Petitioner: ORTHOPAEDIC MEDICAL GROUP OF TAMPA BAY/STUART A. GOLDSMITH, P.A.
Respondent: AGENCY FOR HEALTH CARE ADMINISTRATION
Judges: DANIEL M. KILBRIDE
Agency: Agency for Health Care Administration
Locations: Tallahassee, Florida
Filed: Jun. 27, 2007
Status: Closed
Settled and/or Dismissed prior to entry of RO/FO on Tuesday, November 27, 2007.
Latest Update: Jan. 11, 2025
STATE OF FLORIDA
AGENCY FOR HEALTH CARE ADMINISTRATION TIOAC
AGENCY CLE
ORTHOPAEDIC MEDICAL GROUP OF
TAMPA BAY/STUART A. GOLDSMITH, P.A.,
Petitioner,
vs. Case No. 07-2859FC
AGENCY FOR HEALTH CARE
ADMINISTRATION,
Respondent.
/
FINAL ORDER
THE PARTIES resolved all disputed issues and executed a Settlement
Agreement and Satisfaction and Release of Claim, and amendment thereto dated
October 12, 2007, which are attached and incorporated by reference. The parties are
directed to comply with the terms of the attached Settlement Agreement and
Satisfaction and Release of Claim, and amendment. Based on the foregoing, this file is
CLOSED.
DONE AND ORDERED on this the_ 27 day of Crbsthe. , 2007, in
Tallahassee, Florida.
HA C. Agwunobi, ty Secretary
Agency 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:
William M. Furlow, Ill, Esq.
Akerman Senterfitt
106 East College Avenue
Suite 1200
Tallahassee, FL 32301
The Honorable Daniel M. Kilbride
Administrative Law Judge
The Division of Administrative Hearings
The DeSoto Building
1230 Apalachee Parkway
Tallahassee, FL 32399-3060
David W. Nam, Assistant General Counsel
Agency for Health Care Administration
(Interoffice)
Linda Keen, Inspector General
Agency for Health Care Administration
2727 Mahan Drive
Tallahassee, Florida 32308
(Interoffice)
Tim Bymes, Chief
Medicaid Program Integrity '
(Interoffice)
Finance & Accounting
(Interoffice)
CERTIFICATE OF SERVICE
| HEREBY CERTIFY that a true and correct copy of the foregoing was served to
the above named addresses by U.S. Mail this xXF day of _Cetpber.,
2007.
Richard Shoop, Agency CIlerR
Agency for Health Care Administration
2727 Mahan Drive, Mail Stop #3
Tallahassee, Florida 32308-5403
(850) 922-5873 phone
(850) 921-0158 fax
STATE OF FLORIDA
DIVISION OF ADMINISTRATIVE HEARINGS
ORTHOPAEDIC MEDICAL GROUP OF
TAMPA BAY / STUART A. GOLDSMITH, P.A.,
Petitioner,
vs. CASE NO. 07-2859FC
STATE OF FLORIDA, AGENCY FOR
HEALTH CARE ADMINISTRATION,
Respondent.
SETTLEMENT AGREEMENT
AND
SATISFACTION AND RELEASE OF CLAIM
THE STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION
(“AHCA” or “the Agency”), and ORTHOPAEDIC MEDICAL GROUP OF TAMPA BAY /
STUART A. GOLDSMITH, P.A., (“PROVIDER”), and PROVIDER’s Counsel, AKERMAN,
SENTERFITT, Attorneys, (“Provider’s Counsel”), referred to cumulatively herein as the
“Parties”, by and through their undersigned representatives, hereby stipulate and agree as
follows:
1. The parties enter into this settlement agreement and satisfaction and release of
claim for the purpose of memorializing the resolution to this matter.
2. PROVIDER is a Medicaid provider in the State of Florida; with Medicaid
provider number 374193100.
3. AKERMAN, SENTERFITT, Attorneys, are and were at all times Televant to this
matter counsel for the PROVIDER.
