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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KS—sb2 inc. files federal delay action at the end of September ’16 and obtains 14 of 23 approvals in weeks!
11/10/2016
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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
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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
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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
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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
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TN—sb2 inc. challenges a Tennessee Medicaid reimbursement policy, which had been causing significant losses to client, and wins!
09/30/2016
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SD—sb2 inc. uses proprietary strategies to force trustee of resident’s trust to make a payment of $85k to firm’s long-time client.
09/29/2016
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NM—sb2 inc. again qualifies a resident for Medicaid without spending down all countable resources or providing all requested verification
09/28/2016
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OH—sb2 inc. again shows a that a resident cannot be prejudiced under the ADA by a caseworker’s failure to timely process a resident’s application for Medicaid.
09/27/2016
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OH—in a first, sb2 inc. uses recently formulated strategy to show that caseworkers have a duty to protect residents from bad guardians who botch their Medicaid applications.
09/26/2016
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NJ—in just one week, sb2 inc. wins 3 Administrative Law Judge proceedings for the same skilled nursing provider challenging denials issued by 3 different counties.
09/23/2016
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