2 URI ES + ai RRStie BA: FILED! “-- STATE OF FLORIDA ED. _ AGENCY FOR HEALTH CARE ADMINISTRATION 5 u Py i | eof Division? é Ar ADM NISTRATiy IVE VANTAGE HEALTHCARE ; HEARINGS . CORPORATION, d/b/a LEE CONVALESCENT CENTER, Petitioner, vs. DOAH CASE NO. 01-2787 LYS- CloS Audit No. 00-1497-061 Rendition No. AHCA-01-_270-SMDP AGENCY FOR HEALTH CARE ADMINISTRATION, Respondent. / FINAL ORDER THE PARTIES resolved all disputed issues and executed a settlement agreement which is attached and incorporated by! Teference. The parties are directed to comply with the terms oft the attached settlement agreement. Based on the foregoing, this file i is CLOSED, DONE AND ORDERED on this the f A day of efoler— , 2001, in Rhonda M. Medows, MD, Secretary Agency for Health Care Administration a i ~” 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. ecpppwee gee penn: pet sscemmee ge ee woepegeece gee epee Copies Furnished to: Donna H. Stinson, Esqure _ Broad and Cassel __ . ; a . ; ok ” 215 S. Monroe Street, Suite 400 Tallahassee, FL 32302 Kelly A. Bennett, Esquire Agency for Health Care Administration 2727 Mahan Drive, Mail Stop #3 | Tallahassee, Florida 32308-5403 LP. Stevenson Administrative Law Judge “Division of Administrative Hearings ..; The DeSoto Building . 1230 Apalachee Parkway ; Tallahassee, Florida 32399-3060 PPR Ca RARE OR RRR F os Charlie Ginn, Chiet : Medicaid | Program Integrity ; ; : "> Agency for Health Care Administration a | Drive, N Mail Stop #6 Finance & Accounting UE FSC EES ore Sergio aR er | eR SHE AES — nett ahh Sh SR RM id tT NAA 7 CERTIFICATE OF SERVICE I HEREBY CERTIF Y that a true and correct ot copy of the foregoing has been furnished t to the above named addresses by U. s. Mail on this the [6 1 say of 2001. Quan Abul? Diane Grubbs Agency Clerk Agency for Health Care Administration ~ 2727 Mahan Drive, Mail Stop #3 Tallahassee, Florida 32308-5403 (850) 922-5865 On Ree cere gene TERE ogee af STATE OF FLORIDA FILED DIVISION STATE OF FLORIDA — DIVISION OF ADMINISTRATIVE HEARINGS {27 !3 2 39 PN ’g) VANTAGE HEALTHCARE CORPORATION d/b/a/ LEE CONVALESCENT CENTER, em ee Petitioner, DOAH CASE NO: 01-2787 ve JUDGE: L. P. Stevenson provider no.: 021158300 audit no.: C.I. 00-1497-061 AGENCY FOR HEALTH CARE ADMINISTRATION, Respondent. a . | SETTLEMENT AGREEMENT STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION / (“AHCA™ or “the Agency” , and Vantage Health Care Corporation aia Lee Convalescent : Center, PROVIDER’), by and through the undersigned, hereby stipulate and agree as follows: ‘ : 1, This Agreement is entered into between the parties for the purpose of avoiding the costs and burdens of litigation. : : van 2. PROVIDER ii Isa Medicaid provider in \ the State of Florida. Agency Audit Report issued 0 on 1 March 28, "2001 (the "Audit Letter") . that review of Medicaid claims Performed by Medicaid Program opinion, some claims in whole or in 1 part were not cov * : by! Medicaid. The ‘Agency sought overpayment in the amount of $106, 888.91. in response to the Audit Letter PROVID R filed petition for a formal administrative hearing that was assigned DOAH Case No. 01-2787. ‘Subsequent to issuance of the Audit Letter, PROVIDER submitted