what we've done lately.
After commencing arbitration, sb2 recovers $1.6 mm from MCO for two of client’s behavioral healthcare facilities.
----
sb2 successfully fends off MCO’s attempt to unilaterally change daily rate for skilled nursing care, saving client approximately $11,000 per day.
----
sb2 uses proprietary strategy to recover $917,194.00 from MCO for long time client.
----
sb2 opens Denial well after the appeal period had expired and obtains Medicaid eligibility effective June ’19.
02/10/2021
----
sb2 secures rare Florida appellate court win when judge agrees with the firm’s constitutional arguments and orders DCF compliance with Due Process Clause.
02/08/2021
----
After commencing arbitrations against two MCOs contesting $2.8 mm in recoupments, sb2 recovers (to date) $1.5 mm in claims dating back to ’15.
02/05/2021
----
Board of Review reverses ALJ and grants sb2’s Undue Hardship Waiver for incompetent resident’s alleged transfer of assets for less that fair market value.
02/04/2021
----
For large provider with facilities in FL, sb2 unwinds 8 month penalty period using UWH.
02/02/2021
----
Before giving the okay to write off $1.7mm, provider instead hires sb2 to oversee Medicaid Project and recovers $900k (and counting) in 10 months.
01/28/2021
----
Board of Review agrees with sb2 that ALJ incorrectly conflated countable resources with available resources and orders county to grant resident’s Medicaid application.
01/26/2021
----
South Dakota—ALJ agrees with sb2 that county mistakenly found that Medicaid applicant’s excess resources were available to him and orders that application be approved.
01/22/2021
----
sb2 wins two more appellate court cases, both asserting constitutional violations, and qualifies each resident for Medicaid without any coverage gaps.
01/20/2021
----
Trial court agrees with sb2 and enters injunction mandating that competent resident turn over his monthly income to maintain his Medicaid eligibility.
01/18/2021
----
sb2 commences dispute resolution process objecting to incorrect rates paid by MCO and recovers $860k for acute care provider.
01/14/2021
----