Your revenue is not a stream, it's a sphere.

Medicare/Medicaid eligibility and reimbursement is more than a few rigid, stand-alone services that run in a straight line. There is an ecosystem of variables impacting the revenue of your organization, and sb2 Inc. has a comprehensive platform to address every one.

We call it Revenue.Recognition.Recovery.® It's a proprietary system we've developed to help long-term care facilities identify new available sources of revenue - specifically from Medicaid and Medicare - to help build their bottom lines. Our system includes all points around the sphere, including internal policies and procedures, contracts, training, and legal services. Long-term care facilities that aggressively use all of these revenue sources are the ones that will chart their growth well into the future.

Learn more about our focus areas and how we can help you take the first step.

NEWS

  • May-Present

    Now representing providers, facilities, third-party fiscal agents, healthcare associations and related entities nationwide.

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  • February 21, 2019

    ALJ agrees that notice denying resident’s application for Medicaid was defective on constitutional grounds and orders county to reevaluate eligibility for benefits.

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  • February 18, 2019

    sb2 inc. secures another appellate court victory when judge rules that client’s right to pursue Medicaid benefits survives a resident’s passing.

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  • February 14, 2019

    Using an Undue Hardship Waiver filed on behalf of former resident, sb2 inc. recovers $175k for longtime client.

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  • February 11, 2019

    In significant win, sb2 uses constitutional arguments to stop state from blocking resident’s second application for Medicaid based on a legal principle that prohibits litigating the same matter twice.

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  • February 07, 2019

    Intervening on behalf of midsized provider, sb2 inc. reduces state’s attempted recoup of several hundred thousand dollars of alleged Medicaid overpayments by 90%.

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  • February 04, 2019

    sb2 uses constitutional arguments to open denial well after the appeal period had expired and secures Medicaid ability from June ’14 to June ’16.

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  • January 31, 2019

    Challenging whether the commonwealth properly declined to continue processing resident’s application for Medicaid after resident passed away, AG agrees to settle sb2 inc.’s appeal by granting full retroactive Medicaid benefits.

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  • January 28, 2019

    AG agrees to settle sb2 Inc.’s appeal to the commonwealth court over whether Administrate Law Judge properly applied CMS regulations on Undue Hardship Waivers.

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  • January 18, 2019

    County agrees to settle sb2 inc.’s appeal of a penalty/restricted period by reducing it $130k and granting resident’s application Medicaid.

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  • January 14, 2019

    Although sb2 inc.’s client did not timely submit claims to the insurer, MCO agrees to pay $35k nonetheless.

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  • January 10, 2019

    After losing at the administrative level twice, AG settles sb2 inc.’s circuit court appeal and voids resident’s entire penalty/restricted period.

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  • January 07, 2019

    Arguing due process and constitutional violations, sb2 inc. opens denial for longtime client and secures Medicaid eligibility back to November ’15.

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  • January 02, 2019

    After 3.5 years of litigation, AG withdraws pending appellate court appeal, thereby agreeing that client’s resident has the right to Other Medicaid Expense (OME) gap in Medicaid coverage.

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  • December 17, 2018

    After denying DMAHS’s motion for summary judgment, the NJ appellate court agrees with sb2 inc. and orders agency to produce a copy of notice terminating resident’s Medicaid eligibility.

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All News

By delivering real results and increased profitability,we help our clients run healthier businesses so they can help their residents live healthier lives.

Learn more about the kind of results we deliver every day.