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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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
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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
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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
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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
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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
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Numbers are in: longtime client confirms that sb2 inc. recovered $1.07 million dollars in new Medicaid revenue for $76k.
07/08/2019
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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
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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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