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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  • May 13, 2021

    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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  • April 30, 2021

    On remand from appellate court win, ALJ agrees with sb2 that assets putting resident over resource limit were unavailable and ordered county to grant Medicaid benefits.

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  • April 27, 2021

    sb2 files Undue Hardship Waiver challenging penalty/restricted period for alleged transfers of assets for less than FMV and wins, securing Medicaid eligibility for current resident.

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  • April 23, 2021

    IL’s largest provider retains sb2 to recover payment for backlogged MCO claims.

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  • April 20, 2021

    sb2 relies on federal regulations to unwind significant penalty period and spousal refusal to qualify current resident back to June ’20.

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  • April 16, 2021

    Arbitrator agrees with sb2 and denies MCO’s motion to dismiss 65 claims based on lack of documentation that MCO should have kept.

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  • April 14, 2021

    Even though current resident still hasn’t satisfied the resource limit for Medicaid eligibility, sb2 qualifies her back to the date admission, April ’20.

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  • April 12, 2021

    sb2 uses Undue Hardship Waiver to unwind $654k penalty/restricted period, obtaining full Medicaid coverage for current resident.

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  • April 08, 2021

    After winning at the state court of appeals, sb2 obtains Medicaid coverage back to January ’19.

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  • April 05, 2021

    sb2 secures another state appellate court win when AG settles pending appeal & court signs order opening Denial.

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  • April 02, 2021

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

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  • March 31, 2021

    sb2 qualifies current resident for Medicaid back to September ’17 after showing OIG that transfer of home wasn’t for less than fair consideration.

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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.