Protect your practice from the financial devastation of Medicare recoupment. Insurance-backed coverage for up to 6 years per patient.
A Medicare clawback occurs when CMS determines that a previously paid claim was not properly covered — and demands repayment from the clinician.
For practices that regularly bill for advanced wound care products — particularly skin substitutes and allografts — the exposure can be significant. The cost of the products alone can range from thousands to millions of dollars depending on volume and treatment types.
The most dangerous aspect is the timeline. Medicare can pursue recoupment for claims going back several years. Revenue your practice earned and spent years ago can be demanded back without warning.
Changes in coverage determinations, billing errors, documentation gaps, or retrospective audits can all trigger clawback activity. In a landscape where audit scrutiny is increasing, practices without protection are carrying substantial, invisible financial risk.
We partner with a clawback insurance program backed by an A+ rated U.S. insurance carrier — one of the highest financial strength ratings available. This isn't a billing company's guarantee. It's real underwriting.
Coverage extends for up to 6 years per patient — matching the full window of Medicare recoupment exposure. Clinicians pay a one-time fixed percentage of the procedure cost, only upon reimbursement.
Coverage is optional and available per patient. Not all products qualify — contact us to discuss which products in our portfolio are eligible.
Some third-party billing providers offer guarantees — but those guarantees are only as strong as the company behind them. If the billing company fails, the guarantee is worthless. If your practice handles billing internally, there is no protection at all.
Clawback insurance changes the equation. It transfers financial risk from your practice to an A+ rated insurance carrier — providing genuine, enforceable protection backed by real underwriting. In a landscape of constantly evolving coverage determinations and increasing audit activity, this isn't a luxury. It's a cost of doing business responsibly.
Contact us to walk through the clawback insurance program and understand coverage options for your practice.