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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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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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
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sb2 commences dispute resolution process objecting to incorrect rates paid by MCO and recovers $860k for acute care provider.
01/14/2021
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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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