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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NJ–after the hearing on sb2’s Appeal, County issues Notice of Eligibility granting full retroactive Medicaid. Retroactive recovered, $98k. Prospective monthly revenue, $7k.

09/29/2014

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FL—sb2 brings in MDR (a national Medicaid application processing company) to quickly and efficiently qualify resident for Medicaid on behalf of nation’s largest Provider.

09/29/2014

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NJ—Attorney General settles sb2’s appeal filed with the NJ Superior Ct where ALJ wrongfully denied client a hearing on resident’s appeal.

09/29/2014

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SC—with resident’s health declining, sb2 convinces Court to immediately appoint a temporary conservator to spend down her excess resources to qualify for Medicaid. Retroactive revenue recovered, $60k.

09/24/2014

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AR—after extensive litigation, sb2 reduces penalty period and qualifies resident for Medicaid. Retroactive revenue recovered, $33k. Prospective monthly revenue, $5.5k.

09/24/2014

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NM—sb2 recertifies resident for Medicaid Eligibility on behalf of national Provider with 200 facilities.

09/24/2014

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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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