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 intervenes and obtains conditional Medicaid eligibility back to October ’22 for current resident at client’s facility.
03/02/2023
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sb2 recovers $69k in retro Medicaid benefits, plus prospective eligibility, for client after intervening in pending appeal.
02/27/2023
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sb2 uses new legal theory in pending federal litigation to cure Medicaid coverage gap going back to the beginning of ’19.
02/24/2023
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Despite excess resources, sb2 qualifies deceased resident and recovers $45k in Medicaid benefits for provider.
02/21/2023
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sb2 appealed state’s retroactive increase in resident’s monthly patient liability, and ALJ rules in firm’s favor.
02/16/2023
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sb2 uses state’s failure to comply with CMS Regulations to qualify current resident effective December ’21.
02/13/2023
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sb2 uses assignment of community spouse’s support obligation to qualify current resident for Medicaid, recovering $51k for client.
02/09/2023
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sb2 persuades federal court to recognize providers’ property interest in approved Medicaid applications and states obligation to adhere to CMS Regulations as a result.
02/07/2023
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sb2’s beats another MCO attempt to cut current resident’s Medicaid eligibility after proving that resident continues to need skilled nursing care.
02/02/2023
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sb2 wins Undue Hardship Waiver for the alleged transfer of assets solely for Medicaid planning purposes and secures Jan ’22 eligibility date for current resident.
01/27/2023
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sb2 uses CMS administrative complaint to force state’s compliance with administrative hearing requirements and timely disposition of appeals.
01/24/2023
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