Effective payor management doesn’t end with securing eligibility. Providers must be equipped to collect on claims, defend against improper recoupments, maintain compliance with a myriad of regulatory requirements, and respond to anything else that comes through the in-box. Your problems are diverse – our response is consistent: we roll up our sleeves and get to work.
Please remember that every case is different. Any result we achieve for one client in one matter does not necessarily indicate similar results can be obtained for other clients
- Medicaid Recoupment & Claims Processing
Medicaid Recoupment & Claims Processing
Because sometimes, just because Medicaid is approved, it doesn’t mean it is paid. We work to appeal untimely claims processing by the state ensuring processing of late claim submissions and resolve improper agency recoupments.
- Medicaid Compliance Audits
Medicaid Compliance Audits
Audits not only threaten your finances and operations, but can also impact your business reputation and position in the marketplace. Let us use our experience to help you navigate the audit process.
- Post Transition Support
Post Transition Support
Not all purchases are implemented as smoothly as planned. If you face issues with facility disposition or acquisition, we are here to support you. We have represented providers on both sides of disputed transactions, from joint-ventures, mergers and acquisitions, to simple contracts. We understand the obstacles you face and can help you to tackle them with confidence.
- Discharge Hearings
There are times when discharge is the best solution. If your discharge has been approved, rest assured we will remain by your side and argue your position with vigor at discharge hearings.
- Legislative Regulatory Updates & Implementation
Legislative Regulatory Updates & Implementation
Change is the only constant in life. The federal and state governments are constantly legislating new regulatory updates and policies. We are here to help you understand if, how and when such changes will affect your residents/facilities/business, and what you can do proactively to minimize adverse impacts.