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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FL—after taking on a complex project with a dozen residents, sb2 inc. qualifies three to date, recovering 3 years of retro Medicaid benefits including prospective eligibility for each.
07/01/2019
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After appealing to circuit court challenging ALJ’s Decision, county grants Medicaid benefits back to June ’18.
06/27/2019
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Appellate Court agrees with sb2 inc. that client was entitled to an administrative hearing under CMS Regulations before unilaterally finding that client lacked standing.
06/24/2019
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After filing Complaint with CMS, sb2 inc. obtains $167k in patient lability credits for client.
06/18/2019
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sb2 uses global inaction appeal to qualify over 20 residents for Medicaid on behalf of longtime client.
06/11/2019
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Administrative law judge agrees with sb2’s constitutional arguments, over AG’s objections, and opens two Medicaid matters dating back to ’15 and ‘17.
06/07/2019
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sb2 inc. uses federal regulations and a group inaction appeal to qualify 18+ residents for Medicaid.
06/03/2019
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After filing appeal challenging validity of recoupment action, AG agrees to reduce award by approximately $250k.
05/30/2019
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Massachusetts Superior Court reverses itself and agrees that client properly appealed denial of resident’s Medicaid application.
05/21/2019
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sb2 inc. wins 5 Medicaid appeals in single day, creating new law in one that will benefit all of our clients in Illinois.
05/16/2019
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For large provider, sb2 inc. recovers $750k from MCO in withheld Medicaid claims.
05/13/2019
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