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 relies on the federal preemption doctrine to qualify current resident for Medicaid back to June ’19.
12/04/2020
----
After 4 years of litigation, which included 3 intermediate appellate court wins, sb2 qualifies resident for Medicaid for one of the nation’s largest providers.
12/02/2020
----
In PA, sb2 opens another Denial after the appeal deadline based on Due Process violations and qualifies resident back to December ’19.
11/30/2020
----
OH Judge agrees with sb2’s arguments grounded in Due Process violations and federal preemption to qualify deceased resident back to June ’19.
11/24/2020
----
sb2 persuades ALJ to grant UHW and order county to unwind significant restricted/penalty period.
11/20/2020
----
ALJ agrees with sb2 and orders MCO to grant retroactive Medicaid eligibility back to November ’19.
11/18/2020
----
NY intermediate appellate court agrees with sb2’s CMS preemption arguments and overrules administrative law judge.
11/16/2020
----
Provider cites sb2’s training & consulting practice for two recent Medicaid eligibility approvals.
11/12/2020
----
Relying on CMS Regulations, sb2 qualifies another resident for Medicaid without having to produce all requisite verification.
11/09/2020
----
sb2 successfully unwinds penalty/restricted Medicaid eligibility period that had pended since ’18
11/05/2020
----
sb2 immediately qualifies resident for Medicaid who was without a payor source since ’17.
10/29/2020
----