Petitioner: AGENCY FOR HEALTH CARE ADMINISTRATION
Respondent: LABORATORY CORPORATION OF AMERICA HOLDINGS AND ITS SUBSIDIARIES
Judges: P. MICHAEL RUFF
Agency: Agency for Health Care Administration
Locations: Tallahassee, Florida
Filed: Jul. 26, 2006
Status: Closed
Settled and/or Dismissed prior to entry of RO/FO on Friday, January 12, 2007.
Latest Update: Jan. 02, 2025
STATE OF FLORIDA
DIVISION OF ADMINISTRATIVE HEARINGS
STATE OF FLORIDA,
AGENCY FOR HEALTH CARE
ADMINISTRATION,
CASE NO. 06-2447MPI
Petitioner, C.l. NO, 06-4368-000 5 1)
C1. NO. 06-4384-000 BAe y
vs. CASENO.07-0485MPI Ce
C.1. NO. 06-4373-000 Oe
LABORATORY CORPORATION OF CASE NO, 06-2701 MPI we}
AMERICA HOLDINGS AND THEIR
CL. NO. 06-4374-000
SUBSIDIARIES,
CASE NO. 06-2702MPI
C.1. NO. 06-4375-000
Respondent. RENDITION NO.: AHCA*7T- 0444 -S-mD0
/
FINAL ORDER
THE PARTIES resolved all disputed issues and executed a Settlement
Agreement. The parties are directed to comply with the terms of the attached
settlement agreement. Based on the foregoing, this file is CLOSED.
DONE and ORDERED on this the lf day of Asguct , 2007,
in Tallahassee, Florida.
poe OE Teen M.D., SECRETARY
J arnt for Health Care Administration
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:
L. William Porter II, Esquire
Agency for Health Care
Administration
(Interoffice Mail)
Robert R. Hearn, Esquire
Phelps Dunbar LLP
100 S. Ashley Drive, Suite 1900
Tampa, Florida 33602-5311
(U.S. Mail)
P. Michael Ruff
Administrative Law Judge
Division of Administrative Hearings
The DeSoto Building
1230 Apalachee Parkway
Tallahassee, Florida 32399-3060
Tim Byrnes, Chief, Medicaid Program Integrity
Pamela Langford, Medicaid Program Integrity
Finance and Accounting
CERTIFICATE OF SERVICE
I HEREBY CERTIFY that a true and correct copy of the foregoing has
been furnished to the above named addressees by U.S. Mail on this the/E* day
of Fisaxt , 2007.
Richard Shoop, Esquire
Agency Clerk
State of Florida
Agency for Health Care Administration
2727 Mahan Drive, Building #3
Tallahassee, Florida 32308-5403
(850) 922-5873
Laid
STATE OF FLORIDA ‘ L. E D
DIVISION OF ADMINISTRATIVE HEARINGS
MOG IT ANT
STATE OF FLORIDA,
AGENCY FOR HEALTH CARE DIVISION OF
ADMINISTRATION, ACBIRISTRATIVE
CASE NO. 06-2447MPI HEARINGS
Petitioner, C.I. NO. 06-4368-000
C.L NO. 06-4384-000
vs. . CASE NO. 07-0485MPI
C.I. NO. 06-4373-000
LABORATORY CORPORATION OF CASE NO. 06-2701 MPI
AMERICA HOLDINGS AND THEIR C.L NO. 06-4374-000
SUBSIDIARIES, CASE NO. 06-2702MPI
C.1. NO. 06-4375-000
Respondent.
/
OMNIBUS CONSOLIDATED SETTLEMENT AGREEMENT
AND MUTUAL CONSENT TO FINAL ORDER
STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION
(“AHCA” or “the Agency”), and Laboratory Corporation of America Holdings and its
Subsidiaries (collectively, “LabCorp”), by and through the undersigned, hereby stipulate, resolve
and agree as follows:
1. The parties enter into this Agreement for the purpose of memorializing a
resolution of each matter set out in the case numbers above and mutually agree that upon
execution of this Agreement, that resolution is full and final, without need of further
proceedings.
2. LabCorp is a Florida Medicaid provider and a full service clinical laboratory
operating in various locations, each with its own distinct provider number. The services at issue
in the captioned audits were performed at different laboratories, having the following provider
numbers: 030198100, 030654100, 030507310, 030507317 and 030507320 (collectively, the
“Providers”). LabCorp was a provider during the audit period.
Laboratory Corporation
Settlement Agreement
3. In its Final Agency Audit Reports (final agency action) dated June 7, 2006, C.l.
No. 06-4368-000, May 24, 2006, C.1. No. 06-4384-000, June 22, 2006, C.I. No. 06-4373-000,
June 22, 2006, C.J. No. 06-4374-000 and June 22, 2006, C.I. No. 06-4375-000 respectively,
AHCA notified Providers that review of Medicaid claims performed by Medicaid Program
Integrity (MPI), Office of the AHCA Inspector General, indicated that certain claims, in whole
or in part, had been inappropriately paid by Medicaid.
4, The Agency sought recoupment of these overpayments, in the amount of
$330,154.54, $213.46, $628.69, $6,296.57 and $8,899.41 respectively. In response to the audit
letters dated June 7, 2006, May 24, 2006 and June 22, 2006, Providers filed petitions for formal
administrative hearings, which were assigned DOAH Case Nos. 06-2447MPI, 07-0485MPI, 06-
2701MPI and Case No. 06-2702MPI respectively.
