STATE OF FLORIDA oo AGENCY FOR HEALTH CARE ADMINISTRATION MoS gy FMC HOSPITAL LTD., d/b/a we SST OLED FLORIDA MEDICAL CENTER, Petitioner, > Ss BK ~Qo gz “Tl vs. Case No. 00-4064 At FSS Bw Audit No. CI-00-0418-000 RG Pk - AGENCY FOR HEALTH CARE Os, & 5 ADMINISTRATION, S41 5 Respondent. n / FINAL ORDER On August 16, 2000, Respondent Agency for Health Care Administration notified the Petitioner that it sought to recoup an overpayment in the amount of $ 23,490.84. On December 5, 2000 the Agency issued a corrected final agency audit report reducing the overpayment to $15, 488.03. On December 22, 2000 the Petitioner filed a Notice of Voluntary Dismissal. On December 29, 2000 DOAH issued an Order Closing File. Based on the foregoing, the petition filed in the above-styled cause is dismissed, and the Agency’s file is hereby closed. DONE and ORDER this 5 Hh say ot / larch. _, 2001, in Tallahassee, Leon County, Florida. Ruben J. King-Shaw, Jr., 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: Heidi Hughes, Esquire Assistant General Counsel Agency for Health Care Administration 2727 Mahan Drive, Bldg. 3, MS #3 Tallahassee, Florida 32308 Michael J. Glazer, Esquire Ausley & McMullen Post Office Box 391 Tallahassee, Florida 32302 Susan B. Kirkland Administrative Law Judge Division of Administrative Hearings The DeSoto Building 1230 Apalachee Parkway Tallahassee, Florida 32399-3060 John Owens, Medicaid Program Integrity Agency for Health Care Administration 2727 Mahan Drive, Mail Stop #6 Tallahassee, Florida 32399-3060 Willie Bivens, Finance and Accounting CERTIFICATE OF SERVICE - [HEREBY CERTIFY that a true and correct copy of the foregoing has been furnished to the above-named addresses by U.S. Mail on this day of 2001. R.S. Power, Agency Clerk Agency for Health Care Administration 2727 Mahan Drive, Bldg. #3, MS #3 Tallahassee, Florida 32308 (850) 922-5873 squire

Docket for Case No: 00-004064