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AGENCY FOR HEALTH CARE ADMINISTRATION vs DANILO BERNOT, M.D., P.A., 09-004203MPI (2009)

Court: Division of Administrative Hearings, Florida Number: 09-004203MPI Visitors: 4
Petitioner: AGENCY FOR HEALTH CARE ADMINISTRATION
Respondent: DANILO BERNOT, M.D., P.A.
Judges: JUNE C. MCKINNEY
Agency: Agency for Health Care Administration
Locations: Miami, Florida
Filed: Aug. 05, 2009
Status: Closed
Settled and/or Dismissed prior to entry of RO/FO on Monday, September 21, 2009.

Latest Update: Mar. 15, 2010
AHCA v Danilo Bernot, MD, PA


STATE OF FLORIDA

DIVISION OF ADMINISTRATIVE HEARINGS


AGENCY FOR HEALTH CARE ADMINISTRATION

FILED

AHCA

AGENCY CLERK

lOIO HAR I 2 A q: 21



vs.

Petitioner,


DOAH CASE NO. 09-4203MPI JUDGE: JUNE C. MCKINNEY

DANILO BERNOT, M.D., P.A.,


Respondent.

/

C.I. NO. 04-2129-000


FINAL ORDER


THIS CAUSE is before me for issuance of a Final Order. In a letter dated March 31, 2006, Danilo Bernot, M.D., ("Respondent") was informed that the State of Florida, Agency for Health Care Administration ("AHCA" or "Agency") was seeking to recoup Medicaid overpayments in the amount of Forty-Six Thousand, Three Hundred Fifty-Four Dollars and Twenty-One cents ($46,354.21). The Respondent was further informed in the letter that the Agency intended to impose a fine of Two Thousand Dollars ($2,000.00) for violations of Fla. Admin. Code R.

59G-9.070 and to impose a sanction in the form of a Corrective Action Plan, which is attached herein as Exhibit A. Pursuant to §409.913(6), Florida Statutes, the letter was sent Certified Mail, return receipt requested, to Respondent at the address last shown on the provider enrollment file. Respondent signed


Page 1 of 5


Filed March 15, 2010 9:31 AM Division of Administrative Hearings.



for the letter, and the Agency received the certified mail card on April 4, 2006.

A Petition for an Administrative Hearing was received by the Agency on April 24, 2006 and initially referred to an Informal Hearing Officer. Subsequently, the Informal Hearing Officer entered an Order dated July 29, 2009 referring the case to the Division of Administrative Hearings ("DOAH").

On August 5, 2009, the Petition was forwarded to DOAH by the Agency and assigned to an Administrative Law Judge ("Judge").

Upon Joint Motion of both parties, on September 21, 2009, the Judge entered an Order Closing File and therein remanded the case back to AHCA.

The Respondent subsequently filed a Notice of Voluntary Dismissal with DOAH, effective January 11, 2010, and furnished a copy of the Notice of Dismissal to the Agency attorney by United States mail.

ORDER


BASED on the foregoing, it is ORDERED AND ADJUDGED that Respondent, Danilo Bernot, M.D., refund, forthwith, the sum of Forty-Six Thousand, Three Hundred Fifty-Four Dollars and Twenty­ One cents ($46,354.21) as a Medicaid overpayment plus a fine of Two Thousand Dollars ($2,000.00) for violations of Fla. Admin.


Code R. 59G-9.070 for a grand total of Forty-Eight Thousand, Three Hundred Fifty-Four Dollars and Twenty-One cents ($48,354.21) together with statutory interest as set forth in

L

§409.913(25) (c), Florida Statutes. It is further ordered that AHCA shall impose a sanction in the form of Corrective Action Plan, which is attached hereto and incorporated by reference herein. Respondent shall make payment in full within 30 days of the rendition of this Final Order.

DONE and ORDERED this day of 2010, in Tallahassee, Leon County, Florida.


