ake ill la ferenan wk ck STATE OF FLORIDA AGENCY FOR HEATH CARE ADMINISTRATION 02 AN 3 JFK MEDICAL CENTER, Petitioner, EN oe) Closed vs. CASE NO. 01-0310 00-0511-000 AGENCY FOR HEALTH CARE ADMINISTRATION, Respondent. / FINAL ORDER - THE PARTIES resolved all disputed issues and executed a “settlement agreement”, which is incorporated by . reference. The parties are directed to comply with the terms of the “settlement agreement”. Based on the foregoing, this proceeding is CLOSED. DONE and ORDERED on this the gh day of Taetny , 2001, in Tallahassee, Florida. Rhonda 4 Medows, M.D., Secretary Agency for Health Care Administration yer ae pepe gor were root Bee ae ore co asi i i thos te + had. ratrawe dik tk. biti lll a il vibe 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: Kenneth E. White, Esq. Haliczer, Pettis & White, P.A. 101 Northeast 3°? Avenue Fort Lauderdale, Florida 33301 Kim A. Kellum, Esquire Attorney for Agency AGENCY FOR HEALTH CARE ADMINISTRATION 2727 Mahan Drive Fort Knox Building 3, Mail Stop 3 Tallahassee, Florida 32308 E.H. Powell Administrative Law Judge Division of Administrative Hearings The DeSoto Building 1230 Apalachee Parkway Tallahassee, Florida 32399-3060 Willie Bivens, Finance and Accounting Mike Morton, Medicaid Program Integrity sone VIR Tee err eer cee CERTIFICATE OF SERVICE I HEREBY CERTIFY that a true and correct copy of the foregoing has been furnished to the above ed addressees by U.S. Mail on this the 6) day of ; avr @ C. , 200T . t ROL Che teelere Hac ay uscd oan Clerk State of Florida Agency for Health Care Administration 2727 Mahan Drive, Building #3, Mail Stop 3 Tallahassee, Florida 32308-5403 a Pp opocerere aoe re oppEE cere one Seo creer ULITLOTeUeL Lot ae BOENLT Cur MERLIN CHRKE HU Bow 4is S515 STATE OF FLORIDA AGENCY FOR HEALTH CARE ADMINISTRATION : ii a a Bas. } JFK MEDICAL CENTER, Petitioner, vs. Case No, 01-0310 Provider No. 010146000 CI No. 00-0511-000 “AGENCY FOR HEALTH CARE ADMINISTRATION, Respondent. SETTLEMENT AGREEMENT Respondent, the State of Florida, Agency for Health Care Administration, and Petitioner, JFK Medical Center, by and through the undersigned individuals, hereby stipulate and agree as follows: 1. This settlement agreement is entered into between the parties in order to resolve a dispute that arose as the result of a FMOQAI review. 2. Ina final agency audit letter dated May 15, 2006, Petitioner was informed that the Agency sought recoupment in the amount of $55,948.10. A copy of the recoupment letter is attached to this agreement. 3. Petitioner challenged Respondent's action and requested a formal hearing regarding the claims in question. cere ULImLoravol ib-lw HOENLT FUR AEHLIA CHRE HU ~ DOO 415 Doin eC 4, Subsequently, the Respondent reviewed additional documentation. 5. To avoid the further time and expense of litigation, and for their mutual benefit, the parties are desirous of settling all the disputed matters. 6. The Agency agrees to allow the Petitioner, JFK Medical Center, to pay the Agency the total sum of $33,127.54 for settlement. JFK has already reimbursed the Agency the $33,127.54, receipt of which is hereby acknowledged. 7. This settlement does not constitute an admission of wrongdoing or error by either party. However, the parties believe that this matter should be settled. 8. Both parties request that the Agency close the file in this case. 9. Bach party shall bear its own attorney’s fees and costs. 10. This agreement represents the entire agreement between the parties regarding settlement of this case. No modification or waiver of any provision shall be valid unless a written amendment to the agreement is completed and properly executed by the parties. The signatories to this agreement, acting in a representative capacity, represent that they are duly authorized to act on behalf of the P.us cer Aiba oa ML ale ai Mee a ro collide kk WO aS StS Te ee parties to the agreement. Venue for any action arising from this agreement shall be in Leon County, Florida. Dated this gh day of mi, AGENCY FOR HEALTH CARE ADMINISTRATION of 2007, ae we Be ka Pot Sen see ess Sel .. Agency for Health. Care Administration ‘ 2727 Mahan Drive i Ft. Knox Building 3 : Tallahi be. 32308 r a } oble, Inspector General é AgencY for Health Care - Administration b 2727 Mahan Drive ‘| Ft. Knox Building 3 : Tallahassee, Florida 32308 Haliczer, Pettis & White, P.A. 101 N.E. Third Avenue Fort Lauderdale, Florida 33301 TATA D

Docket for Case No: 01-000310