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 inc. uses Inaction Appeal to qualify resident back to November ’18 on behalf of longtime client.
09/20/2019
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sb2 inc. and longtime client team up to unwind 100k penalty period in state known for not granting UHW.
09/17/2019
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Sustaining sb2 inc.’s appeal, Appellate court orders new hearing after agency fails to timely provide transcript of administrative hearing in violation of resident’s due process rights.
09/13/2019
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Administrative law judge agrees with sb2 inc. that resident’s denied application must be reopened because county failed to comply with client’s request for assistance.
09/10/2019
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At hearing before administrative law judge, county cedes that “policy” restricting full Medicaid retroactivity wasn’t applicable and allows resident to PEME/OME coverage gap.
09/04/2019
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Appellate Court agrees with sb2 inc. that administrative law judge erred when he dismissed client’s appeal for lack of standing to file it.
08/27/2019
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Board of Appeals opens denial and orders new eligibility determination based only on information that’s currently available after sb2 inc. proved that county agency failed to comply with resident’s written request for assistance.
08/21/2019
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Making it the third appellate court win in a week, state appellate court agrees that sb2 inc.’s client has standing to appeal the denial of resident’s Medicaid appeal.
08/16/2019
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After sb2 inc. convinces appellate court to open Medicaid denial, county agency agrees to grant retroactivity back to ‘16.
08/13/2019
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In another first, state appellate court agrees with sb2 inc. that the county agency committed reversible error when they failed to run the CMS mandated Asset Verification Searches and assist a resident with obtaining requested verifications.
08/08/2019
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sb2 inc. wins another appellate court decision when judge agrees that providers have the authority to appeal Medicaid denials on behalf of their residents.
08/05/2019
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