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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For longtime client with dozens of assisted living facilities throughout the Northeast, sb2 recovers $38k.
09/11/2024
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sb2 uses motion to compel current resident’s responsible party to spend down nearly $80k at facility and apply for Medicaid.
09/06/2024
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sb2 uses federal and state regulations to convince ALJ that county must redetermine resident’s application of “available” resources only.
09/04/2024
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To the surprise of longtime client, sb2 uses constitutional arguments to persuade ALJ to open denied application for Medicaid.
08/29/2024
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After commencing arbitration, sb2 recovers $175k from MCO in previously recouped Medicaid payments.
08/27/2024
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Using constitutional arguments, sb2 qualifies another resident for Medicaid effective November ’23 on behalf of longtime client.
08/22/2024
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sb2 relies on CMS Regs and the common law at hearing to qualify current resident for Medicaid back to December ’22.
08/20/2024
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For new client sb2 qualifies current resident who did not have a payor source for nearly three years.
08/15/2024
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sb2 and client team up to team up to qualify current resident without a payor source for the last 2 years.
08/13/2024
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State appellate court agrees with sb2 and denies AG’s motion to dismiss appeal denying current resident’s application for Medicaid.
08/06/2024
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sb2 appeals recovery audit contractor’s recoupment of Medicare claims and wins.
08/01/2024
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