what we've done lately.
After commencing arbitration, sb2 recovers $1.6 mm from MCO for two of client’s behavioral healthcare facilities.
----
sb2 successfully fends off MCO’s attempt to unilaterally change daily rate for skilled nursing care, saving client approximately $11,000 per day.
----
sb2 uses proprietary strategy to recover $917,194.00 from MCO for long time client.
----
For small NY provider, sb2 inc. turns to CMS Regulations to qualify 15 residents for Medicaid.
07/31/2019
----
ALJ agrees with sb2 inc.’s appeal and orders agency to perform Asset Verification Search and provide assistance to resident who isn’t able to obtain requested verification to qualify for Medicaid.
07/29/2019
----
ALJ agrees with sb2 inc. that Denials issued by county violated husband and wife’s due process rights and directs county to issue Medicaid benefits for both.
07/24/2019
----
ALJ agrees with sb2 inc. that Medicaid applicant was a resident of IN after being admitted to a skilled nursing facility there and orders application to be redetermined.
07/22/2019
----
Agreeing with sb2 inc., ALJ rules that agency committed an error of law when it found that resident’s resources were “available” even though resident couldn’t access or liquidate them to qualify for Medicaid.
07/19/2019
----
County agrees to allow Medicaid qualified resident to use her current PL to other medical expense/OME her PL stolen by a family member, thereby erasing a nearly 30k outstanding balance.
07/17/2019
----
Appellate Court agrees with sb2 inc. that client did not violate the Nursing Home Act’s prohibition against third-party guarantees as a condition of admission.
07/15/2019
----
Opening an application filed in June ’13, Appellate Court agrees with sb2 that provider had authority to appeal resident’s Medicaid denial and endorsed the firm-created argument, Prejudicial Delay.
07/12/2019
----
AG agrees to settle state court appeal after sb2 inc. asked for review of the denial of resident’s Medicaid application and subsequent appeal. AG agreed that ALJ failed to properly apply CSRA.
07/10/2019
----
Numbers are in: longtime client confirms that sb2 inc. recovered $1.07 million dollars in new Medicaid revenue for $76k.
07/08/2019
----
State Board of Review agrees with sb2 inc. that resident’s excess resources were “unavailable” and orders county to grant full Medicaid retroactivity.
07/03/2019
----