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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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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After denying DMAHS’s motion for summary judgment, the NJ appellate court agrees with sb2 inc. and orders agency to produce a copy of notice terminating resident’s Medicaid eligibility.
12/17/2018
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sb2 inc. intervenes on behalf of new client operating in NJ and obtains Medicaid eligibility for current resident back to November ’16.
12/07/2018
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After sb2 inc. files appeal with state appellate court, county agrees to push back resident’s Medicaid eligibility effective date.
12/04/2018
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After the NJ appellate court rules in favor of sb2 inc., resident’s application is approved back to February ’16.
11/20/2018
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Administrative Law Judge agrees with sb2 inc. that inability to obtain bank statements doesn’t preclude granting resident’s application for Medicaid.
11/16/2018
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