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 uses CMS Complaint to push state to pause level of care screening process that has been costing providers significant Medicaid revenue.
07/18/2022
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After a three year battle, including a win at the OH state appellate court arguing constitutional violations, sb2 qualifies resident for Medicaid back to September ’16.
07/12/2022
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sb2 wins another state hearing appeal when judge agrees that MCO’s cut letter was issued against the available medical evidence of improved condition.
07/08/2022
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Applying CMS regulations, sb2 opens notice issued in January ’21 denying application for Medicaid and subsequently qualifies resident for Medicaid.
07/05/2022
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sb2 uses little known Illinois regulation to qualify deceased resident for Medicaid even though the appeal was filed 1 year after the denial was issued and without a DAR.
06/27/2022
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Administrative law judge agrees with sb2 and unwinds a significant period of Medicaid ineligibility based on the alleged transfer of assets for less than fair consideration.
06/21/2022
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sb2 secures $23k settlement from elder law attorney who failed to timely file his client’s application for Medicaid before he passed away.
06/13/2022
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After commencing dispute resolution, MCO agrees to refund monies erroneously recouped in ’22 and to stop the practice in the future.
06/07/2022
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sb2 challenges MCO’s denial of claims and recovers nearly $70k for longtime client.
06/01/2022
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sb2 secures both retro and prospective Medicaid eligibility for three residents on behalf of new client.
05/23/2022
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sb2 opens $300k of denied Medicare appeals after ALJ agrees with the firm’s constitutional arguments.
05/16/2022
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