Rosenthal Community Care Services

Government-Funded Claims Recovery & Appeal Service

Name: Assisted Living Government-Funded Claims & Appeals Service
Brand: Rosenthal Community Care Services
Price: 1000.00 USD
Availability: InStock

Denied, delayed, underpaid, or unresolved government-funded claims can represent significant revenue your facility may have already earned. RCCS helps providers review the problem, prepare the appeal, organize supporting documentation, communicate with the payer, and pursue eligible reimbursement.

$1,000 2026 Administrative Deposit Per Facility

100% Credit Administrative Deposit Applied Toward the Recovery Fee

15% 2026 Recovery Fee on Successfully Recovered Amounts

12 Months Administrative Deposit Protection When Requirements Are Met

You Already Provided the Service. Let RCCS Help Pursue the Payment.

Government-funded billing does not always end when the original claim is submitted. Claims may be denied, partially paid, delayed, rejected, or left unresolved because of documentation questions, billing issues, payer processing requirements, authorization concerns, or other administrative reasons.

RCCS helps facility owners and providers organize the case and pursue eligible reimbursement through the appropriate administrative claim and appeal process.

Our compensation model is intentionally structured so that the majority of our fee is tied to the money actually recovered.

One Administrative Deposit Per Facility

$1,000 Per Facility Through 2026

The Administrative Deposit applies separately to each facility enrolled in RCCS claims recovery services.

Facility Identification

A facility is identified based on the facility number issued by the California Department of Social Services or the facility's applicable NPI number.

Multiple Facilities

An owner or organization operating multiple separately identified facilities must establish a separate Administrative Deposit for each participating facility.

The Administrative Deposit Is Credited — Not Added to the Recovery Fee

The applicable Administrative Deposit is credited dollar-for-dollar against RCCS's recovery fee for that facility.

$1,000 2026 Administrative
Deposit Protection
Per Facility

Your Administrative Deposit Is Designed With Provider Protection in Mind

The Administrative Deposit allows RCCS to begin reviewing the claim history, organizing the file, researching payment issues, preparing appeal materials, and committing professional resources to the recovery effort.

When RCCS successfully recovers money, 100% of the Administrative Deposit is credited toward the applicable recovery fee.

If no recovery is achieved within 12 months after the Complete File Date, the Administrative Deposit is refundable when the provider has fully satisfied the cooperation, documentation, authorization, exclusivity, and other requirements of the signed service agreement.

The Administrative Deposit is not refundable when noncollection is caused or materially contributed to by client nonresponse, false or incomplete information, withheld documentation, interference with the appeal, missed client obligations, or violation of RCCS's exclusive engagement requirement.

Decades of Billing & Appeals Experience Behind the Service

42 Years of Billing & Appeals Experience

Led by an Experienced Senior Consultant

RCCS's Billing Claims and Appeals Department includes a Senior Consultant with 42 years of experience in billing and claims appeals.

That experience helps RCCS evaluate claim history, identify potential administrative issues, organize supporting information, and develop a structured approach to recovery.

Every claim remains subject to payer rules, available documentation, filing limitations, appeal rights, and the specific circumstances of the provider's case.

Older Unpaid Claims May Still Be Worth Reviewing

In prior claims-recovery work, we have successfully collected eligible claims with a lookback period of up to 18 months at 100% of the collectible claim amount.

That does not mean every payer or every claim allows an 18-month lookback. Insurance companies and government-funded plans can have different timely filing, reconsideration, reopening, and retroactive payment rules.

Some Older Claims May Remain Recoverable

A claim should not automatically be written off simply because several months have passed. RCCS can review whether an available recovery or appeal path may still exist.

Some Payers Use Tiered Lookback Rates

Certain payers may reduce the collectible reimbursement percentage as the claim becomes older, even when retroactive payment remains available.

Payer Rules Control

Actual eligibility, lookback period, allowable reimbursement, timely filing rules, and appeal rights depend on the specific payer and claim.

Example of a Tiered Lookback

A payer may allow an older claim to be recovered but reimburse only a percentage of the otherwise collectible amount. For example, a payer's rules might provide that a claim submitted or corrected seven to nine months after the applicable service date is eligible for only 75% of the claim amount. These percentages vary by payer and are not controlled by RCCS.

