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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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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TX—on behalf of national provider, Schutjer Bogar uses a MAR to push resident’s children to qualify her for Medicaid and spend down excess resources on room & board.

07/06/2015

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PA—Schutjer Bogar’s newest associate secures first big win by overcoming an untimely appeal and convincing ALJ that county’s community spouse resource assessment was incorrect!

07/03/2015

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KY—after overcoming an untimely appeal, Schutjer Bogar qualifies current resident effective March ’15 and obtains approval to OME remaining room & board costs.

07/02/2015

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MD—Schutjer Bogar and client team up to qualify current resident for Medicaid effective April ’14!

07/02/2015

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PA—new client! A religious affiliated CCRC located in Pittsburgh, hires Schutjer Bogar to pursue Federal Action!

07/01/2015

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OH—in another first and significant win for all providers, Schutjer Bogar uses “bad guardian” argument to open resident’s denied application for Medicaid!

07/01/2015

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OH—Schutjer Bogar’s campaign to diversity their client base continues with a new client operating 30 facilities in Ohio and Pennsylvania.

06/30/2015

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