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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After client’s appeal of resident’s application for Medicaid was denied, Board of Review agrees with sb2 and grants full Medicaid eligibility.
06/06/2024
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Using CMS Regs, sb2 secures 19 months of Medicaid eligibility for resident at one of long-time client’s PA facilities.
06/04/2024
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Client realizes multi-million-dollar benefit after engaging sb2 to resolve outstanding MCO issues.
05/31/2024
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Prior to hearing before ALJ, MCO agrees that discontinuance letter sent to resident was defective, resulting in $70k payment to client.
05/28/2024
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After appealing denial of current resident’s Medicaid appeal, sb2 secures Medicaid eligibility effective July ’23.
05/23/2024
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Immediately following ALJ’s Order opening current resident’s denied application for Medicaid, county grants application with full Medicaid retroactivity.
05/21/2024
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After caseworker refused to process client’s conditional Medicaid eligibility request for current resident, sb2 filed appeal, and caseworker granted resident’s application.
05/16/2024
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After Board affirmed the denial of client’s appeal, sb2 appealed to state court, and county subsequently approved resident’s application for Medicaid without any coverage gaps.
05/14/2024
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sb2 convinces Board of Review to overturn ALJ’s imposition of $139k ineligibility period for the alleged transfer of real estate for less than FMV.
05/09/2024
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After filing an appeal because of the failure to process resident’s program change, case worker grants Medicaid eligibility with full retroactivity the day before hearing.
05/07/2024
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sb2 uses inaction appeal, citing CMS Regulation, to qualify resident for Medicaid back to March ’23.
05/03/2024
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