what we've done lately.
After commencing arbitration, sb2 recovers $1.6 mm from MCO for two of client’s behavioral healthcare facilities.
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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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For new client, sb2 secures second repayment of $300k for claims wrongly recouped by state agency as overpayments.
03/04/2026
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For several providers, sb2 reduces MCO’s late payment of clean claims from 2.5+ months to 2+ weeks.
02/24/2026
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After sb2 sought temporary injunctive relief in state court, MCO agreed to stay recoupment efforts pending resolution of case.
02/18/2026
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sb2 uses CMS regulations to secure Medicaid eligibility for current resident effective September ’24.
02/10/2026
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sb2 uses federal and state administrative agency complaints to push MCO to pay long-pending claims while it tries to fix several issues with its claim submission system.
02/03/2026
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sb2 helps client secure payments from MCO totaling over $2 mm for claims pending longer than state or federal law allows.
01/27/2026
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sb2 uses new theory to lift stay holding up buyers’ CHOWS because of pending audit appeals filed by sellers.
01/20/2026
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When county failed to comply with prior ALJ decision awarding additional Medicaid retroactivity, sb2 intervenes and secures compliance with ALJ’s Order.
01/12/2026
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ALJ agrees with sb2 that current resident was entitled to full retroactivity because alleged disqualified assets were “unavailable.”
01/06/2026
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For a number of providers, sb2 successfully pushes MCO to expedite payment of claims pending longer than allowed by both federal and state law.
12/30/2025
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sb2 secures UHW unwinding penalty period for the transfer of assets and securing Medicaid eligibility back to June ’24 and prospective eligibility.
12/23/2025
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