what we've done lately.
After commencing arbitration, sb2 recovers $1.6 mm from MCO for two of client’s behavioral healthcare facilities.
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sb2 successfully fends off MCO’s attempt to unilaterally change daily rate for skilled nursing care, saving client approximately $11,000 per day.
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sb2 uses proprietary strategy to recover $917,194.00 from MCO for long time client.
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OH—Schutjer Bogar convinces ALJ to reopen application because the Denial was defective and violated the resident’s Due Process rights. Potential retroactive recovery beginning in Dec ’13.
11/03/2014
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PA—sb2 uses new argument to convince ALJ and case worker to reduce penalty period $72k!
10/31/2014
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OH—Bureau of State Hearings affirms ALJ’s Decision in favor of Schutjer Bogar and orders the resident’s application be redetermined since her assets do not appear available under Federal law.
10/28/2014
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FL—Schtujer Bogar and MDR partner to qualify resident for nation’s largest skilled nursing Provider. Retroactive & prospective recovery beginning in Sept ’14.
10/28/2014
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New client! Schutjer Bogar is retained by Mid-Atlantic Provider with 14 facilities to handle their Medicaid Eligibility issues.
10/27/2014
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TX—for national provider with 200+ facilities, sb2 convinces caseworker to revoke penalty period for transfers for less than fair market value. Retroactive & prospective recovery beginning April ’14.
10/25/2014
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Big Win! NJ ALJ agrees with sb2 that Federal Regulations on the unavailability of assets preempts state’s OPS memo. Appeal remanded to county for redetermination.
10/24/2014
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SD—Probate Court Judge grants sb2’s test case to appointed an Authorized Medicaid Representative!
10/23/2014
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SD—sb2 intervenes on behalf of national religious affiliated client with 200+ facilities to liquidate current resident’s assets and recovers $130k.
10/23/2014
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PA—DPW and sb2 settle appeal filed with the Commonwealth Court over the miscalculation of resident’s penalty period for alleged transfers of assets for less than FMV. Retroactive revenue recovered, $102k.
10/20/2014
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NJ—sb2 and caseworker agree to settle appeal by rescinding Denial and redetermining resident’s application that was filed in March.
10/20/2014
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