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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NC—for national provider, Schutjer Bogar convinces ALJ to order county to open denial of current resident’s Medicaid application because the denial was defective.
07/16/2015
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Another first! On behalf of a large home health care provider, Schutjer Bogar uses federal regulations to push MCO to pay claims going back to 2012 that were denied for untimeliness!
07/16/2015
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ND—after the Supreme Court ruled in Schutjer Bogar’s favor on behalf of the nation’s largest nonprofit provider, ALJ denies all pending motions to dismiss filed by the AG based on alleged lack of standing!
07/15/2015
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MD—in a significant victory for a single site provider, Schutjer Bogar persuades the state trial court Judge to deny AG’s motion to dismiss appeal for alleged lack of standing.
07/15/2015
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AR— for regional provider, Schutjer Bogar uses Federal Delay Action to qualify a current resident effective March ’14.
07/14/2015
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KY—for national provider, Schutjer Bogar uses petition to compel compliance with an ALJ Order to force county to reimburse client for current resident’s eligibility.
07/14/2015
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AR—probate Judge grants the first MAR ever to be filed in Arkansas by Schutjer Bogar for regional client.
07/13/2015
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PA—Schutjer Bogar convinces ALJ to overturn denial and order county to perform a new medical assessment due to the initial assessment having not been performed by a medical professional.
07/10/2015
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OH—in another first, Schutjer Bogar uses federal regulations to reduce resident’s PL obligation because of garnishment.
07/09/2015
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OH—Schutjer Bogar uses Federal Preemption Doctrine to open denial 6 months after it was issued!
07/08/2015
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OH—Schutjer Bogar wins an ALJ appeal in which the county was attempting to restrict Medicaid retroactivity by applying a new internal policy regarding the change of ownerships of life insurance policies.
07/07/2015
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