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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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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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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