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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Another state appellate court agrees with sb2 inc. that a CMS compliant Designated Authorized Representation Form is sufficient to pursue appeals beyond administrative proceedings, rebuking the state’s counter position.
05/09/2019
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ALJ agrees that sb2 inc.’s Assignment and Transfer of Known and Unknown Excess Resources properly spent down resident’s excess resources.
05/06/2019
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sb2 inc. appeals denial 16 months after it was issued and recovers $66k in Medicaid benefits.
05/02/2019
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For large client, sb2 inc. has recovered $150k to date in Patient Liability adjustments.
04/29/2019
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Board of Review agrees that even though client couldn’t provide requisite verification proving resident’s eligibility for Medicaid and spend down of resources putting the resident over the eligibility limit, resident still qualified for Medicaid.
04/11/2019
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In a first at the firm, sb2 inc. qualifies undocumented migrant using the political asylum exception created by CMS.
04/02/2019
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NJ appellate court agrees that notice denying resident’s Medicaid application was defective and orders a hearing on the merits.
03/14/2019
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Federal Judge agrees with sb2 inc. that Illinois must annually submit for CMS review the daily Medicaid rate for skilled nursing care, thereby opening the door for a much needed rate increase.
03/11/2019
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sb2 inc. secures Medicaid eligibility back to November ’17 using assignment of community spouse’s duty to support institutionalized spouse.
02/26/2019
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ALJ agrees that notice denying resident’s application for Medicaid was defective on constitutional grounds and orders county to reevaluate eligibility for benefits.
02/21/2019
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sb2 inc. secures another appellate court victory when judge rules that client’s right to pursue Medicaid benefits survives a resident’s passing.
02/18/2019
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