Revenue cycle management / TERM EXPLAINED
Recoupment
Recovery or offset of an amount previously paid, following a payer adjustment, review or other applicable process.
A dental practice example
A later ERA deducts a prior payment related to an audit.
Why it matters for reimbursement
A recoupment can distort monthly cash if it is counted as current CDT reimbursement.
What to verify
Trace offsets to the original claim and validate the basis and lookback period.
FROM DEFINITION TO DECISION
Turn reimbursement questions into evidence.
PayorMap helps dental groups connect disclosed negotiated rates, provider and network context, and contract details to meaningful benchmarking questions. Coverage and mapping confidence vary by payor and market.