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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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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sb2 opens Denial well after the appeal period had expired and obtains Medicaid eligibility effective June ’19.
02/10/2021
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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
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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
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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
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For large provider with facilities in FL, sb2 unwinds 8 month penalty period using UWH.
02/02/2021
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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
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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
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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
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sb2 wins two more appellate court cases, both asserting constitutional violations, and qualifies each resident for Medicaid without any coverage gaps.
01/20/2021
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