Workers Comp Unwrapped 403; Retroactive Denials & Overpayment Audits: When Paid Claims Get Pulled Back

Workers’ Comp Unwrapped

Workers’ Comp Unwrapped
Workers Comp Unwrapped 403; Retroactive Denials & Overpayment Audits: When Paid Claims Get Pulled Back
Feb 10, 2026 Season 4 Episode 3
Medical Lien Management

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Getting paid used to mean a claim was closed.
In 2026, that assumption can cost medical providers millions.

In this episode of Workers’ Comp Unwrapped, Anique and Angela break down the growing trend of retroactive denials, overpayment audits, refund demands, and recoupment threats where insurers attempt to claw back money long after payment has been issued.

We cover:

  • Why carriers are revisiting already-paid claims


  • How overpayment audits actually start


  • The difference between a refund request and a legal obligation


  • Common mistakes providers make when audit letters arrive


  • How to protect paid claims, preserve leverage, and avoid unnecessary refunds


If you’ve ever received a demand letter months—or years—after payment, this episode explains what’s really happening and how to respond strategically.



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Episode Artwork Workers Comp Unwrapped 403; Retroactive Denials & Overpayment Audits: When Paid Claims Get Pulled Back 16:22 Episode Artwork Workers Comp Unwrapped 402; Non-MPN & Out-of-Network Billing: What California Providers Must Know 11:26 Episode Artwork Workers Comp Unwrapped 401; AI-Driven RFA Drafting: The Future of MTUS-Aligned Requests 15:12 Episode Artwork Workers Comp Unwrapped 332; 2025 Recap + 2026 WC Outlook: Top Trends to Watch 12:21 Episode Artwork Workers Comp Unwrapped 331; AI in WC Billing: What’s Actually Working in Real Practices 13:33 Episode Artwork Workers Comp Unwrapped 330; Year-End Documentation Checklist: What to Wrap Before Jan 1 10:27 Episode Artwork Workers Comp Unwrapped 329; Holiday Offers in WC: Structuring Seasonal Incentives the Right Way 14:13 Episode Artwork Workers Comp Unwrapped 328; High Frictional Costs in WC: What’s Wasting Time & Money? 14:13 Episode Artwork Workers Comp Unwrapped 327; Denial Trends in 2025: What Data Says About WC Payment Risk 11:22 Episode Artwork Workers Comp Unwrapped 326; Holiday Staffing Gaps: Avoiding Lien Filing & RFA Delays 10:51 Episode Artwork Workers Comp Unwrapped 325; Telehealth in WC: What’s Working and What’s Getting Denied 11:19 Episode Artwork Workers Comp Unwrapped 324; Firefighter PTSD Claims: What’s Blocking Treatment Approval? 11:47 Episode Artwork Workers Comp Unwrapped 323; Holiday Injuries & Workers’ Comp: What Trends Tell Us 12:34 Episode Artwork Workers Comp Unwrapped 322; WC Fraud Lessons from 2025: GPS Plumbing, Phantom Claims & More 11:02 Episode Artwork Workers Comp Unwrapped 321; Case Study: How One Practice Lost $120K to Bad Documentation 11:33 Episode Artwork Workers Comp Unwrapped 320; Long COVID Billing in 2025: Prolonged Disability and Coding Gaps 13:38 Episode Artwork Workers Comp Unwrapped 319; Proposed Utilization Review Amendments: Preparing for 2025 Changes 12:15 Episode Artwork Workers Comp Unwrapped 318; Appealing IMR Delays: Strategies for Faster Resolutions 13:36 Episode Artwork Workers Comp Unwrapped 317; Managing Denied Post-Acute Care Claims: Best Practices 12:24 Episode Artwork Workers Comp Unwrapped 316; Overcoming Utilization Review (UR) Denials in 2025 18:07 Episode Artwork Workers Comp Unwrapped 315; Preparing for Billing Audits: Ensuring Compliance in 2025 12:39 Episode Artwork Workers Comp Unwrapped 314; Navigating OSHA Compliance for Medical Practices in Workers’ Comp 15:39 Episode Artwork Workers' Comp Unwrapped 313; Electronic Signatures: Simplifying Workers’ Comp Documentation 15:22 Episode Artwork Workers Comp Unwrapped 311; E-Billing Compliance: Avoiding Liberty Mutual’s e-EOR Violations 14:35 Episode Artwork Workers Comp Unwrapped 310; Navigating AB 1870: Ensuring Compliance in Multi-Role Practices 13:35