Petitioner: NORTH BROWARD HOSPITAL DISTRICT, D/B/A BROWARD GENERAL MEDICAL CENTER
Respondent: AGENCY FOR HEALTH CARE ADMINISTRATION
Judges: ERROL H. POWELL
Agency: Agency for Health Care Administration
Locations: Tallahassee, Florida
Filed: Jan. 02, 2002
Status: Closed
Settled and/or Dismissed prior to entry of RO/FO on Thursday, February 21, 2002.
Latest Update: Dec. 23, 2024
STATE OF FLORIDA ae yy
DIVISION OF ADMINISTRATIVE HEARINGS
Ag
NORTH BROWARD HOSPITAL
DISTRICT d/b/a BROWARD
GENERAL MEDICAL CENTER,
4
Petitioner, /)
EHO bef
vs. __~.CASE NO. 02-0022
faa dic Po. KHOA C9 © Ie BOsP
STATE OF FLORIDA,
AGENCY FOR HEALTH CARE
ADMINISTRATION,
Respondent.
/
FINAL ORDER
THE PARTIES resolved all disputed issues and executed a Settlement
Agreement, which is incorporated by reference. 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 |C day of Mac __, 2003,
in Tallahassee, Florida.
A
fooe_,
Rhonda M. Medows, MD, 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:
L. William Porter II, Esquire
Agency for Health Care
Administration
(Interoffice Mail)
Vanessa A. Reynolds, Esquire
Conrad & Scherer, LLP
Post Office Box 14723
Ft. Lauderdale, Florida 33302
(U.S. Mail)
Errol Powell
Administrative Law Judge
Division of Administrative Hearings
The DeSoto Building
1230 Apalachee Parkway
Tallahassee, Florida 32399-3060
Bob Maryanski, Medicaid Program Development
Kathleen Cook, Medicaid Program Development
Willie Bivens, 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 \Caay
of LM GAC! _, 2003.
(| VAAL Le UJ CML i)
AX Lealand McCharen, Esquirt
Agency Clerk
State of Florida
Agency for Health Care Administration
2727 Mahan Drive, Building #3
Tallahassee, Florida 32308-5403
(850) 922-5873
STATE OF FLORIDA
DIVISION OF ADMINISTRATIVE HEARINGS
NORTH BROWARD HOSPITAL
DISTRICT d/b/a BROWARD
GENERAL MEDICAL CENTER,
Petitioner,
vs. CASE NO. 02-0022
STATE OF FLORIDA,
AGENCY FOR HEALTH CARE
ADMINISTRATION,
Respondent.
SETTLEMENT AGREEMENT
STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION
(“AHCA” or “the Agency”), and North Broward Hospital District d/b/a Broward General
Medical 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 resolving
the disputes between them and avoiding the costs and burdens of further litigation. Neither party
concedes the other’s position.
2. PROVIDER is a Medicaid provider in the State of Florida, provider number
010012901 and was a provider during the audit period.
3. In its final agency audit report (final agency action) dated October 16, 2001,
AHCA notified PROVIDER that review of Medicaid claims performed by Keystone Peer
Review Organization (KePRO), indicated that certain claims, in whole or in part, were not
covered by Medicaid. The Agency sought recoupment of this Overpayment, in the amount of
Broward General Medical Center 02-0022
Settlement Agreement
$253,248.82. In response to the audit letter dated October 16, 2001, PROVIDER filed a petition
for a formal administrative hearing, which was assigned DOAH Case No. 02-0022.
4. Subsequent to the original audit that took place in this matter and in preparation
for trial, AHCA re-reviewed the PROVIDER’s claims and evaluated additional documentation
submitted by the PROVIDER. As a result, AHCA determined that the overpayment was
adjusted to $97,082.90.
5. In order to resolve this matter without further administrative proceedings,
PROVIDER and the AHCA expressly agree as follows:
(1)
(2)
(3)
(4)
AHCA agrees to accept the payment set forth herein in settlement of the
overpayment issues arising from the KePRO review.
Within thirty days of receipt of the final order, PROVIDER agrees to
make a lump sum payment of ninety seven thousand eighty two dollars
and ninety cents ($97,082.90) in full and complete settlement of all claims
in the proceedings before the Division of Administrative Hearings (DOAH
Case No. 02-0022). AHCA retains the right to perform a 6-month follow-
up review.
