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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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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ALJ agrees with sb2 that current resident’s Medicaid application filed last October must be reopened because county failed to comply with CMS regulations.
07/30/2024
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sb2 secures UHW based on the transfer of resident’s home for LFMV, securing $170k in retroactive Medicaid payments plus prospective benefits for client.
07/25/2024
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ALJ agrees with sb2 and rescinds another Medicaid denial for current resident because county violated resident’s due process rights by not giving proper notice.
07/23/2024
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After sb2 appealed waiver program’s policy for calculating a current resident’s shortened Medicaid eligibility date, agency grants eligibility effective the date of resident’s admission.
07/18/2024
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sb2 and client successfully argue on appeal that sb2’s fees are a reimbursable expense on client’s cost report.
07/16/2024
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