
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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KY—for national Provider sb2 qualifies resident for Medicaid by having excess resources assigned and transferred to client. Retroactive revenue recovered, $16.5k. Prospective monthly revenue, $5.5k.
09/24/2014
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PA—Trial Judge agrees with sb2 and enforces verbal promise requiring former resident to spend down $42k in excess resources to qualify for Medicaid. Revenue recovered, $90k.
09/24/2014
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PA—Secretary of DPW agrees with sb2 that ALJ committed reversible error and remands matter for new hearing on behalf of regional Provider with 25 facilities.
09/24/2014
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NJ—after years of contention, OPG and sb2 have bridged the divide and have been working together to qualify several residents of sb2’s clients for Medicaid!
09/19/2014
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sb2 wins appeal challenging Retroactivity Period on behalf of regional Provider with 60+ facilities.
09/18/2014
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NJ–sb2 works with OPG to qualify resident for Medicaid on behalf of regional client with 24 facilities. Retroactive revenue recovered, $105k. Prospective monthly revenue, $7k.
09/16/2014
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MD–In 8 weeks sb2 uses Delay Action to recover $240k in retro revenue and $30k a month in prospective revenue for national Provider with 200+ facilities.
09/12/2014
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SC–For national Provider sb2 convinces ALJ to order county to redetermine incapacitated resident’s Medicaid application because her excess resources were unavailable as a law of law.
09/11/2014
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For national Provider with 200 facilities sb2 qualifies resident for Medicaid and then obtains approval from DSS to OME remaining balance owed to facility. Retroactive revenue recovered, $65k. Prospective revenue, $6.5k.
09/11/2014
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OH–sb2 uses petition to remove guardian to obtain $80k cash settlement for nation’s largest Provider.
09/11/2014
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PA–After a long fight to spend down substantial excess resources, sb2 qualifies resident (with a $340k outstanding balance) for Medicaid.
09/05/2014
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