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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For IL provider, sb2 recovers nearly $1 mm for client based on MCOs failure to comply with state regulation governing single case agreements.
06/25/2024
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sb2 uses federal regulations to qualify current resident for Medicaid back to August ’23 without establishing QIT or producing community spouse’s verification.
06/20/2024
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sb2 secures UHW based on the transfer of resident’s home for LFMV, securing $170k in retroactive Medicaid payments plus prospective benefits for client.
06/18/2024
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After appealing denial of Medicaid application because of excess resources, sb2 proves that resources were unavailable and secures full retroactivity.
06/13/2024
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sb2 appeals denial of client’s request for conditional Medicaid benefits and secures Medicaid retroactivity back to client’s date of admission.
06/11/2024
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After client’s appeal of resident’s application for Medicaid was denied, Board of Review agrees with sb2 and grants full Medicaid eligibility.
06/06/2024
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Using CMS Regs, sb2 secures 19 months of Medicaid eligibility for resident at one of long-time client’s PA facilities.
06/04/2024
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Client realizes multi-million-dollar benefit after engaging sb2 to resolve outstanding MCO issues.
05/31/2024
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Prior to hearing before ALJ, MCO agrees that discontinuance letter sent to resident was defective, resulting in $70k payment to client.
05/28/2024
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After appealing denial of current resident’s Medicaid appeal, sb2 secures Medicaid eligibility effective July ’23.
05/23/2024
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Immediately following ALJ’s Order opening current resident’s denied application for Medicaid, county grants application with full Medicaid retroactivity.
05/21/2024
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