Division of Administrative Hearings, Florida
Filed: May 01, 2003
The issue for determination is whether Petitioner received Medicaid overpayments and, if so, the total amount of the overpayments. Petitioner agreed at the onset of the hearing not to contest the findings of the Agency that Petitioner received Medicaid monies to which he was not entitled. Therefore, the issue remaining for determination is: Whether Respondent calculated the overpayment amount of $52,850.82 using a valid statistical formula and a valid sample of recipients and claims during the audit period of March 1, 2000, through March 1, 2002.Petitioner by improper coding overbilled for medical services and permitted billing by persons who were not Medicaid providers. Recommend repayment of $52,850.82 to Respondent with interest.
