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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Northeast-after a nearly 3 year absence, former client returns to Schutjer Bogar!
11/10/2015
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Mid Atlantic—in a significant win, ALJ adopts Spousal Right of Refusal Doctrine to cover the failure to timely spend down and directs county to qualify current resident back to March ’14!
11/10/2015
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South—for new national client, Schutjer Bogar takes on 100k test case and immediately qualifies resident for Medicaid effective March ’15 and appeals defective denials.
11/06/2015
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South—using the Doctrine of Federal Preemption, Schutjer Bogar qualifies 5 current residents for Medicaid in just 1 week for new client!
11/06/2015
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South—Schutjer Bogar uses an Inaction Appeal to qualify current resident back to April ’15.
11/05/2015
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Mid Atlantic—Schutjer Bogar uses Undue Hardship Waiver to overcome $38k penalty period on behalf of regional provider.
11/04/2015
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Mid Atlantic—after getting case reopened, Schutjer Bogar uses little known regulation to qualify resident for Medicaid without having to spend down excess resources until a guardian has been appointed.
11/03/2015
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Northeast—for national fiscal agent, Schutjer Bogar wins appeal of denial for missing verification and qualifies current resident for Medicaid back to April ’14!
11/02/2015
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Northeast—citing federal regulations, Schutjer Bogar gets county to reopen application and extend deadline to produce missing verifications after client couldn’t timely produce documents.
10/30/2015
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Northeast—based on Schutjer Bogar’s arguments, ALJ tells caseworker that he “expects” her to reopen application with a ’14 effective date after discussing with AG!
10/30/2015
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Northeast—Schutjer Bogar uses Federal Action to open 12 previously denied applications for Medicaid!
10/29/2015
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