Terms

What these terms cover

By using this website you agree to these terms. They cover this site and the analysis request form on it. They are not the terms of a billing engagement — the work we do for a practice, what it pays, and how protected health information is handled are covered by the engagement agreement and the business associate agreement we put in place with that practice, separately from this page. Nothing here is legal, clinical, billing, or coding advice, and using this site does not create a customer or professional relationship.

What Recoup is

Recoup Health (“Recoup,” “we,” “us”) runs the insurance revenue cycle for outpatient mental health practices that bill insurance — eligibility, claims, submission, rejections, status, payment posting and reconciliation, denials, secondary claims, payer enrollment, and reporting — including outpatient substance-use treatment. It is not built for residential, detox, or partial hospitalization programs, which carry different billing entirely. We are a billing service, not a health care provider, and we do not deliver clinical care.

Requesting a Revenue Leakage Analysis

Submitting the analysis request form is a request, not an engagement and not a contract. It is free and carries no obligation. We reply within one business day with a secure, BAA-covered way to share your data. The written analysis comes back within five business days of receiving it. We may decline a request — for example, where the practice is a level of care Recoup is not built for. The analysis is a review of the data you choose to give us at a point in time: it is not an audit, not a compliance review, and not legal, clinical, or coding advice, and what it can find depends entirely on what the data shows.

Pricing shown on this site

We publish the whole price on purpose:

• 3% of the insurance payments we collect for you
• Old balances: 10% of what we actually recover, worked separately
• $1,000 a month minimum · no setup fee · month to month

That is the entire price. Nothing on this page is quote-gated, and nothing is priced on a call. Month to month with 30 days’ notice, and no term to buy out. Every practice signs a BAA with us before any data moves, and the fee agreement is a plain document you read before you sign. Those are our real, current prices, not an estimate. They are published for information; what your practice actually pays is set by the agreement covering your engagement.

What we decide, and what you decide

We prepare and submit claims from the documentation and billing data your practice gives us, and every claim is reviewed before it goes out. Where something is missing or inconsistent — coverage, an authorization, dates and units, or documentation that does not support the code and time billed — it goes back to your practice to fix or decide. Nothing is coded for revenue: the note decides the code, and where the documentation already supports a different code than was billed, that is your decision, not a change we make. The record and the clinical judgment remain the practice’s, and you remain responsible for the accuracy of your documentation, for the care you deliver, and for meeting the professional, licensing, payer, and regulatory obligations that apply to your practice.

No promise of outcomes

Billing work is not a warranty of results. We do not promise that a claim will be paid, that a denial will be overturned, that any amount will be collected or recovered, that a review or audit will come out a particular way, or that documentation will satisfy any given payer, auditor, certifier, or surveyor. Those outcomes depend on your payers, your state, your services, your clinical documentation, and other factors specific to your practice. Any claims, notes, or figures shown on this site are illustrative examples built from synthetic data, not real records and not a prediction of your results.

Do not send PHI through this site

This website is not a channel for protected health information. Do not enter client or patient information in the analysis request form, and do not email records to us unsolicited. We handle PHI under HIPAA and sign a BAA with every practice. Billing data moves over a secure, BAA-covered channel we set up with you — not through a web form or an inbox. See our Privacy Policy for what this site does collect.

Educational content

Articles and guides on this site are general information for practices evaluating how billing, documentation, and claims work. They are not legal, clinical, billing, or coding advice, and they are not a substitute for your own counsel, compliance officer, or payer contracts. Regulations, payer rules, and published figures change; each piece carries its date and cites its sources, and we cannot promise it is current when you read it.

Acceptable use

Please use this site lawfully. Do not attempt to disrupt it or gain unauthorized access, scrape or misuse it, or submit other people’s personal information without permission.

Intellectual property

The Recoup name, wordmark, and the content of this site are ours. Please do not copy or reuse them without permission.

Links to other sites

We link to primary sources and other third-party sites where it is useful. We do not control them and are not responsible for their content or their privacy practices.

Disclaimers & limitation of liability

This site is provided “as is,” without warranties of any kind. To the fullest extent permitted by law, Recoup is not liable for any indirect, incidental, or consequential damages arising from your use of the site. Nothing in these terms limits liability that cannot be limited by law.

Governing law

These terms are governed by the laws of the State of Florida, United States, without regard to its conflict-of-law rules. Any disputes will be handled in the courts located there.

Changes to these terms

We may update these terms from time to time. When we do, we will revise the “Last updated” date above. Continued use of the site means you accept the current terms.

Contact

Questions about these terms? hello@recoupclaims.com.