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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sb2 appeals state’s rejection of client’s OME/PEME requests and recovers over $47k.

06/27/2023

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sb2 uses state regulations more favorable than CMS’s to secure 11 months of retroactive Medicaid benefits for deceased resident.

06/23/2023

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Client and sb2 team up to secure conditional Medicaid benefits for resident whose POA has repeatedly breached his fiduciary duties.

06/19/2023

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sb2 secures Medicaid eligibility for current resident even though she owns real estate in another state putting her over the resource limit.

06/16/2023

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sb2 helps client timely perfect claim against former resident’s estate in another state and recovers $40k.

06/13/2023

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ALJ agrees with sb2’s constitutional arguments and overturns denial of Medicaid application because caseworker failed to properly notice verification requests.

06/08/2023

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sb2 intervenes on behalf of client and uses petition to force resident’s co-guardians to qualify her for Medicaid.

06/05/2023

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Despite alleged transfers of assets for less than FMV, sb2 quickly qualifies long-time resident for Medicaid.

05/25/2023

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sb2 convinces court to appoint an interim Medicaid authorized representative to qualify resident for Medicaid while a petition for guardianship pends

05/23/2023

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MCO agrees to pay nearly $20k in interest for not processing and paying client’s claims timely.

05/17/2023

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sb2 uses civil action filed on behalf of 6 residents to secure payment of long-pending claims submitted by client.

05/15/2023

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