Customer ReviewsforMedicaid Done Right, LLC

not having good experience dealing with Surrey Place in Live Oak, FL and MDR, same issues as others stated in reviews...never dealing with same processor. I have provided everything they asked including spreadsheets summarizing and with attached labeled numbered receipts. They said we cant go through 70 pages! Crazy. I think the company's responses to these complaints speaks volumes as they seem only to deflect, blame the client and not even once said they would make it right.

MDR contracts with skilled nursing facilities to help screen their patients for possible Medicaid eligibility.  If a patient appoints MDR as their authorized representative (in accordance with applicable Federal Regulation), MDR helps collect financial documents which are required by the State to determine Medicaid eligibility.  These financial documents such as bank statements, are required to be submitted by MDR to the State’s case workers.  It is not uncommon for these case workers to ask follow up questions and require additional documents or explanations based on their review of the transactions reflected by the bank statements.  This is what happened in this case.  The requests were made by the case worker, not MDR.  MDR was trying to get the Medicaid application approved and in order to do this, it was necessary to obtain answers to the questions raised by the case worker.  The fact that a case worker asks about transactions does not mean that the case worker is accusing anyone of anything.  They are just trying to make sure that they make an eligibility determination which is in accordance with the regulations set forth in the State’s Medicaid Manual.   If there was some confusion or misunderstanding or not enough communication to Ms. ******, about why this information was needed, MDR apologizes for that.  MDR's Best Practice is to work with you and your loved one as a team, with a Territory Manager in the field and a Processor in our corporate office. These are the only MDR employees you should have been in contact with. We cannot control or direct the degree of involvement which a nursing facility’s Business Office Manager (BOM) might decide to take in a given case.  It appears that the BOM may have thought that submitting voluminous documents to the State was not allowed.  However, this is not correct.  The State has no limit on the amount of information that can be submitted.  Also, while we are required to provide the State with verification of whatever transactions they ask MDR about, this may not necessarily complete their request and so MDR must continue working with the State’s Case Worker on a request until the Case Worker is satisfied and makes an eligibility determination. MDR has obtained over 80,000 Medicaid approvals since 2012 and we will continue to work with you to obtain the approval for your mother as well.

MDR had represented my dad for over 2 years. At the start we never spoke to the same caseworker twice. We provided 20 yrs of bank statements for proof on a property transfer. And we would be contacted periodically for different documents. Fast forward until September ***************************************************************************** to the application process. I learned through an appeals hearing that MDR never provided the bank statements that we had provided to them to our ********** of ****** Services. Also learned from ********** of ****** Services that they were withdrawing from my dad's case on 12/23. I continued my dad's case myself and accomplished in 5 months what MDR couldn't accomplish in over 2 years. The problem now is my dad has a $188,000 bill due to Medicade done Rights incompetence. The Nursing facility recommended using them so they should share some of the responsibility.

MDR worked diligently on this file throughout the time of MDRs engagement.  Whether a persons Medicaid application gets approved depends on the financial eligibility established by the applicant being in compliance with the States Medicaid Regulations.  In this case,there were two transfers of real estate which predated any involvement of MDR during the States five-year lookback period of asset transfers.  The State looks back in time at financial transactions to determine Medicaid eligibility and is very strict in its review. The State imposed a penalty when determining Medicaid eligibility because the transfers were for less than fair market value and the family was unable to provide information satisfactory to the State to overcome the presumption that a penalty should be imposed.  As well, the family proved to be difficult to communicate with, there was an additional issue over the transfer of a vehicle and documentation of at least one other transaction.  MDR submitted all bank statements and other information it was able to obtain.  MDR has ample documentation of the facts set forth in this response.  Any appeal must have been made after MDR was no longer involved in the case. Finally, it is MDRs understanding that the family may not have adequately paid the facility during the whole of this time. The issues raised in this Complaint are not the fault of MDR and there is ample documentation to support MDRs position in this matter. 