5. Prior to a final hearing, LabCorp and the Agency attempted to resolve the
allegations raised in them. There followed extensive information exchanges between the parties.
6. The parties now agree to resolve the issues raised in above captioned FAARs as
follows:
a. By signing the Settlement Agreement and adopting it entirely by a Final Order,
the Agency hereby rescinds each of the FAAR’s captioned above.
b. LabCorp will, upon execution of this Agreement and its incorporation into Final
Order, withdraw its Petitions for Request for Formal Hearing for each FAAR.
c. The Agency reserves its right to conduct a comprehensive audit of Provider, for
claims during the same time period as the above referenced FAARs. The Agency, however
agrees that any such audit will be initiated by a demand for records, which will be examined, and
Laboratory Corporation
Settlement Agreement
the Agency will provide an opportunity to discuss policy interpretation prior to the issuance of
any FAAR relating to such an audit.
d. Each party shall bear their own attorneys’ fees and costs, if any, for all
proceedings, and specifically each waives any claim to such fees or costs, against the other party,
under any theory of recovery,
7. The signatories to this Agreement, acting in a representative capacity, confirm
they are duly authorized to enter into this Agreement on behalf of their respective principle.
8. This Agreement shall be construed in accordance with the provisions of the laws
of Florida. Venue for any action or dispute arising from this Agreement shall be in Circuit
Court, Leon County, Florida.
9. This Agreement constitutes the entire agreement between the parties, including
anyone acting for, associated with or employed by them, and supersedes any prior discussions,
agreements or understandings. There are no promises, representations or agreements between
the parties, other than as set forth herein. No modification or waiver of any provision shall be
valid unless a written amendment to this Agreement is completed and properly executed by each
of the parties.
10. This is an Agreement of settlement and compromise, made in recognition that the
parties may have different or incorrect understandings, information and contentions, as to facts
and law, and with each party compromising and settling any potential correctness or
incorrectness of their understandings, information and contentions as to facts and law, so that no
misunderstanding or misinformation shall be a ground for rescission hereof.
11. This Agreement is and shall be deemed jointly drafted and written by all parties to
it and shall not be construed or interpreted against the party originating or preparing it.
Laboratory Corporation
Settlement Agreement
12. To the extent that any provision of this Agreement is prohibited by law for any
reason, such provision shall be effective to the extent not so prohibited, and such prohibition
shall not affect any other provision of this Agreement.
13. This Agreement shall inure to the benefit of and be binding on each party’s
subsidiaries, parents, divisions, successors, affiliates, insurers and assigns, and their
officers, directors, agents, employees, and all other persons, firms or corporations who are
or may be liable regarding the dispute underlying this Agreement.
14. All times stated herein are of the essence of this Agreement.
15. This Agreement shall be in full force and effect upon execution by the respective
parties in counterpart.
LABORATORY CORPORATION OF AMERICA HOLDINGS AND ITS SUBSIDIARIES
4 Oem Dated) Je 2 Ly 7 , 2007
BY: ©. Samve/ Fberts
(Print name)
THER: Senrer Vice Pres;devd ¢ Genere/ Counsel
é
AGENCY FOR HEALTH CARE
ADMINISTRATION
2727 Mahan Drive, Mail Stop #3
Tallahassee, FL 32308-5403
_Ainda Keon Dated: J id ~ » 2007
Linda Keen
Inspector Gengral
Ex Dated: Aucoot l , 2007
ig Smith
Genera) Counsel ;
PF aad
blo w- Dated: OT- (> , 2007
L. William Porter II
Assistant General Counsel
Docket for Case No: 06-002701MPI
Issue Date |
Proceedings |
Aug. 17, 2007 |
Final Order filed.
|
Jan. 12, 2007 |
Order Closing Files. CASE CLOSED.
|
Jan. 10, 2007 |
Joint Motion to Relinquish Jurisdiction filed.
|
Dec. 19, 2006 |
Order Continuing Case in Abeyance (parties to advise status by January 19, 2007).
|
Dec. 18, 2006 |
Status Report and Agreed Motion to Continue Abeyance filed.
|
Nov. 28, 2006 |
Certified Mail Receipts stamped this date by the U.S. Postal Service.
|
Nov. 06, 2006 |
Order Continuing Case in Abeyance (parties to advise status by December 15, 2006).
|
Oct. 16, 2006 |
Status Report and Agreed Motion for Abeyance filed.
|
Sep. 01, 2006 |
Order Placing Case in Abeyance (parties to advise status by October 16, 2006).
|
Aug. 11, 2006 |
order of consolidation.
|
Aug. 11, 2006 |
Order of Consolidation (DOAH Case Nos. 06-2447MPI, 06-2701MPI and 06-2702MPI).
|
Aug. 03, 2006 |
Unopposed Motion to Consolidate and Abate Proceedings Pending Further Notice (with DOAH Case Nos. 06-2447 and 06-2702MPI) filed.
|
Jul. 27, 2006 |
Initial Order.
|
Jul. 26, 2006 |
Final Audit Report filed.
|
Jul. 26, 2006 |
Petition for Formal Administrative Hearing filed.
|
Jul. 26, 2006 |
Notice (of Agency referral) filed.
|