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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Three providers with nearly 75 facilities hire sb2 to train staff and handle Medicare/Medicaid eligibility & reimbursement issues.
11/20/2023
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ALJ agrees with sb2 and orders county to reopen resident’s application for Medicaid because caseworker failed to comply with CMS assistance regulations.
11/14/2023
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Employing equitable trust, sb2 takes control of real estate sale proceeds to compensate client over $30k for skilled nursing services rendered to deceased resident.
11/08/2023
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sb2 uses CMS regulations and constitutional arguments to secure Medicaid eligibility back to Oct ’22 for current resident.
11/01/2023
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ALJ agrees with sb2 that county failed to properly assess resident’s request for an Undue Hardship Waiver for the alleged transfer of $100k in assets for less than FMV.
10/27/2023
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sb2 uses new state policy to qualify unlawful migrant for Medicaid to cover skilled nursing care being provided by client.
10/26/2023
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In a first for this state, Judge explicitly adopts CMS regulations that read not all assets owned by a resident are available when counting assets for Medicaid eligibility.
10/24/2023
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sb2 recovers $27k for assisted living provider after using legal strategy to uncover how POA used resident’s funds during his stay at facility.
10/19/2023
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After appealing Medicaid coverage cap caused solely by resident’s incapacity, caseworker issues new notice of eligibility dating back to resident’s admission.
10/16/2023
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sb2 uses creative litigation strategy to recover $177k of previously written off revenue for large provider.
10/13/2023
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sb2 works with state officials to fend off $3 mm recoupment set to begin in a few days and secures workable repayment plan for provider.
10/10/2023
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