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 secures an UHW for current resident who allegedly transferred assets prior to admission for Medicaid planning purposes.
10/24/2022
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sb2 uses MCO’s dispute resolution process to secure payment from it for erroneously denying a number of claims.
10/18/2022
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For large provider, sb2 uses CMS administrative complaint to clear backlog of scores of pending Medicaid applications and reduces waiting period from 90+ to 30 days.
10/13/2022
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County grants full Medicaid retroactivity after sb2 files appeal challenging effective date.
10/11/2022
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ALJ agrees with sb2’s prejudicial delay arguments and overturns denial of resident’s application for Medicaid, directing agency to award benefits back to March ’22.
10/06/2022
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sb2 wins Undue Hardship Waiver for assets allegedly transferred solely for Medicaid planning purposes.
10/04/2022
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County grants full Medicaid retroactivity after sb2 files appeal challenging effective date.
09/29/2022
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sb2 uses state regulation to obtain conditional Medicaid eligibility effective October ’21 for resident without the capacity to qualify herself for benefits.
09/26/2022
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sb2 secures Medicaid eligibility effective September ’20 for deceased resident using CMS regulations and due process clause.
09/22/2022
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sb2 appeals another MCO’s erroneous discontinuance of resident’s skilled nursing care benefits and wins.
09/20/2022
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For IL provider, sb2 weaves together federal state regulations to convince ALJ to reopen resident’s application for Medicaid, even though resident had failed to prove US citizenship.
09/16/2022
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