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

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    sb2 successfully fends off MCO’s attempt to unilaterally change daily rate for skilled nursing care, saving client approximately $11,000 per day.

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    sb2 uses proprietary strategy to recover $917,194.00 from MCO for long time client.

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  • October 19, 2021

    ALJ agrees with sb2 that MCO should not have discontinued resident’s Medicaid benefits because her LOC had not in fact improved.

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  • October 12, 2021

    sb2 uses state and federal regulations to zero out current resident’s monthly Patient Pay Liability mandated as a condition of Medicaid eligibility.

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  • October 06, 2021

    IN Board denies AG’s appeal to overturn sb2’s win on unavailability of excess resources based on CMS Regulations.

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  • October 04, 2021

    sb2 secures another state court appellate win challenging the constitutionality of actions taken by state officials applying state and federal Medicaid regulations.

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  • September 30, 2021

    After hearing before ALJ, AG agrees with sb2’s constitutional arguments and approves current resident’s Medicaid application back to June ’19.

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  • September 27, 2021

    In IL, sb2 files inaction appeal requesting approval of OME coverage gap, and caseworker instead adjusts Medicaid eligibility effective date to cure the gap.

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  • September 22, 2021

    After commencing dispute resolution and preparing to file litigation, MCO agrees to pay nearly $400k to provider and stop including certain prescriptions in global rate.

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  • September 20, 2021

    Illinois hearing officer opens up Medicaid application for skilled nursing benefits filed in ’16 after finding that caseworker failed to give proper notice of Denial.

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    sb2 convinces ALJ that failure to assist incapacitated resident with securing needed verification to determine eligibility constitutes a violation of her federal rights.

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  • August 25, 2021

    After nearly 4 years of litigation, IL finally acknowledges in SPA submitted to CMS that skilled nursing residents have the right to OME/Income Deviate coverage gaps.

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  • August 23, 2021

    sb2 uses Undue Hardship Waiver to cure $100k period of Medicaid ineligibility imposed for transfer of resources for less than FMV.

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  • August 17, 2021

    sb2 qualifies current resident for Medicaid (effective Jan '01) after winning $50k Undue Hardship Waiver.

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  • August 12, 2021

    sb2 wins another state appellate court case when attorney general agrees that administrative law judge’s decision was incorrect.

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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.