3. This matter arises from the April 9, 2007, order issued by the First District Court
of Appeal in Orthopaedic Med. Group of Tampa v. AHCA, Case No. 1D06-1658 at 1-2 (Fla. 1"
DCA Apr. 9, 2007) (mandate issued May 29, 2007), whereby the Agency was directed by the
court to pay the attorney fees and costs of the Provider, pursuant to s. 120.595(5), Fla. Stat., for
the appellate case, and underlying administrative proceedings in DOAH Case No. 04-04625MPI.
In response to the District Court's order, Provider's Counsel filed Petitioner’s Request to
Determine and Award Attorney’s Fees and Costs, with the Division of Administrative Hearings
which is assigned DOAH Case No. 07-2859FC. In the petition, Provider alleged entitlement to,
and documented attorney fees in the amount of $113,908.50 and associated costs of $14,168.80.
4. In order to resolve this matter without further proceedings, and to protect
the interests of the respective parties hereto, the parties expressly agree and stipulate as follows:
(1) AHCA agrees to make payment to Counsel for Provider, Akerman,
Senterfitt, Attorneys, Suite 1200, 106 East College Ave., Tallahassee,
Florida, 32301, in the amount of $100,000.00 (one hundred thousand
dollars and zero cents) within 30 days of issuance of a Final Order by the
Agency adopting this Settlement Agreement and Satisfaction and Release
of Claim, as full and complete resolution and satisfaction of any and all
attorney fees and related costs and any and all other compensation or
obligation whatsoever, to which Provider or Provider’s Counsel might
now or in the future be entitled, arising from the order of the First District
Court of Appeal in Orthopaedic Med. Group of Tampa v. AHCA, Case No.
1D06-1658 at 1-2 (Fla. * DCA Apr. 9, 2007) (mandate issued May 29,
(2)
(3)
2007), whereby the Agency was directed by the court to pay the attorney
fees and costs of the Provider, pursuant to s. 120595(5), Fla. Stat., for the
appellate and underlying administrative proceedings in DOAH Case No.
04-04625MPI.
Akerman, Senterfitt, Attorneys, and Provider, each, individually and
collectively, agree to accept said payment from AHCA as full and
complete resolution and satisfaction of any and all attorney fees and
related costs and any and all other compensation or obligation whatsoever,
to which they might now or in the future be entitled, arising from the order
of the First District Court of Appeal in Orthopaedic Med. Group of Tampa
v. AHCA, Case No. 1D06-1658 at 1-2 (Fla. 1" DCA Apr. 9, 2007)
(mandate issued May 29, 2007), whereby the Agency was directed by the
court to pay the attorney fees and costs of the Provider, pursuant to s.
12Q595(5), Fla. Stat., for the appellate and underlying administrative
proceedings in DOAH Case No, 04-04625MPI.
Akerman, Senterfitt, Attorneys, and Provider, each, individually and
collectively, agree to a full and complete release of AHCA for any and all
attorney fees and related costs and any and all other compensation or
obligation whatsoever, to which they might now or in the future be
entitled, arising from the order of the First District Court of Appeal in
Orthopaedic Med. Group of Tampa v. AHCA, Case No. 1D06-1658 at 1-2
(Fla. 1 DCA Apr. 9, 2007) (mandate issued May 29, 2007), whereby the
Agency was directed by the court to pay the attorney fees and costs of the
Provider, pursuant to s. 120595(5), Fla. Stat., for the appellate and
underlying administrative proceedings in DOAH Case No. 04-04625MPI.
5. Payment shal] be made to:
Akerman, Senterfitt, Attomeys
Suite 1200, 106 East College Ave.
Tallahassee, Florida, 32301
6. This settlement does not constitute an admission of wrongdoing or error by any
party with respect to this case or any other matter. Further, the resolution to this matter is
specific to the unique facts and circumstances and other particularized considerations involved in
this matter, and in no way constitutes agency policy of general application or is precedent as to
how the agency might address any other matter now or in the future presented to the Agency.
7. Each party shall bear its own attorneys’ fees, except as explicitly provided for
herein.