THOMA'?:.c:80L -, Sk.TARY

AGENCY FOR HEALTH CARE ADMINISTRATION


AHCA v Danilo Bernot Case No. 09-4203MPI

Final Order


A PARTY WHO IS ADVERSELY AFFECTED BY THIS FINAL ORDER IS ENTITLED TO A JUDICIAL REVIEW WHICH SHALL BE INSTITUTED BY FILING ONE COPY OF A NOTICE OF APPEAL WITH THE AGENCY CLERK OF AHCA, AND A SECOND COPY ALONG WITH FILING FEE AS PRESCRIBED BY LAW, WITH THE DISTRICT COURT OF APPEAL IN THE APPELLATE DISTRICT WHERE THE AGENCY MAINTAINS ITS HEADQUARTERS OR WHERE A PARTY RESIDES. REVIEW PROCEEDINGS SHALL BE CONDUCTED IN ACCORDANCE WITH THE FLORIDA APPELLATE RULES. THE NOTICE OF APPEAL MUST BE FILED WITHIN 30 DAYS OF RENDITION OF THE ORDER TO BE REVIEWED.


Copies furnished to:


June C. McKinney Administrative Law Judge

Division of Administrative Hearings The DeSoto Building

1230 Apalachee Parkway

Tallahassee, Florida 32399-3060


Danilo Bernot, M.D., P.A. c/o Dagmar Llaudy, Esquire Attorney for the Respondent 1333 Coral Way, Suite 202

Miami, Florida 33145-2900


Debora E. Fridie, Esquire General Counsel's Office, MS#3


Johnnie Shepherd, Assistant Bureau Chief, Medicaid Program Integrity, MS #6


Horace Dozier, Field Office Manager, Medicaid Program Integrity, MS #6 Jesus Rossello, AHCA Administrator

Miami Medicaid Program Integrity Field Office Finance & Accounting, MS #14

Molly McKinstry, Bureau Chief, HQA Long Term Care Services Division of Health Quality Assurance, MS#51


Florida Department of Health ME 0081415


AHCA v Danilo Bernot Case No. 09-4203MPI

Final Order


CERTIFICATE OF SERVICE


I HEREBY CERTIFY that a true and correct copy of the


foregoing has been served upon the above-named persons by U.S.


Mail or by email transmission as indicated on this

/V-p-day


of



RICHARD SHOOP,

State of Florida, Agency for Health Care Administration 2727 Mahan Drive, Building #3

Tallahassee, Florida 32308-5403

(850) 922-5873


Docket for Case No: 09-004203MPI
Issue Date Proceedings
Mar. 15, 2010 Agency Final Order filed.
Jan. 11, 2010 Notice of Voluntary Dismissal filed.
Sep. 21, 2009 Order Closing File. CASE CLOSED.
Sep. 17, 2009 Parties' Joint Motion for Continuance (Consented To By Respondent) filed.
Aug. 12, 2009 Order of Pre-hearing Instructions.
Aug. 12, 2009 Notice of Hearing (hearing set for December 1 and 2, 2009; 9:00 a.m.; Miami, FL).
Aug. 12, 2009 Joint Response to Initial Order filed.
Aug. 12, 2009 Petitioner Agency's Notice of Service of First Interrogatories and First Expert Interrogatories to Respondent Danilo Bernot, M.D. filed.
Aug. 12, 2009 Petitioner Agency's First Request for Production of Documents to Respondent Danilo Bernot, M.D. filed.
Aug. 06, 2009 Initial Order.
Aug. 05, 2009 Final Audit Report filed.
Aug. 05, 2009 Petition for an Informal Hearing filed.
Aug. 05, 2009 Order of Referral to the Division of Administrative Hearings filed.
Aug. 05, 2009 Notice (of Agency referral) filed.

Orders for Case No: 09-004203MPI
Issue Date Document Summary
Mar. 12, 2010 Agency Final Order
Source:  Florida - Division of Administrative Hearings

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