News

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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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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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sb2 relies on the federal preemption doctrine to qualify current resident for Medicaid back to June ’19.

12/04/2020

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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

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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

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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

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