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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Using CMS Regulations, sb2 qualifies another resident with excess resources who also transferred $79k during the Lookback Period.
07/24/2020
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Administrative law judge agrees with sb2’s regulatory & constitutional arguments and orders county to open resident’s Medicaid application filed in ’18.
07/20/2020
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sb2 uses federal constitutional arguments to save Medicaid appeal filed by client 487 days after appeal deadline.
07/17/2020
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sb2 qualifies resident for Medicaid after ALJ agrees that LOC denial by county was in error.
07/15/2020
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sb2 intervenes and quickly qualifies resident with $100k balance for Medicaid.
07/13/2020
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sb2 uses state & federal administrative complaints to get MCO to modify practices and reprocess & pay claims that were years old—recovery to date is over $100k.
07/08/2020
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sb2 adds new clients in California & Vermont for Medicare/Medicaid eligibility & reimbursement consulting and education.
07/06/2020
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For single facility provider, sb2 secures Medicaid eligibility for current resident back to early ’17.
07/02/2020
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Early ’20, sb2’s managing partner to split time between offices in Los Angeles and Harrisburg.
12/31/2019
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Another appellate court agrees with sb2’s constitutional arguments and gives the firm its second appellate win in a week.
12/26/2019
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After lengthy litigation, Board of Appeals agrees with sb2 and orders county to grant resident’s Medicaid application back to December ’18 and “zero out” her monthly patient pay liability until ’21.
12/23/2019
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