News

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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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sb2 uses federal and state administrative complaints to undo $80k recoupment for regional skilled nursing provider. 

08/26/2026

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For large provider, sb2 uses creative legal theory to secure Medicaid eligibility for resident effective August ’23.

08/18/2026

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sb2 uses petition to compel guardian’s performance of fiduciary duties to sell real property and qualify current resident for Medicaid. 

08/11/2026

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ALJ agrees with sb2’s “Unavailability” arguments, securing Medicaid eligibility for longtime client beginning March ’25. 

08/05/2026

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Probate Court grants sb2’s petition, removing current guardian for breach of fiduciary duties and appointing successor guardian to secure Medicaid eligibility. 

07/28/2026

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State agency agrees with sb2 that MCO violated State Master Contract when MCO refused to pay successor skilled nursing facility’s pending Medicaid claims. 

07/23/2026

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sb2 uses CMS regulations to secure Medicaid eligibility for current resident effective January ’25. 

07/15/2026

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sb2 eliminates current resident’s restricted/penalty period for the alleged transfer of assets for less than fair consideration, securing Medicaid eligibility. 

07/08/2026

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For current resident without a guardian, sb2 challenges dismissal of appeal for lack of standing and secures Medicaid eligibility effective August ’25.

06/30/2026

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For longtime client, sb2 beats $100k Consolidated Billing demand from acute care provider. 

06/24/2026

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After sb2 files notice of dispute & provider complaint, MAP agrees to reprocess & pay previously denied Medicare claims.

06/17/2026

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