Payors want their money back. We want to help you keep it.
Health insurance clawbacks can arrive months or even years after a claim was paid. The money’s gone, the service is long over, and now the insurer wants repayment. If this sounds familiar, you’re not alone—and you don’t have to navigate it alone.
At Jackson LLP, we defend healthcare practices facing clawbacks tied to billing, coding, documentation, or medical necessity reviews. Even if you’ve already submitted records or attempted an appeal, our attorneys can step in to clarify your options and protect your revenue.
Legal strategy, not panic.
Clawbacks often follow audits, denied appeals, or retroactive plan reviews. Too often, providers respond without fully understanding their rights or options. But some repayment demands are based on shaky legal ground. We evaluate whether the payor has the right to take the funds, and we help you pause, assess, and respond strategically, especially when the payor overreaches or fails to follow required procedures.
Our attorneys work to:
- Analyze the repayment demand for legal and procedural validity
- Gather evidence to challenge the claim
- Prepare persuasive appeals or settlement offers
- Negotiate directly with payors to reduce financial exposure
- Coordinate repayment plans when clawbacks can’t be fully avoided
Even if your practice already submitted records or attempted to dispute the claim, we can often step in to strengthen your position.
Don’t let clawbacks upend your practice.
The financial impact of clawbacks can be devastating, particularly for smaller practices with limited cash flow. Working with an experienced healthcare attorney early in the process can shift the dynamic and help you protect what you’ve built.
If you’ve received a clawback notice or overpayment demand, schedule a consultation with our team. We work with practices across California, Illinois, New York, Texas, Wisconsin, and the District of Columbia.