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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Using an Undue Hardship Waiver filed on behalf of former resident, sb2 inc. recovers $175k for longtime client.
02/14/2019
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In significant win, sb2 uses constitutional arguments to stop state from blocking resident’s second application for Medicaid based on a legal principle that prohibits litigating the same matter twice.
02/11/2019
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Intervening on behalf of midsized provider, sb2 inc. reduces state’s attempted recoup of several hundred thousand dollars of alleged Medicaid overpayments by 90%.
02/07/2019
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sb2 uses constitutional arguments to open denial well after the appeal period had expired and secures Medicaid eligibility from June ’14 to June ’16.
02/04/2019
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Challenging whether the commonwealth properly declined to continue processing resident’s application for Medicaid after resident passed away, AG agrees to settle sb2 inc.’s appeal by granting full retroactive Medicaid benefits.
01/31/2019
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AG agrees to settle sb2 Inc.’s appeal to the commonwealth court over whether Administrative Law Judge properly applied CMS regulations on Undue Hardship Waivers.
01/28/2019
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County agrees to settle sb2 inc.’s appeal of a penalty/restricted period by reducing it $130k and granting resident’s application Medicaid.
01/18/2019
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Although sb2 inc.’s client did not timely submit claims to the insurer, MCO agrees to pay $35k nonetheless.
01/14/2019
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After losing at the administrative level twice, AG settles sb2 inc.’s circuit court appeal and voids resident’s entire penalty/restricted period.
01/10/2019
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Arguing due process and constitutional violations, sb2 inc. opens denial for longtime client and secures Medicaid eligibility back to November ’15.
01/07/2019
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After 3.5 years of litigation, AG withdraws pending appellate court appeal, thereby agreeing that client’s resident has the right to Other Medicaid Expense (OME) gap in Medicaid coverage.
01/02/2019
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