News

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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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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

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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

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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

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After commencing dispute resolution, MCO agrees to refund monies erroneously recouped in ’22 and to stop the practice in the future.

06/07/2022

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sb2 challenges MCO’s denial of claims and recovers nearly $70k for longtime client.

06/01/2022

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sb2 secures both retro and prospective Medicaid eligibility for three residents on behalf of new client.

05/23/2022

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sb2 opens $300k of denied Medicare appeals after ALJ agrees with the firm’s constitutional arguments.

05/16/2022

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For medical equipment provider, sb2 commences dispute resolution based on MCO’s failure to timely pay claims recovers $200k.

05/10/2022

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After filing appeals and commencing settlement negotiations, MCO approves denied claims on behalf of longtime client.

05/06/2022

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sb2 qualifies current resident for Medicaid back to May ’21 using federal constitutional arguments.

05/03/2022

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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

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