News

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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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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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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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