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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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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For new client sb2 inc. opens untimely Medicaid appeal based on due process violations.

11/14/2018

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In just one week, sb2 inc. obtains 3 Medicaid approvals for new Illinois clients.

10/04/2018

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sb2 inc. untimely appeals denial and obtains Medicaid eligibility for current resident effective June ’14!

09/24/2018

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sb2 inc. convinces ALJ and caseworker to zero out $23k of Medicaid resident’s monthly patient liability requirement because it was unavailable.

09/21/2018

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The Appellate Court of NJ overrules Medicaid Director’s denial of resident’s application for Medicaid, leading to Medicaid eligibility back to ’15.

09/14/2018

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sb2 inc.’s petition to remove guardian leads to Medicaid eligibility for 3 residents whose applications had pended for a significant period of time.

09/12/2018

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After sb2 inc. threatens to appeal agency’s breach of prior settlement agreement to perform AVS/PARIS search under CMS Regs, resident is subsequently approved for Medicaid with full retroactivity.

09/10/2018

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For one of nation’s largest providers, sb2 inc. settles Medicaid appeal, obtaining full Medicaid coverage even though QIT wasn’t set up until nearly 1 year after resident’s application for benefits.

09/06/2018

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After nearly a year of litigation before the Bureau of Hearings and Appeals, NJ county finally agrees to open & process application dating back to November ’16.

08/31/2018

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For new client located in NY, sb2 inc. obtains 8 Medicaid approvals using federal regulations.

08/29/2018

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