RCCS Claims Recovery Support May Include

Review of denied, unpaid, delayed, or underpaid claims
Review of payer correspondence and denial information
Administrative claim appeal preparation
Claim correction or resubmission support when appropriate
Organization of supporting billing documentation
Organization of existing clinical documentation when relevant
Identification of incomplete or conflicting claim information
Payer communication and administrative follow-up
Reconsideration or reopening support when available
Review of older claims for potential recoverability
Administrative appeal progress tracking
Review of remittance and recovery information

2026 Example: $50,000 Successfully Recovered

Amount Recovered $50,000

15% Recovery Fee $7,500

Administrative Deposit Already Paid − $1,000

Remaining Fee Due $6,500

Your Administrative Deposit Is Fully Credited

In this example, RCCS's total 15% recovery fee is $7,500. Because the facility already paid the $1,000 Administrative Deposit, only the remaining $6,500 is due after successful recovery.

Current 2026 Rate vs. 2027 Standard Rate

2026 Introductory Rate

$1,000 Administrative Deposit + 15% Recovery Fee

Applies to eligible engagements with contracts fully signed no later than December 31, 2026 at 11:59 PM Pacific Time.

The $1,000 Administrative Deposit is charged per participating facility and is credited toward the applicable recovery fee.

Beginning January 1, 2027

$1,500 Administrative Deposit + 20% Recovery Fee

New engagements beginning January 1, 2027 will be subject to the increased Administrative Deposit and recovery-fee structure.

The $1,500 Administrative Deposit will likewise apply per participating facility, subject to the applicable service agreement.

Recovery Fee Payment Terms

Fee Is Triggered by Recovery

RCCS's recovery fee applies to the defined amount successfully recovered on a Covered Claim under the signed service agreement.

Due Within 14 Days

The applicable RCCS recovery fee must be paid within 14 calendar days from the date the insurance provider or payer issues the check, EFT, payment, credit, offset, or other defined recovery.

Remittance Verification

The provider must supply applicable remittance, payment, check, ERA/EOB, portal, or similar documentation needed to verify the recovery amount and calculate the RCCS fee.

One Appeal Team. One Clear Recovery Strategy.

Once RCCS accepts a Covered Claim, RCCS must be the exclusive claims appeal and recovery provider for that claim during the applicable engagement period.

This helps prevent competing submissions, conflicting explanations, duplicated appeal activity, or multiple companies attempting to pursue the same claim at the same time.

Changing Representatives Does Not Automatically Eliminate RCCS's Fee

When RCCS has materially worked a Covered Claim and the claim later results in Recovery during the applicable engagement or recovery-tail period, RCCS's recovery-fee rights remain subject to the signed service agreement even if another party later becomes involved.

Important Service Information

Every claim is subject to RCCS review and acceptance. RCCS does not guarantee payment, approval, recovery amount, processing time, or appeal outcome.

The 2026 $1,000 Administrative Deposit applies per participating facility, determined by the applicable CDSS facility number and/or NPI used to identify that facility.

The 15% introductory recovery fee applies only to eligible engagements with contracts fully executed no later than December 31, 2026 at 11:59 PM Pacific Time. New engagements beginning January 1, 2027 are subject to a $1,500 per-facility Administrative Deposit and 20% recovery fee.

The Administrative Deposit is credited toward the applicable recovery fee. Administrative Deposit refund protection is subject to the Complete File Date, provider cooperation requirements, exclusivity requirements, documentation requirements, and all other conditions of the signed RCCS service agreement.

Client-caused delays may pause the applicable 12-month Administrative Deposit Protection period. The Administrative Deposit may become nonrefundable when the provider fails to reasonably cooperate, repeatedly fails to respond, withholds required records, provides materially inaccurate or false information, interferes with the appeal, misses required client actions, or engages another claims-appeal provider in violation of the exclusivity requirement.

Recovery-fee invoices are due within 14 calendar days from the payer's applicable payment or recovery issuance date as defined in the signed service agreement.

Prior successful claim recoveries, including recoveries involving extended lookback periods, do not guarantee that another payer will permit the same lookback period or reimbursement percentage. Payer rules may impose filing limits, appeal limits, reduced retroactive reimbursement, tiered collectible percentages, or other restrictions.

RCCS provides administrative claims recovery and appeal support. Formal legal proceedings, litigation, government investigations, regulatory defense, or other matters outside the administrative service scope may require separate qualified legal or professional representation.

The signed RCCS Government-Funded Claims Recovery Agreement controls final definitions, covered claims, rates, Administrative Deposit protection, exclusivity, recovery-tail provisions, provider responsibilities, payment obligations, refund conditions, and all other engagement terms.

Don't Write Off an Unpaid Claim Before You Know Whether It Can Still Be Recovered.

RCCS combines structured claims review, administrative appeal support, persistent follow-up, and decades of billing experience to help providers pursue legitimate unpaid reimbursement. Sign an eligible engagement by December 31, 2026 at 11:59 PM Pacific Time to secure the current $1,000 per-facility Administrative Deposit and 15% recovery-fee structure.

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Assisted Living Government-Funded Claims & Appeals Service