First of all you didn't turn over the bank records because they had the proof of payment for the property transfers. And second I recorded all the interactions I had with your employees on the phone and when I would meet them at Premier. Your company's negligence put my dad owing $188,000. ***************** says otherwise on what they received from MDR. Maybe if there hadn't been 5 different caseworkers in the first year of MDR's service the bank records wouldn't have been lost. It's funny that when ***** took over she never said anything about the transfers. She asked about a car and a life insurance policy. I appealed and won with my proof that MDR didn't provide documents they were given. Our agreement with the facility on payment has nothing to do with your service or lack thereof. Obviously he was never thrown out so that's a non issue. I'm sorry your company couldn't handle this and only wants the cases where they can railroad the people to do what's not in their best interest for MDR to get paid by a facility.MDR not being accredited by the BBB says alot about the company. The ** ************************ should be the next to contact you.

They are trying to trick me now at the assisted living I'm in assign papers I hope I didn't sign too much

I am sorry to hear this. I believe you should talk to a supervisor/manager at your facility. I think there is some confusion as we do not service the assisted living community.

Very Unprofessional and if they think there gonna make me pay 349 dollars out of pocket then they can **** off because every year since I was a kid I have never had to pay a single dime they have paid for everything and Im not gonna start now.

We do not have a client by this name, nor have we ever asked someone to pay any amount of monies. We process applications for patient benefits in nursing homes.

I'm leaving one star because a review cannot be left with No stars. Medicaid Done Right was (admittedly) legitimately provided with my information as the responsible party for a loved one in the nursing home. When contacted by them about their services I politely declined as I already have a long standing relationship with an elder specialist attorney that has handled Medicaid and estate planning for several family members. I requested they remove my information from their call list and added that I would reach out to the nursing home to advise them not to provide my information in the future. I was contacted today by my attorney to be advised that Medicaid Done Right had gone ahead and processed my mother's Medicaid recertification without my authorization AND reassigned themselves as designated representative - removing MY ATTORNEY as authorized representative! My attorney is handling this miscarriage from their side, but I also reached out to the nursing home. They advised me that they received correspondence from Medicaid Done Right that I had been contacted, that I had declined the services and suggested the home reach out to me to ensure the recertification was handled. But they did the recertification anyway!! I am extremely upset and have authorized my attorney to go after Medicaid Done Right for this unauthorized work and to include their own time charged as I want Medicaid Done Right held accountable.

The office manager at the Skilled Nursing Facility (SNF) instructed MDR's representative to start the recertification process for the resident and this is why the recertification application was filed. Unfortunately, the SNF had not communicated this instruction to the resident's family. When MDR spoke to the daughter of the resident, she advised MDR that she did not want MDR to handle the recertification as she had an attorney who would do that. So, MDR followed this direction, withdrew the recertification application and closed its file and advised the SNF with the understanding that all matters related to a recertification would be handled by the attorney retained by the family. MDR did not proceed in disregard of the family's wishes. In fact, MDR complied with the family's wishes in this matter once aware of them. MDR submitted the application on 11/11/21, but because the 11th was a holiday it was showing as effective on 11/12/21. This likely caused the family to think that MDR had disregarded the instruction not to file when in fact it was a combination of the holiday date and the prior direction from the SNF which caused confusion. As noted, MDR acted immediately in accordance with the family's instructions following the telephone call. if you have any further questions please do not hesitate to reach out to me directly. John A. CEO 727-498-5507

I must refute your entire response, Mr. Anderson. I have had discussions with both the nursing home representative and my legal counsel. Per the SNF's representative they merely confirmed that my mother was still a resident at the facility. She in no way made instruction nor authorized MDR to do anything regarding handling the recertification. They also are well aware of my legal counsel and their handling of the recertification since my mother's arrival at their facility.
Per my attorney, it is not the SNF's responsibility to make such authorizations any way! The guardian (me) is responsible. It is not appropriate for anyone else, including the nursing home, to give such permissions without the direction and consent of the guardian.
Also, per my attorney, they see no evidence in the Medicaid system of the withdrawal of the application you mentioned. The system shows you submitted a NEW (and incorrect) application and it remained until it was completed. My attorney had to submit a new Appointment of Designated Representative form REnaming them because your company designated themselves (a Ms. VanDerNaalt) as such. ANOTHER move that I did not authorize.
I consider your company to be completely untrustworthy. Every statement you made in your reply was a flat out lie and it is my belief, given other complaints listed within the BBB, that you are simply trolling for less fortunate or ill-informed persons to perform an insufficient job with the ultimate plan of billing an exorbitant amount of money.