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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After involving CMS, sb2 continues to open old Medicaid denials & obtain retroactive payment, arguing defective notice.
01/12/2021
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In IN, sb2 relies little known CMS regulation to qualify current resident for Medicaid effective September ’19.
01/07/2021
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sb2 continues to expand how states deem the “actual” value of real property with important win in OH.
01/04/2021
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sb2 secures Medicaid eligibility back to ’15 after administrative law judge agrees with constitutional due process arguments.
12/30/2020
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OH Board of Review overturns ALJ, agreeing with sb2 that countable resources cannot cause a denial of a resident’s application for Medicaid.
12/28/2020
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After qualifying deceased resident for Medicaid, sb2 secures $38k lump sum cash settlement from resident’s agent for misappropriation.
12/23/2020
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sb2 continues to expand application of CMS’s unavailability of assets/verifications reg with win in NC.
12/21/2020
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For longtime client with facilities in PA, sb2 qualifies deceased resident for Medicaid back to January ’20.
12/16/2020
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For NY provider sb2 uses CMS regulations to qualify resident whose application had been pending since before the pandemic.
12/14/2020
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In difficult Midwest state to secure Medicaid eligibility, sb2 intervenes and qualifies current resident back to February ’20 for one of nation’s largest providers.
12/10/2020
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sb2 overturns dismissal of client’s appeal for failing to attend hearing, saving application that has been pending for 8 months.
12/08/2020
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