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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Even though resident had an application for Medicaid pending, sb2 wins discharge hearing.
08/04/2023
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ALJ agrees with sb2’s constitutional arguments concerning defective notice, and orders county to reopen resident’s Medicaid application.
08/01/2023
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Using CMS and state regulations on unavailability of assets & what constitutes reasonable efforts, sb2 qualifies resident, with excess resources, for Medicaid.
07/27/2023
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After sb2 appeals MCO’s discontinuance of resident’s benefits in violation of State Master Contract, MCO agrees to cover dates of service beginning in May ’22.
07/25/2023
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Since February ’23, sb2 helps assisted living provider recover nearly $200k in old revenue using debt collection practices and polices created by the firm.
07/21/2023
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ALJ agrees with sb2 and rescinds another Medicaid denial for current resident because county violated resident’s due process rights by not giving proper notice.
07/18/2023
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ALJ agrees with sb2’s argument that because resident suffered a medical emergency, the transfer of substantial assets was not done for Medicaid planning purposes.
07/13/2023
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sb2 convinces ALJ to overturn denial of resident’s Medicaid application because case worker failed to assist resident with obtaining missing verification.
07/11/2023
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MCO agrees to cover residents stay even after resident no longer met LOC because MCO failed to follow state master contract before terming eligibility.
07/07/2023
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Using CMS and state regulations on unavailability of assets & what constitutes reasonable efforts, sb2 qualifies resident, with excess resources, for Medicaid.
07/03/2023
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Using CMS Regulations and the ADA, sb2 qualifies current resident back to November ’22.
06/30/2023
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