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 another state appellate court win when AG settles pending appeal & court signs order opening Denial.
04/05/2021
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sb2 qualifies current resident for Medicaid back to September ’17 after showing OIG that transfer of home wasn’t for less than fair consideration.
03/31/2021
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Client’s diligence updating their Medicare/Medicaid polices & practices pays off with $86k recovery.
03/29/2021
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Board of Review agrees with sb2 that county cannot ignore resident’s incapacity when deciding if certain assets were available to her.
03/26/2021
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Relying again on CMS Regulations, sb2 qualifies resident for Medicaid back to September ‘19
03/24/2021
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Less than two months into a new project, sb2 recovers 16 months of retro Medicaid benefits and qualifies two current residents.
03/22/2021
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State appellate court agrees with sb2 that because Medicaid denial was defective, appeal period never began to run, ordering hearing on the merits.
03/19/2021
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Large provider credits biweekly consulting calls with sb2, discussing complex Medicaid eligibility issues & implementing best practices to fix them, for significant improvement.
03/17/2021
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Trial court agrees with sb2 that resident’s attorney at law cannot evade liability for conversion of resident’s funds by invoking POA defense.
03/15/2021
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For provider with over 100 facilities, sb2 unwinds $83k penalty/restricted period for current resident.
03/12/2021
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sb2 advances creative litigation strategy when ALJ agrees that the county’s delay in processing Medicaid applicant prejudiced the resident, ordering her application to be reopened.
03/10/2021
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