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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sb2 persuades ALJ to grant UHW and order county to unwind significant restricted/penalty period.
11/20/2020
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ALJ agrees with sb2 and orders MCO to grant retroactive Medicaid eligibility back to November ’19.
11/18/2020
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NY intermediate appellate court agrees with sb2’s CMS preemption arguments and overrules administrative law judge.
11/16/2020
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Provider cites sb2’s training & consulting practice for two recent Medicaid eligibility approvals.
11/12/2020
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Relying on CMS Regulations, sb2 qualifies another resident for Medicaid without having to produce all requisite verification.
11/09/2020
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sb2 successfully unwinds penalty/restricted Medicaid eligibility period that had pended since ’18
11/05/2020
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sb2 immediately qualifies resident for Medicaid who was without a payor source since ’17.
10/29/2020
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sb2 convinces ALJ to open husband & wife’s denied Medicaid applications based on unavailability of missing verification.
10/19/2020
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In another first, sb2 convinces NC administrative law judge that PL (resident share) must be reduced to account for alimony payments.
10/12/2020
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After extensive litigation, which included an important appellate court win, sb2 qualifies resident for Medicaid back to June ’18.
10/05/2020
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sb2 uses recent appellate court win on unavailability of resources to qualify resident back to September ’19.
09/30/2020
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