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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In a first, trial court agrees with sb2 and denies hospital’s attempt to dismiss lawsuit seeking damages for not disclosing that resident was an undocumented migrant ineligible for Medicaid.

10/02/2024

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sb2 again uses CMS Regulations & Rehabilitation Act to qualify current resident for Medicaid benefits effective October ’23.

09/25/2024

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sb2 uses federal administrative complaints to force start processing delayed Medicaid applications, resulting in significant cash flow increase for client.

09/18/2024

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For longtime client with dozens of assisted living facilities throughout the Northeast, sb2 recovers $38k.

09/11/2024

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sb2 uses motion to compel current resident’s responsible party to spend down nearly $80k at facility and apply for Medicaid.

09/06/2024

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sb2 uses federal and state regulations to convince ALJ that county must redetermine resident’s application of “available” resources only.

09/04/2024

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To the surprise of longtime client, sb2 uses constitutional arguments to persuade ALJ to open denied application for Medicaid.

08/29/2024

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After commencing arbitration, sb2 recovers $175k from MCO in previously recouped Medicaid payments.

08/27/2024

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Using constitutional arguments, sb2 qualifies another resident for Medicaid effective November ’23 on behalf of longtime client.

08/22/2024

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sb2 relies on CMS Regs and the common law at hearing to qualify current resident for Medicaid back to December ’22.

08/20/2024

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For new client sb2 qualifies current resident who did not have a payor source for nearly three years.

08/15/2024

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