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 secures rare UHW for the alleged transfer of assets solely for Medicaid planning purposes for longtime client, resulting in $60k benefit.
07/05/2024
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After appealing two ALJ dismissals of administrative Medicaid appeals to the court of appeals, state subsequently agrees to open both denied applications with full Medicaid retroactivity.
07/02/2024
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sb2 uses CMS Regulation and Rehabilitation Act to qualify current resident for Medicaid effective Jan ’23.
06/27/2024
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For IL provider, sb2 recovers nearly $1 mm for client based on MCOs failure to comply with state regulation governing single case agreements.
06/25/2024
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sb2 uses federal regulations to qualify current resident for Medicaid back to August ’23 without establishing QIT or producing community spouse’s verification.
06/20/2024
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sb2 secures UHW based on the transfer of resident’s home for LFMV, securing $170k in retroactive Medicaid payments plus prospective benefits for client.
06/18/2024
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After appealing denial of Medicaid application because of excess resources, sb2 proves that resources were unavailable and secures full retroactivity.
06/13/2024
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sb2 appeals denial of client’s request for conditional Medicaid benefits and secures Medicaid retroactivity back to client’s date of admission.
06/11/2024
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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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