what we've done lately.
After commencing arbitration, sb2 recovers $1.6 mm from MCO for two of client’s behavioral healthcare facilities.
----
sb2 successfully fends off MCO’s attempt to unilaterally change daily rate for skilled nursing care, saving client approximately $11,000 per day.
----
sb2 uses proprietary strategy to recover $917,194.00 from MCO for long time client.
----
MD—for county home, sb2 inc. uses federal regulation to show that although resources were countable, they were unavailable as a matter of law.
11/29/2016
----
VA—ALJ agrees with sb2 inc. that denial of resident’s Medicaid application was defective and orders the matter be reopened with full retroactivity.
11/29/2016
----
AZ—sb2 inc. and client work together to force Medicare Advantage Plan to return sequestration reduction to client’s member facilities.
11/29/2016
----
CA—in another first, sb2 inc. convinces California Court to allow a facility to be appointed as a resident’s MAR to qualify her for Medicaid.
11/17/2016
----
OH—sb2 inc. obtains approval to OME/PEME $27k in patient liability that was stolen by resident’s son.
11/11/2016
----
KS—sb2 inc. files federal delay action at the end of September ’16 and obtains 14 of 23 approvals in weeks!
11/10/2016
----
OH—board of review agrees with sb2 inc. that ALJ impermissibly assisted caseworker during hearing and orders a new hearing with a new ALJ.
11/09/2016
----
TN—sb2 inc. uses federal regulations to unwind $300k penalty/restricted period for current resident who had a $100k outstanding balance and no payor source until January ’19.
10/05/2016
----
NJ—sb2 inc. uses proprietary strategy to retroactively reduce resident’s excess resources back to her date of admission, resulting in Medicaid eligibility effective October ’15.
10/04/2016
----
PA—for large regional provider, sb2 inc. unwinds $145k penalty period for the transfer of a former resident’s home for less than fair market value.
10/03/2016
----
TN—sb2 inc. challenges a Tennessee Medicaid reimbursement policy, which had been causing significant losses to client, and wins!
09/30/2016
----