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 NJ client, sb2 works with OPG to secure Medicaid eligibility for current resident back to May ’19.
08/11/2021
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Using CMS Regulations, sb2 intervenes and qualifies current resident, who had a $170k outstanding balance, for Medicaid benefits.
08/04/2021
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sb2 challenges skilled nursing care resident’s LOC determination and wins, resulting in nearly 18 months of retro-Medicaid benefits.
07/29/2021
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ALJ agrees with sb2 that resident cannot be denied Medicaid eligibility because another state refuses to “turn off” his Medicaid benefits there.
07/27/2021
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One strategy call under consulting agreement nets client 6 months of retro Medicaid benefits and prospective eligibility for current resident.
07/22/2021
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For facility in FL, sb2 uses propriety litigation strategy to immediately recover $100k in delayed payments from MCO.
07/20/2021
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sb2 wins another state appellate court case when attorney general agrees that administrative law judge’s decision was incorrect.
07/14/2021
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sb2 wins Medicare appeal challenging cut letter for alleged failure to meet level of care/medical necessity.
07/12/2021
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For new client with approximately 50 facilities, sb2 uses federal regulations to qualify current resident for Medicaid back to November ’20.
07/06/2021
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Secretary denies state’s motion to dismiss sb2’s exceptions to hearing officer’s refusal to pay Medicaid claims for approved Medicaid applications, setting up important ruling for providers.
07/02/2021
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sb2 uses CMS Regulations to qualify current resident back to November ’18.
06/30/2021
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