To understand who we are, it's better to explain who we are not. We are not your uncle's law firm. We are not a large firm with rigid hierarchy, overwhelming bureaucracy or immense overhead. We proudly stand by this structure and it makes us very happy - and by us, we mean you! Because, if you choose to work with us, what we are not allows us to be a law firm that can provide effective, creative and affordable legal work for you - our clients in the health care industry.

What we are is real, live, human beings who realize that you - our client and your customers - are real, live, human beings too. We understand that the circumstances surrounding your legal problems are delicate, and that often there's a human element that must be balanced with the willingness to roll up your sleeves and fight. We believe that, notwithstanding the potential complications that arise from the intersection of our worlds, we can make it work - better.

We have licensed full time attorneys in AZ, CO, CT, DC, GA, KY, MA, MD, MI, MO, MT, NC, NH, NJ, NY, OH, PA, SC, TN, TX, VA and VT with additional attorneys on staff admitted to practice in AL, DE, FL and IN. Have a case in a different state? No problem! We have a network of relationships in most other states.

We've brought together some great legal minds... experienced attorneys with the creativity and passion to bring innovative, modern-day solutions to problems often faced by the health care industry. We can crack your capers, put your novel questions into our think tank, increase your fiscal productivity and your bottom line.

Burgeon Legal Group currently represents a variety of health care providers - LTCs, ALFs and DMEs - both the big guns and the local guys - in collection and Medicaid eligibility matters. We work to ensure a proactive approach to securing a payor source for your residents while simultaneously maximizing your facilities' recovery - either through private funds, government benefits, or both.

  • Full service Medicaid application and eligibility assistance, including verification and document collection
  • Voiding unfair transfers of assets
  • Pursuing Undue Hardship Waivers to reduce or eliminate penalty periods
  • Compelling cooperation with the Medicaid application and eligibility process
  • Addressing issues with patient liability amounts and payments, including but not limited to: theft or nonpayment of patient liability, reduction or elimination of patient liability, wage garnishment issues, and spousal allocation
  • Obtaining Patient Liability offsets to cover outstanding, pre-Medicaid private balances
  • Representing the facility before Fair Hearings and Appeals
  • Establishing Miller/Qualified Income Trusts
  • Appealing inaction or delay on the part of the local departments
  • Assisting with Medicaid Audits and Overpayment issues

While we are particularly fond of securing Medicaid eligibility when everyone else thinks it is a lost cause, we offer a full range of services geared towards the unique needs of the health care industry, including:

  • Revising/rewriting admission documents to better protect your facilities' interests
  • Securing the appointment of a Guardian and/or Conservator for private collection purposes, Medicaid eligibility purposes and/or due to the needs of a resident
  • Probate and Estate Administration on behalf of the creditor for private collection and/or Medicaid eligibility purposes
  • Pursuing private collections via litigation, including small claims, and estate claims, and securing mortgages, judgments, liens and settlements
  • Assisting with Medicaid/ Medicare (consolidated) billing, licensure, or compliance issues
  • Assisting with discharge proceedings, hearings and the discharge process in general

We're often asked, "Why Burgeon?" as in "Where'd you come up with that?" "Burgeon" means "To grow or expand, increase rapidly, or flourish." It's what we're about: growth, change, and betterment. It's what's in the middle of problems and solutions. It's what happens when an insurmountable obstacle is overcome by just doing something. It's changing the status quo. Not accepting "no" for an answer. It's action.

Action - It's also how we change the way a health care facility approaches the bureaucracy and headaches traditionally associated with collections and the Medicaid program. With action, your collections should increase and your facility should prosper. Bringing us full circle: burgeoning.

Our fees are flexible and will be tailored to meet your needs and the needs of each particular case. We offer hourly rates, flat rates, commission-based fees, a hybrid option and an Out-House Counsel option.

How is our flexibility, efficiency and reasonable cost talk not hyperbole? Many of our attorneys work virtually, utilizing technology to keep our overhead low so our clients aren't paying for marble foyers and picture windows. And we don't pass the overhead that we do have onto our clients, so that means no extra charges on your invoice for paper, faxes, and phone calls.

Also, we collaborate when possible to ensure that clients aren't charged for reinventing the wheel and exhibit a candid acknowledgment that different perspectives and skill sets are valuable and result in a better, more efficient end product.

Finally, instead of employing an expensive group of attorneys on a permanent basis (or, when in need of local counsel, adding the hourly fees charged by another entire firm which likely include its marble-lobby overhead costs), Burgeon Legal Group has relationships with a network of attorneys in various states whose costs are incorporated into the billing arrangement already established when we are retained.

Either you're a large corporation with an entire legal department replete with skilled and specialized attorneys, who are either not well-versed or not interested in Medicaid law, or you're a small operation and you don't have the budget, the office space or the work to support a full-time lawyer. In either scenario, our "Out-House Counsel" package may be for you. It provides the ability to have a lawyer on call, working for you when you need, without the commitment of hiring one as a full-time employee.

Try one of our smaller packages - e.g., ten monthly hours - and you can utilize us for anything from a quick email or call to training or case work at a pre-set, pre-paid fee. This increased ability to communicate on an array of topics leads to early detection and resolution of potential issues before they become out-of-hand, expensive, and time consuming.

Just want to test the waters? Contact us about our "MA Bootcamp" - a customizable program specifically designed to fit your unique needs. Depending on your needs, our bootcamp may include:

  • A comprehensive Accounts Receivable (AR) review and analysis
  • Medicaid "cheat sheets" and flowcharts
  • In-person or virtual training presentations with your administrator, business office team, corporate office and/or management company

MA Bootcamp is intended to provide your team with an opportunity, not only to evaluate and address your current receivables, but to develop global policies and procedures to prevent similar issues in the future. Our goal is to give you the tools you need to be more proactive and to teach you how to minimize the time spent and money lost on your outstanding receivables. The best way to deal with bad debt is to avoid it!

Are you interested in our MA Bootcamp?

August 3, 2015 / General Updates
Senate Passes the NOTICE (Notice of Observation Treatment and Implication for Care Eligibility) Act

Last week the U.S. House of Representatives passed the NOTICE (Notice of Observation Treatment and Implication for Care Eligibility) Act which requires hospitals to provide notice to Medicare beneficiaries receiving outpatient care for more than 24 hours of their status as an outpatient, the reasons why and the implications of receiving outpatient care. The notice […]

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July 31, 2015 / General Updates
CMS Releases May CHIP Eligibility and Enrollment Report

CMS has recently released the May 2015 monthly report on state Medicaid and Children’s Health Insurance Program (“CHIP”) eligibility and enrollment data as part of the Medicaid and CHIP Performance Indicator process. The report includes data on the number of applications submitted, the number of eligibility determinations made by each state, and total current enrollment […]

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July 30, 2015 / General Updates
50 Years of Medicaid

Today marks the 50th anniversary of the Medicaid and Medicare programs. Over the last 50 years, these programs have been helping protect the health and well-being of millions of Americans and improving the economic security of our nation. Read more about Medicaid’s program highlights at

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