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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OH—in a matter of first impression, trial court holds that Designated Authorized Representative signed before resident’s incapacity, allows skilled nursing facility to appeal denials beyond the administrative level.
07/14/2017
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WA—based on constitutional grounds, ALJ overrules agency and orders approval of resident’s application for Medicaid back to September‘15.
07/14/2017
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OH—trial court agrees that the cash-in value of resident’s life insurance policy was unavailable, despite having a guardian appointed, and orders the county to approve the pending application.
07/14/2017
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OH—sb2 inc. uses private criminal complaint to recover $14k in PL stolen by resident’s son.
06/26/2017
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VA—sb2 inc. relies on constitutional arguments to open denial issued in ‘15 and then obtain eligibility based on caseworker’s failure to obtain needed verifications via AVS.
06/22/2017
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IL—in one of the firm’s biggest wins ever, federal judge agrees that Illinois has violated CMS regulations by not timely qualifying residents for Medicaid and paying approved claims.
06/22/2017
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RI—sb2 inc. uses constitutional arguments to open denial issued in‘13 and overturn $111k penalty period.
06/22/2017
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TN—in another first, sb2 inc. convinces probate court judge to appoint facility as resident’s Medicaid Authorized Representative to qualify her for Medicaid.
06/22/2017
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IL—sb2 inc. secures the firm’s biggest victory to date when Illinois Federal Court rejects every single argument advanced by the IL Attorney General seeking dismissal of civil action asking for automatic approval of long-pending Medicaid applications.
06/08/2017
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NJ—agreeing with sb2 inc., ALJ overturns MCO’s conclusion that resident lacked the requisite medical necessity for skilled nursing care and grants Medicaid benefits to her date of admission.
06/08/2017
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sb2 inc. continues their selective growth initiative and adds a new client overseeing over 150 facilities in 4 states.
05/29/2017
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