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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    After commencing arbitrations against two MCOs contesting $2.8 mm in recoupments, sb2 recovers (to date) $1.5 mm in claims dating back to ’15.

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

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  • June 23, 2021

    ALJ agrees with sb2’s constitutional arguments concerning, netting client $57k in Medicaid revenue.

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  • June 17, 2021

    For NJ provider, sb2 works with OPG to qualify resident for Medicaid back to October ’19.

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  • June 15, 2021

    Another appellate court sides with sb2 and overrules administrative law judge’s dismissal of client’s appeal, leading to $100k in Medicaid benefits for client.

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  • June 09, 2021

    ALJ agrees with sb2 that because of guardian’s inability to access disqualifying resources without a court order, caseworker should have granted resident’s Medicaid application back to May ’20.

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  • June 07, 2021

    MCO offers $195k to settle claims that it wrongfully included certain pharmacy charges in daily rate.

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  • June 03, 2021

    In tough state, appeal board agrees with sb2 that excess resources valued at $600k were not “available” resources as defined by CMS and overrules ALJ.

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  • June 01, 2021

    Hearing Officer agrees with sb2 that caseworker should have granted resident’s Undue Hardship Waiver with Medicaid benefits back to September ’20.

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  • May 26, 2021

    Days after filing appeal for failing to grant client’s request for conditional Medicaid benefits for current resident, caseworker approves resident’s application with benefits back to September ’20.

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  • May 24, 2021

    Appeal Board agrees with sb2 that state regulation allows providers (in certain instances) to file Medicaid appeals without a DAR.

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  • May 21, 2021

    sb2 pushes state to pay out on several notices of Medicaid eligibility, one for $108k alone, that have languished in a CMS unapproved department.

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    sb2 uses CMS regulations to qualify current resident for Medicaid and recover $125k in retro benefits.

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    After stepping in and qualifying current resident, whose Medicaid application had pended for over 1 year, sb2 also obtains Undue Hardship Waiver for restricted period.

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  • May 10, 2021

    sb2 wins another state appellate court case when AG agrees that notice denying resident’s application for Medicaid was defective and authorizes approval of benefits back to ’18.

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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.