News

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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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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—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—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—Schutjer Bogar uses Federal Action to open 12 previously denied applications for Medicaid!

10/29/2015

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Northeast—Schutjer Bogar uses Federal Delay Action to obtain approval for long pending application for Medicaid on behalf of current resident.

10/28/2015

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South Central—Schutjer Bogar and State Attorney General settle Medicaid appeal, resulting in substantial retroactivity for current resident.

10/23/2015

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South—Schutjer Bogar starts Federal Delay Action project and gets to two immediate approvals each retro’ing back to October 14!

10/23/2015

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Northeast—Schutjer Bogar uses Federal Delay Action to score 4 Medicaid approvals, resulting in 200k of retroactive revenue, for regional provider!

10/22/2015

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