STATE OF F uth -2 Ot DIVISION OF ADM HER te [VISION OF DEPA AMERIPATH FLORIDA, INC., a) Ne Ral rIVE, Petitioner, ; vs. DOAH Case No. 00-1002 a Audit CI No. 97-0466-000 : Rendition No. AHCA-01-_166-S-:MDO : STATE OF FLORIDA, ; ee AGENCY FOR HEALTH CARE ; - odin lon ADMINISTRATION, we coe ; Respondent. : / : : FINAL ORDER THE PARTIES resolved ¢ all U disputed i issues and executed das Settlement Tallahassee, “ Laura Bfdnker, Acting Secretary f Agency for Health Care Administration a 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 i ORDER TO BE REVIEWED. : ee Copies furnished to: . Karen Varn, Esquire Agency for Health Care Administration Mail Stop #3 “Joanne B. Erde, Esquire © ’ Broad and Cassel , Miami Center, Suite 3000 Bg 201 South Biscayne Boulevard ~ 0 -. Miami, Florida 33131 a - Suzanne F. Hood a Administrative Law Judge _ Division of Administrative Hearings ~ The DeSoto Building... ~ oe “1230 Apalachee Parkway . Tallahassee, Florida 32399-2060 CERTIFICATE OF SERVICE I HEREBY CERTIFY that a true and correct copy of the forgoing has been furnished to _.. the above named addressees by US. Mail on this the? 4 day o , 2001. RA. Power, Agency Clerk Agency for Health Care Administration 2727 Mahan Drive, Mail Stop #3 Tallahassee, Florida 32308-5403 (850) 922-5865 cee pee pepengenn ee seer ne vege ¥ SETTLEMENT AGREEMENT THIS SETTLEMENT AGREEMENT (the “Settlement Agreement”) is entered into on this sit day of February, 2001, between Ameripath Florida, Inc. the successor in interest of Interparth Laboratory, Inc. (hereinafter collectively referred to as “Ameripath”) and the Agency for Health Care Administration (hereinafter “AHCA” or "the Agency"). WITNESSETH: 1. . This Agreement is entered into between the parties to resolve issues of Petitioner's compliance with Chapter 409, Florida Statutes, and the Medicaid Provider Handbook. 2 Ameripath i isa a Medicaid provider i in the State of Florida. . 3. AHCA performed an audit of Interpath’s Medicaid billings for laboratory services oe for dates of services during the period June 6 1995 through November 30, 1999 which was —— ssine Medicaid Progam Imegsity ¢ Case Number C. I. 97-0466-00 Che Audit ). MIANHEALTH(2 19946. t _ 28918/0001 JBE a payment shall be made by check, payable to “State of Florida Agency for Health Care Administration,” and shall be accompanied by a cover letter that includes Medicaid provider number 378541600, and the Medicaid program integrity case number C.I. #97-0466-000. The check and the cover letter shall be sent to: Attention: Ms. Willie Bivins Medicaid Accounts Receivable Agency for Health Care Administration 2727 Mahan Drive, Mail Stop #14 _ Tallahassee, : FL 32308 wes A copy shall also be sent to AHCA’s counsel. a ot ence ee ER eR TREE ao qeepeegee gee seem. pear guage 9p am eae 2591 got BE pe ” 11. The signatories to this agreement represent and warrant that they are duly authorized to enter into this Agreement on behalf of and to bind the respective parties. . 12. The Settlement Agreement shall be binding upon and inure to the benefit of the Parties. 13. of Florida. 14. 15. “This Setomen Agreement cons tutes the entire seem between the Parties

Docket for Case No: 00-001002