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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Working with sb2 and following effective Medicaid eligibility & reimbursement practices, client reduces their Medicaid pending numbers by $2 million in 45 days.
11/13/2019
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Using little known state regulation, sb2 qualifies undocumented migrant for Medicaid back to ’17.
11/11/2019
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CMS investigates state’s oversight of managed care contracts based on sb2 inc. administrative complaint.
11/08/2019
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After appealing significant recoupment to state court, sb2 and client team up to have funds returned.
11/06/2019
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For large provider and longtime client, sb2 inc. qualifies another resident for Medicaid back to September ’18.
11/04/2019
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After provider retains sb2 inc. to oversee 12 pending Medicaid matters at all times, the firm immediately qualifies two residents for Medicaid.
11/01/2019
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After sb2 inc. prevailed on appeal before administrative law judge, county grants Medicaid benefits back to September ’17.
10/30/2019
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sb2 inc. is retained by one of the nation’s largest acute care providers to provide Medicaid eligibility & reimbursement consulting services.
10/28/2019
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After settling a state court appeal with the AG’s Office, sb2 convinces ALJ to open denial of a Medicaid application filed in August ’17 and order agency to redetermine eligibility.
10/25/2019
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Judge agrees with sb2’s arguments and orders county to open application for Medicaid with 3 months retro effective October ’18.
10/23/2019
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Federal court agrees with sb2 that Medicaid qualified residents must be allowed to use their monthly income (patient liability) to pay down coverage gaps.
10/21/2019
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