Episode 44: Clawing Back at Insurance Clawbacks

Medical Money Matters with Jill Arena

You’ve probably heard the saying, "Easy come, easy go," right? But in medical practices, when money goes, it's anything but easy. It's stressful, confusing, and can throw a wrench into your operations. You’ve worked hard to provide care for your patients – why would the insurance companies clawback money they’ve already paid you?

Insurance clawbacks can be a nightmare. One day you think your accounts receivable is well managed and well organized, and the next thing you know, insurance companies are taking back funds that they’d paid you previously.

So, what are insurance clawbacks? Clawbacks essentially happen when an insurance company retracts payment previously made to a healthcare provider. The reasons could range from overpayments to errors in billing or even suspected fraudulent activities. And this can be a huge headache. It's like getting paid for a job, and then your employer decides they want the money back. Not a great feeling.
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