SCS’s initial efforts have been concentrated on processing and obtaining payment from MassHealth for unpaid claims for nursing facility services for the period of 1992 through 2002 under a successful lawsuit by Janine Boudreau Healthcare Consulting (JBHC), Inc. After 38 weeks of consecutive submissions, Phase I has come to a close and an intense collection Phase II process is under way to re-submit denied claims. A thorough analysis of supporting documentation is anticipated during this new phase.
Those benefiting from this unprecedented effort include active and inactive nursing facility providers; large and small facilities; and proprietary, not-for-profit, and public providers. SCS has sequenced the claims submission process to gain the highest appropriate payment from MassHealth for providers who had all but given up hope of ever receiving payment given prior starts and stops since the original favorable court decision in 1999. SCS is committed to pursue this endeavor until all appropriate claims are paid.
- 215 MA nursing homes have received B94 payments to date under Phase 1
- MassHealth has paid over $12,700,000 for service dates 1992-2002 since Strategic Care Solutions, LLC’s inception in late 2014.
- Average rate of submission is 550 claims per week and averaging approximately 13 provider numbers.
Entities affected by B94:
- Alliance
- Armenian Nursing
- Beaumont Rehab
- Benjamin Healthcare
- Berkshire Health Systems
- Bethany Health Care
- Campion Health
- Chelsea Jewish NH
- City Of Haverhill
- City Of Holyoke
- Commonwealth Communities
- Covenant
- Diocesan Health
- D’youville Senior Care
- Elizabeth Seton Residence
- Fairhaven
- Fall River Jewish Home
- Formation Capital
- Genesis
- Goddard Center
- Goddard House
- Hannah Shaw
- International Health Services
- Jeanne Jugan
- Jewish Geriatrics
- Jewish Healthcare
- Kindred Care
- Life Care Center
- Lowell General
- Mary Ann Morse Nursing
- Monte Marie Healthcare
- Notre Dame
- Olympus
- Omega
- Penacook Place
- Radius Healthcare
- Ring
- Sancta Maria
- South Cove Manor
- St Camillus
- Sunbridge
- Taunton Nursing
- The Carmelite Systems
- The Pointe Group
- Wingate
- Woodbriar Of Wilmington