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 wins another state appellate court matter when court agrees that notice denying resident’s Medicaid application was defective and didn’t comply with CMS Regs.
02/13/2025
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sb2 assists IL client with securing Provisional Mediciad Eligibility for 3 residents with long pending Medicaid applications.
02/10/2025
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Effective May ’24, sb2 uses CMS regulations to qualify current resident for Medicaid despite missing verifications and excess resources.
02/04/2025
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sb2 gets state to open for billing 40+ approved Medicaid applications pending additional review in violation of CMS Regulations.
01/27/2025
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sb2 agrees to withdraw civil action after recovering over $5 mm for client and forcing state compliance with Medicaid Act.
01/21/2025
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sb2’s MCO/MAP Practice continues to grow with the addition of a large home healthcare provider looking for help with several large recoupment matters.
01/15/2025
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Days before hearing on sb2’s appeal, contesting denial of resident’s Medicaid application for failing to provide requisite verification, county approves application with full retroactivity.
01/07/2025
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MCO starts paying over $800k in long-pending, denied claims after sb2 involves several administrative agencies.
12/31/2024
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For one of the nation’s top 10 largest providers, sb2 qualifies another current resident using CMS regulations and the doctrine of federal preemption.
12/24/2024
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ALJ agrees that current resident is entitled to provisional Medicaid eligibility after application pended for 8 months.
12/17/2024
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For longtime, national client sb2 uses UHW to overcome $50k penalty period and qualify current resident for Medicaid.
12/12/2024
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