8. The signatories to this Agreement, acting in their representative capacities,
represent that they are duly authorized to enter into this Agreement on behalf of the respective
patties.
9. This Agreement shall be construed in accordance with Florida law. Venue for any
action arising from this Settlement Agrecment and Satisfaction and Release of Claim shall be in
Leon County, Florida.
10. This Agreement constitutes the entire agreement between PROVIDER, Provider’s
Counsel and AHCA, and any successors or assigns, including anyone acting for, associated with
or employed by them, concerning all matters and supersedes any prior discussions, agreements or
understandings; there are no promises, representations or agreements between PROVIDER,
Provider’s Counsel and AHCA other than as set forth herein. 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.
11. 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 its understandings, information and contentions as to facts and Jaw, so that no
misunderstanding or misinformation shall be a ground for rescission hereof.
12. PROVIDER and Provider’s Counsel expressly waives in this matter its right to
any hearing pursuant to sections 120.569 or 120.57, Florida Statutes, the making of findings of
fact and conclusions of law by the Agency, and all further and other proceedings to which it may
be entitled by law or rules of the Agency regarding this proceeding and any and all issues raised
herein. PROVIDER and Provider’s Counsel further agree they will not challenge or contest any
Final Order entered in this matter which is consistent with the terms of this settlement agreement
in any forum now or in the future available to it, including the right to any administrative
proceeding, circuit or federal court action or any appeal.
13. 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. .
14. To the extent that any provision of this Agreement is prohibited by law for any
Teason, such provision shall be effective to the extent not so prohibited, and such prohibition
shall not affect any other provision of this Agreement.
15, This Agreement shall inure to the benefit of and be binding on each party’s
successors, assigns, heirs, administrators, representatives and trustees.
16. This Agreement shall be in full force and effect upon execution by the respective
parties in counterpart.
AKERMAN, SENTERFITT, Attomeys
Leas hq al ‘q Datel: aap ( , 2007
BY: AO oy WY, Forlow
(Print name)
EDICAL GROUP OF TAMPA BAY/STUART A. GOLDSMITH, P.A.
Qt — Dated: 4-7 , 2007
“py. STUART A GeubsiwT , m>
(Print name)
AGENCY FOR HEALTH CARE
ADMINISTRATION
2727 Mahan Drive, Bldg. 3, Mail Stop #3
Tallahassee, FL 32308-5403
Nuw Dated: / O- 4-07 , 2007
Linda Keen
Inspector General
zd Dated: Oct. - aS , 2007
General Counsel
Duk Dated: dus as i » 2007
David W. Nam
Assistant General Counsel
. SM Dated: OU pe) a5) , 2007
Kim Kellum
Chief Medicaid Counsel
FLORIDA AGENCY FOR HEALTH CARE ADMINSTRATION
CHARLIE CRIST ANDREW C. AGWUNOBI, M.D.
GOVERNOR SECRETARY
October 12, 2007
Stuart A. Goldsmith, M.D. William M. Furlow, III, Esq.
Orthopaedic Medical Group of Akerman Senterfitt, Attorneys
Tampa Bay 106 East College Avenue
615 Vonderberg Drive Suite 1200
Brandon, Florida 3351) Tallahassee, Florida 32301
RE: — Written Amendment to Settlement Agreement and Satisfaction and Release
of Claim for DOAH Case No. 07-2859FC.
Dear Party Representatives:
This written amendment will clarify the parties understanding and agreement regarding the status of
Medicaid overpayment amounts owed by Orthopaedic Medical Group of Tampa Bay / Stuart A. Goldsmith, P.A.