PROVIDER and AHCA agree that full payment as set forth above will
resolve and settle this case completely and release both parties from all
liabilities arising from the findings in the audit referenced as C.I. 01-1021-
000.
PROVIDER agrees that it will not rebill the Medicaid Program in any
manner for claims that were not covered by Medicaid, which are the
subject of the audit in this case.
Broward General Medical Center 02-0022
Settlement Agreement
6. Payment shall be made to:
AGENCY FOR HEALTHCARE ADMINISTRATION
Medicaid Accounts Receivable
Post Office Box 13749
Tallahassee, Florida 32317-3749
7. PROVIDER agrees that failure to pay any monies due and owing under the terms
of this Agreement shall constitute PROVIDER’S authorization for the Agency, without further
notice, to withhold the total remaining amount due under the terms of this agreement from any '
monies due and owing to PROVIDER for any Medicaid claims.
8. AHCA reserves the right to enforce this Agreement under the laws of the State of
Florida, the Rules of the Medicaid Program, and all other applicable rules and regulations.
9. This settlement does not constitute an admission of wrongdoing or error by either
party: with respect to this case or any other matter.
10. Each party shall bear its own attorneys’ fees and costs, if any.
11. The signatories to this Agreement, acting in a representative capacity, represent
that they are duly authorized to enter into this Agreement on behalf of the respective parties.
12. This Agreement shall be construed in accordance with the provisions of the laws
of Florida. Venue for any action arising from this Agreement shall be in Leon County, Florida.
13. This Agreement constitutes the entire agreement between PROVIDER and the
AHCA, including anyone acting for, associated with or employed by them, concerming all
matters and supersedes any prior discussions, agreements or understandings; there are no
promises, representations or agreements between PROVIDER and the 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.
ner EC
Broward Generai Medical Center 02-0022
Settlement Agreement
14. 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 law, so that no
misunderstanding or misinformation shall be a ground for rescission hereof.
15. PROVIDER 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
further agrees that it shall 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.
16. 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 ori ginating or preparing it.
17. 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.
18. This Agreement shall inure to the benefit of and be binding on each party’s
successors, assigns, heirs, administrators, representatives and trustees.
19. All times stated herein are of the essence of this Agreement.
Broward General Medical Center 02-0022
Settlement Agreement
20. This Agreement shall be in full force and effect upon execution by the respective
parties in counterpart.
NORTH BROWARD HOSPITAL DISTRICT d/b/a BROWARD GENERAL MEDICAL
CENTER
thf an Dated: 2 / Bl pg , 2003
BY: Wil Trower
(Print name)
ITS: President/CEO
AGENCY FOR HEALTH CARE
ADMINISTRATION
2727 Mahan Drive, Mail Stop #3
Tallahassee, FL 32308-5403
Dated: , 2003
Bob Sharpe
Director, Medicaid
_/ lls ME! Dated: < ef 0 kY , 2003
Valda Clark Christian
General Counsel
L. William Porter IT
Assistant General Counsel
Docket for Case No: 02-000022MPI
Issue Date |
Proceedings |
Mar. 11, 2003 |
Final Order filed.
|
Feb. 21, 2002 |
Order Closing File issued. CASE CLOSED.
|
Feb. 20, 2002 |
Joint Motion to Relinquish Jurisdiction (filed via facsimile).
|
Feb. 07, 2002 |
Order of Pre-hearing Instructions issued.
|
Feb. 07, 2002 |
Notice of Hearing issued (hearing set for April 25 and 26, 2002; 9:00 a.m.; Tallahassee, FL).
|
Jan. 31, 2002 |
Agency`s Response to DOAH`s Order Dated January 23, 2002 (filed via facsimile).
|
Jan. 23, 2002 |
Order issued (the parties shall advise in writing as to estimated length of time needed for hearing by February 4, 2002).
|
Jan. 15, 2002 |
Letter to Judge Powell from V. Reynolds in response to order (filed via facsimile).
|
Jan. 14, 2002 |
Agency`s Response to DOAH`s Order Dated January 11, 2002 (filed via facsimile).
|
Jan. 11, 2002 |
Order issued (the parties shall advise in writing as to whether they are of the opinion that the instant case is subject to the 90-day hearing requirement by January 14, 2002).
|
Jan. 02, 2002 |
Final Agency Audit Report filed.
|
Jan. 02, 2002 |
Petition for Formal Administrative Hearing filed.
|
Jan. 02, 2002 |
Notice (of Agency referral) filed.
|