALTH, BOARD OF MEDICINE vs KRISHNASAMY SOUNDARARAJAN (2002)

Division of Administrative Hearings, Florida Filed: Dec. 20, 2002

Whether disciplinary action should be taken against Respondent's license to practice medicine based on allegations that Respondent violated the provisions of Subsections 458.331(1)(m) and (t), Florida Statutes, arising from his treatment and care of Patient M.R., as alleged in the Administrative Complaint in this proceeding.In a close case, Petitioner failed to prove that Respondent deviated from standard of care during three operations on patient`s carotid artery; medical records adequate; dismiss.

03-000425PL DEPARTMENT OF HEALTH, BOARD OF MEDICINE vs CLINTON BERTRAND DAVIS (2003)

Division of Administrative Hearings, Florida Filed: Feb. 07, 2003

The issues in this case are whether Respondent violated Subsections 458.331(1)(t) and 458.331(1)(m), Florida Statutes (1995), as alleged in the Administrative Complaint, and, if so, what is the appropriate discipline to impose.Petitioner proved, by clear and convincing evidence, that Respondent insufficiently documented his treatment of the patient.

03-000947PL DEPARTMENT OF HEALTH, BOARD OF DENISTRY vs LAWRENCE TARN, D.D.S. (2003)

Division of Administrative Hearings, Florida Filed: Mar. 19, 2003

The issue for determination is whether Respondent violated Subsection 466.028(1)(x), Florida Statutes (1996), in connection with his treatment of one patient.Evidence was less than clear and convincing that general dentist failed to care for one patient or refer her to a specialist in a timely manner.

02-004120PL DEPARTMENT OF HEALTH, BOARD OF MEDICINE vs JOSEPH OVADIA, M.D. (2002)

Division of Administrative Hearings, Florida Filed: Oct. 21, 2002

The issue in this case is whether Respondent, Joseph Ovadia, M.D., committed the violations alleged in an Administrative Complaint issued by Petitioner, the Department of Health, on August 26, 2002, and, if so, what disciplinary action should be taken against him.Respondent violated 458.331(1)(t), Florida Statutes, when he failed to go to emergency room while on call to assess patient.

Daniel M. Lake