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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TX—for national provider with 200+ facilities, sb2 convinces caseworker to revoke penalty period for transfers for less than fair market value. Retroactive & prospective recovery beginning April ’14.
10/25/2014
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Big Win! NJ ALJ agrees with sb2 that Federal Regulations on the unavailability of assets preempts state’s OPS memo. Appeal remanded to county for redetermination.
10/24/2014
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SD—Probate Court Judge grants sb2’s test case to appointed an Authorized Medicaid Representative!
10/23/2014
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SD—sb2 intervenes on behalf of national religious affiliated client with 200+ facilities to liquidate current resident’s assets and recovers $130k.
10/23/2014
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PA—DPW and sb2 settle appeal filed with the Commonwealth Court over the miscalculation of resident’s penalty period for alleged transfers of assets for less than FMV. Retroactive revenue recovered, $102k.
10/20/2014
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NJ—sb2 and caseworker agree to settle appeal by rescinding Denial and redetermining resident’s application that was filed in March.
10/20/2014
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FL—for national Provider with 200+ facilities, sb2 convinces County Supervisor to forgo clawing back Medicaid dollars paid to current resident for the 12 months that her agent failed to fund QIT.
10/20/2014
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NY—sb2 uses Delay Action to qualify resident for Medicaid. Retroactive revenue recovered, $105k. Prospective monthly revenue, $7k.
10/17/2014
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AL—for nation’s largest Provider, sb2 uses Petition to force resident’s Guardian to qualify her for Medicaid.
10/17/2014
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OH—based on sb2’s post-hearing brief, ALJ orders County to redetermine resident’s application for Medicaid based on their failure to prove resident’s ownership of excess resources.
10/17/2014
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sb2 is retained by national provider with 200+ facilities to prepare Best Medicaid Eligibility Practices training video!
10/15/2014
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