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 recovers $127k and secures Medicaid eligibility after using civil action to prompt resident to spend down excess resources to qualify for Medicaid.
02/26/2024
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Less than a day after an ALJ hearing where sb2 challenged the denial of a current resident’s Medicaid eligibility, county grants resident’s application with a May ’23 effective date.
02/21/2024
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sb2 uses the Medicaid eligibility process to recover $35k in excess resources for longtime client.
02/19/2024
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After appealing the denial of a current resident’s Medicaid application, and just days before the hearing, county grants eligibility effective June ’23.
02/16/2024
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ALJ agrees with sb2 that county failed to correctly determine community spouse’s monthly resource allowance and orders a new assessment.
02/13/2024
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In rare collection matter for the firm, sb2 uses civil action to recover outstanding balance owed by former resident.
02/06/2024
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For longtime client, sb2 recovers approximately $500k in unpaid claims for residential care from MCO.
02/01/2024
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: Even though facility never appealed Medicaid denial, sb2 files seemingly untimely appeal and secures benefits back to April ’22.
01/30/2024
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In a significant win for providers, one of OH’s second highest appellate courts agrees with sb2 that not all countable resources are available resources, awarding Medicaid eligibility effective November ’21.
01/26/2024
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Even though resident passed away, sb2 intervenes and obtains Medicaid eligibility back to the date of admission, January ’23
01/23/2024
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State Appellate Court agrees with sb2 and overrules ALJ who had affirmed the denial of resident’s application because she wasn’t able to provide a Social Security card and birth certificate.
01/18/2024
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