Category Archives for Health Facility Facility Case Victories

Cona Elder Law Sets Legal Precedent, Ensures the Right to a Fair Hearing and Secures Balances Due

A Suffolk County Skilled Nursing Facility (SNF) required the assistance of Cona Elder Law to resolve issues concerning an incapacitated resident’s need to remit his sizeable Net Available Monthly Income (NAMI) as calculated by the agency, which were complicated by the resident’s daughter and power of attorney (POA) who had access to and was converting […]

Cona Elder Law Secures Over $100K in Reimbursement to Nursing Home Reversing DSS Decision Cona Elder Law prevailed in a uniquely challenging and complex Fair Hearing appeal against an upstate New York county regarding their chronic mishandling of a Medicaid application for an incapacitated nursing home resident. With creative advocacy and outside-the-box strategies, Cona Elder […]

Innovative Strategy Yields $161,500 in Cost-Effective Medicaid Settlement

Facts: A Skilled Nursing Facility Resident’s Medicaid application was denied because his spouse made asset transfers totaling over $500,000. Upon the referral of this matter to Cona Elder Law, we immediately contacted the attorney for the resident and spouse and demanded payment in full, advising that if same was not forthcoming, we would file a claim […]

Retroactive Medicaid Benefits Secured via PRUCOL Application

FACTS:  An individual in the U.S. legally on a “Religious Worker” visa unexpectedly fell ill and required nursing home care.  The facility promptly filed a Medicaid application with the local social services district requesting an April 2019 pick-up date and supplying a copy of the resident’s passport, visa and other documents proving her lawful residence […]

Cona Elder Law Achieves Successful Settlement for HCF in Complicated Collections Case

Cona Elder Law represented a health care facility in a complicated collections action with a significant six-figure outstanding balance, which was growing by several thousands of dollars each month. In early 2019, a terminally ill resident was placed at the facility with the assistance of his wife, who executed the facility’s Admission Agreement promising to utilize her access to her husband’s assets, and […]

Litigating against Cona Elder Law: Court Declares Medical Staffing Agency “Gambled and Lost”

Subsequent to the skilled nursing facility’s termination of its contract with a temporary staffing agency (“Plaintiff TSA”), it inadvertently permitted a per diem nurse, previously employed and placed by Plaintiff TSA at said facility, to provide services through the facility’s current staffing agency. Plaintiff TSA, upon becoming aware of said placement, filed suit against the […]

$157,300 Recovered from Long Term Care Insurance Policy

FactsA now-deceased resident had a large outstanding balance due. Cona Elder Law was retained to pursue Medicaid eligibility. While securing all necessary documentation for the Medicaid application and pending Fair Hearing, a Long Term Care Insurance policy was discovered. It became clear from the financial documentation that the former resident was not eligible for institutional […]

$246,000 Recovered from New York State Comptroller via Unclaimed Funds

Facts​The Guardian of an Incapacitated Person residing in a Skilled Nursing Facility was required to marshal all assets, pay debts, and apply for Medicaid. The Guardian was aware that there had been some stock holdings, but was unsure of how many and where they were held. After launching a thorough asset investigation, Cona located numerous […]

$120,000 Recovered via a Zero NAMI Budget

Facts​Cona Elder Law was retained to stop the theft of a resident’s NAMI at the hands of her daughter/Power of Attorney. The outstanding balance at the time of referral was in excess of $100,000 and growing monthly. Shortly after the referral of this matter, when it became apparent that the initiation of a collections action […]

$306,000 in Medicaid Benefits Secured via PRUCOL

Facts A resident of a skilled nursing facility could not verify his identity or prove his citizenship. His Medicaid application was denied 3 times and the balance due was over $300,000. Cona Elder Law immediately requested a Fair Hearing and began working with an international genealogical search company to find his place of birth.  Working […]