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 litigation and CMS Regulations to force MCO to pay claims for current vent resident dating back to January ’24 through the present.
06/03/2025
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sb2 uses state and federal regulations to qualify three residents whose applications for Medicaid pended longer than CMS Regulations allow.
05/30/2025
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For FL provider sb2 uses CMS regulations and administrative complaints to clear back log of long-pending Medicaid applications.
05/21/2025
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Longtime client and sb2 team up to ensure that resident’s guardian qualifies him for Medicaid to cover stay at skilled nursing facility.
05/13/2025
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ALJ rules in sb2’s favor and orders county to award Medicaid eligibility to current resident effective August ’24.
05/06/2025
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sb2 uses federal spousal resource allowance statute and assignment to persuade ALJ to grant appeal and remand to caseworker for compliance.
04/29/2025
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sb2 uses UHW to unwind $200k penalty period securing Medicaid benefits effective July ’23 for current resident.
04/23/2025
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Board agrees to review ALJ’s dismissal of appeal, challenging denial of resident’s Medicaid application, without a hearing or providing any appeal rights.
04/15/2025
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After court enters Order mandating that resident forward his past and future monthly income to facility, resident’s attorney turns over $50k.
04/07/2025
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sb2 uses CMS Regs and ADA to open ALJ’s dismissal of client’s appeal of denial of resident’s application for Medicaid.
03/31/2025
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sb2 takes on very messy Medicaid eligibility appeal secures full coverage effective October ’23.
03/25/2025
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