Recoupments — also known as takebacks or chargebacks — cost healthcare providers more than $1.6 billion every month.
Yet despite the staggering financial impact, recoupments in healthcare remain a largely misunderstood, underdiscussed, and poorly addressed challenge in the healthcare revenue cycle.
Recently, healthcare leaders from SCA Health and Cleveland Clinic discussed the pain points of recoupments at Waystar True North™ during a panel discussion.
Managing recoupments has become a “forever project” for many organizations, Joel Woods of Clevelend Clinic explains.
Terri Kirby of SCA Health adds, “It’s manual and inconsistent. Every payer does it differently. If someone with tribal knowledge leaves, the process breaks down.”
The complexity is compounded by:
- Manual spreadsheets and lack of visibility into root causes
- Moving goalposts as payer rules change
- Inability to trend or track offsets effectively
Recoupments may be one of the costliest, least understood issues in the healthcare revenue cycle — but they shouldn’t remain in the shadows. Without reliable reporting and visibility, organizations struggle to quantify the impact and justify discrepancies to leadership.
Join the conversation on recoupments. For more insights, check out our on demand webinar.
