what we've done lately.
After commencing arbitration, sb2 recovers $1.6 mm from MCO for two of client’s behavioral healthcare facilities.
----
sb2 successfully fends off MCO’s attempt to unilaterally change daily rate for skilled nursing care, saving client approximately $11,000 per day.
----
sb2 uses proprietary strategy to recover $917,194.00 from MCO for long time client.
----
sb2 uses little known Illinois regulation to qualify deceased resident for Medicaid even though the appeal was filed 1 year after the denial was issued and without a DAR.
06/27/2022
----
Administrative law judge agrees with sb2 and unwinds a significant period of Medicaid ineligibility based on the alleged transfer of assets for less than fair consideration.
06/21/2022
----
sb2 secures $23k settlement from elder law attorney who failed to timely file his client’s application for Medicaid before he passed away.
06/13/2022
----
After commencing dispute resolution, MCO agrees to refund monies erroneously recouped in ’22 and to stop the practice in the future.
06/07/2022
----
sb2 challenges MCO’s denial of claims and recovers nearly $70k for longtime client.
06/01/2022
----
sb2 secures both retro and prospective Medicaid eligibility for three residents on behalf of new client.
05/23/2022
----
sb2 opens $300k of denied Medicare appeals after ALJ agrees with the firm’s constitutional arguments.
05/16/2022
----
For medical equipment provider, sb2 commences dispute resolution based on MCO’s failure to timely pay claims recovers $200k.
05/10/2022
----
After filing appeals and commencing settlement negotiations, MCO approves denied claims on behalf of longtime client.
05/06/2022
----
sb2 qualifies current resident for Medicaid back to May ’21 using federal constitutional arguments.
05/03/2022
----
sb2 wins another Undue Hardship Waiver for a resident’s alleged transfer of assets for less than FMV, securing $57k and prospective Medicaid eligibility.
04/25/2022
----