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Karen Dexter
Karen Dexter
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Bar #723401(FL)     License for 21 years
Tallahassee FL

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Related Laws :

USC: 42 U.S.C 1396a, 42 U.S.C 1396k, 42 U.S.C 1396p

Florida Laws: 120.569, 120.57, 120.68, 409.901, 409.902, 409.908, 409.910, 409.9101, 409.913, 766.118, 766.301, 766.303, 766.316, 768.81

Florida Administrative Code: 59G-6.010

1D10-5058  Prince v. State  (2012)
District Court of Appeal of Florida Filed: Feb. 17, 2012 Citations: 80 So. 3d 1083
80 So. 3d 1083 (2012) Alexander Lamar PRINCE, Appellant, v. STATE of Florida, Appellee. No. 1D10-5058. District Court of Appeal of Florida, First District. February 17, 2012. Nancy A. Daniels, Public Defender, and Glen P. Gifford, Assistant Public Defender, Tallahassee, for Appellant. Pamela Jo Bondi, Attorney General, and Anne C. Conley, Assistant Attorney General, Tallahassee, for Appellee. WOLF, J. Appellant seeks review of his convictions for failure to report a change of residence as require..
07-003626  AVANTE AT JACKSONVILLE vs AGENCY FOR HEALTH CARE ADMINISTRATION  (2007)
Division of Administrative Hearings, Florida Filed: Aug. 10, 2007
The issue for determination is whether Petitioners’ Interim Rate Request (IRR) for an increase should be granted.Petitioner failed to demonstrate that its interim rate request (IRR) for an increase met the requirements of the Long-Term Care Reimbursement Plan. Recommend that IRR be denied.
07-005155  AVANTE AT JACKSONVILLE vs AGENCY FOR HEALTH CARE ADMINISTRATION  (2007)
Division of Administrative Hearings, Florida Filed: Nov. 09, 2007
The issue for determination is whether Petitioners’ Interim Rate Request (IRR) for an increase should be granted.Petitioner failed to demonstrate that its interim rate request (IRR) for an increase met the requirements of the Long-Term Care Reimbursement Plan. Recommend that IRR be denied.
04-004450MPI  MEDICAL SERVICES CONSORTIUM, INC. vs AGENCY FOR HEALTH CARE ADMINISTRATION  (2004)
Division of Administrative Hearings, Florida Filed: Dec. 13, 2004
Whether Petitioner failed to maintain required records to support and document Medicaid prescription claims paid by the Medicaid program for the audit period (June 24, 1998, to June 1, 2000). If so, whether Petitioner received overpayments from the Medicaid program. If so, whether extrapolation was appropriately used to determine the amount of that overpayment (alleged by Respondent to be $1,053,137.49).Petitioner received overpayment from Medicaid as a result of its failure to keep required records. Extapolation was appropriately used to determine the amount of overpayment.
03-003238MPI  COMPSCRIPT, INC., D/B/A COMPSCRIPT vs AGENCY FOR HEALTH CARE ADMINISTRATION  (2003)
Division of Administrative Hearings, Florida Filed: Sep. 10, 2003
Whether the Petitioner was overpaid for Medicaid prescriptions. The Agency for Health Care Administration (AHCA, Agency or Respondent) asserts the Petitioner, Compscript, Inc., d/b/a Compscript (Petitioner or Compscript) failed to maintain proper records to support and document the Medicaid prescription claims paid by the Agency for the audit period. According to the Agency, the audit findings must be extrapolated to the universe of all claims for the audit period. If so, the Agency maintains the Petitioner should reimburse AHCA for a Medicaid overpayment in the amount of $216,974.07 (this is the “recoupment” amount). The Petitioner denies it was overpaid any amount, asserts it kept records in accordance with applicable laws and regulations governing pharmacy records, and maintains that the Agency may not apply the extrapolation accounting procedure in this case.Petitioner failed to maintain records in strict compliance with the rules governing retention of "prescriptions." Recommend that Respondent is entitled to recover the Medicaid overpayment.

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