(Medical Provider No. 374193100.) The Settlement Agreement and Satisfaction and Release of Claim in DOAH
Case No, 07-2859FC is intended to resolve only issues that relate to payment of attorney fees and costs. The
Medicaid overpayment amount for the Final Agency Audit Report C.1. No. 01-0590-000, dated October 26, 2004,
as determined by DOAH Case No. 04-4625MPI, is not affected by or otherwise addressed or disposed of by,
Settlement Agreement and Satisfaction and Release of Claim for DOAH Case No. 07-2859FC. The Medicaid
overpayment in DOATI Case No, 04-4625MPI remains an unresolved obligation of Orthopaedic Medical Group of
Tampa Bay / Stuart A. Goldsmith, P.A., as do any other Medicaid overpayment amounts determined owed by the
provider.
The undersigned party representatives hereby agree that this written amendment is intended to be fully
incorporated as part of the Settlement Agreement and Release and Satisfaction of Claim for DOAH Case No. 07-
2859FC.
Party Fepresentatives Acknowledgement:
‘oOup of Tampa = er|67 LJ h.or In Lasso bat “s o7
Akerman Senterfitt, Attorneys
Sincerely,
David W. Nam
Senior Attorney
2727 Mahan Drive Mail Stop #3
Tallahussee, FL 32308
Visit AHCA online at
www fdhe. state flus
Docket for Case No: 07-002859FC
Issue Date |
Proceedings |
Nov. 27, 2007 |
Order Closing File. CASE CLOSED.
|
Nov. 26, 2007 |
Status Report filed.
|
Nov. 05, 2007 |
Order Continuing Case in Abeyance (parties to advise status by December 14, 2007).
|
Nov. 05, 2007 |
Status Report filed.
|
Oct. 31, 2007 |
Final Order filed.
|
Oct. 17, 2007 |
Order Continuing Case in Abeyance (parties to advise status by November 5, 2007).
|
Oct. 15, 2007 |
Status Report filed.
|
Oct. 02, 2007 |
Order Continuing Case in Abeyance (parties to advise status by October 15, 2007).
|
Sep. 27, 2007 |
Status Report filed.
|
Sep. 10, 2007 |
Order Continuing Case in Abeyance (parties to advise status by September 28, 2007).
|
Sep. 07, 2007 |
Status Report filed.
|
Aug. 17, 2007 |
Order Continuing Case in Abeyance (parties to advise status by September 7, 2007).
|
Aug. 13, 2007 |
Joint Response to Order Continuing Case in Abeyance filed.
|
Aug. 01, 2007 |
Order Continuing Case in Abeyance (parties to advise status by August 15, 2007).
|
Jul. 31, 2007 |
Status Report filed.
|
Jul. 16, 2007 |
Order Placing Case in Abeyance (parties to advise status by August 1, 2007).
|
Jul. 13, 2007 |
Joint Response to DOAH Notice filed.
|
Jul. 13, 2007 |
Notice of Appearance (filed by D. Nam).
|
Jul. 13, 2007 |
Joint Response to DOAH Notice filed.
|
Jul. 13, 2007 |
Notice of Appearance (D. Nam) filed.
|
Jun. 28, 2007 |
Notice sent out that this case is now before the Division of Administrative Hearings.
|
Jun. 27, 2007 |
Affidavit Regarding Reasonableness of Attorney`s Fees and Costs (W. Furlow) filed.
|
Jun. 27, 2007 |
Affidavit Regarding Reasonableness of Attorney`s Fees and Costs (K. Giddings) filed.
|
Jun. 27, 2007 |
Itemized List of Attorney`s Fees and Costs filed.
|
Jun. 27, 2007 |
Affidavit of Katherine E. Giddings in Support of Petitioner`s Request for Determination of Attorney`s Fees and Costs filed.
|
Jun. 27, 2007 |
Appellant`s Motion for Attorney`s Fees filed.
|
Jun. 27, 2007 |
Petitioner`s Request to Determine and Award Attorney`s Fees and Costs filed. (FORMERLY DOAH CASE NO. 04-4625MPI)
|
Jun. 27, 2007 |
Referral Letter filed.
|
Jun. 27, 2007 |
Opinion filed.
|
Jun. 27, 2007 |
Mandate filed.
|
Jun. 27, 2007 |
BY ORDER OF THE COURT: Appellant`s motion for attorney`s fees and costs is granted.
|