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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ALJ agrees with sb2’s unavailability arguments and orders county to determine resident’s Medicaid eligibility ignoring missing verifications.
03/08/2021
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sb2 uses constitutional arguments in appeal to secure Medicaid eligibility for current resident back to July ’20.
03/05/2021
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ALJ agrees with sb2 that county had obligation to comply with statutory mandates and failure to do so required that denial of application be overturned.
03/03/2021
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After winning several appeals, sb2 recovers 22 months of Medicaid for long time client.
03/01/2021
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ALJ agrees with sb2 and orders county to reprocess current resident’s application based on additional verifications submitted after the Denial.
02/25/2021
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sb2 wins another appellate court case, securing Medicaid benefits from September ’17 through December ’20.
02/24/2021
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For KY provider, sb2 unwinds $134k penalty/restricted period for alleged transfers of assets for no consideration and qualifies current resident for Medicaid.
02/22/2021
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Arbitrator agrees with sb2 and denies MCO’s motion to dismiss 65 claims based on lack of documentation that MCO should have kept.
02/18/2021
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State court judge agrees with sb2 and grants injunction mandating that competent resident forward his monthly income to facility to maintain his Medicaid eligibility.
02/16/2021
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State settles sb2’s administrative appeal denying provider’s UHW by unwinding the entire penalty/restricted period.
02/12/2021
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In response to the pandemic, providers with over 60 locations in NJ, IL, & FL retain sb2 for Medicaid/Medicare audit, training & education services.
02/11/2021
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