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Our Clawback Protection Guarantee

Shoreline’s comprehensive Clawback Guarantee ensures our team provides dedicated support through thorough clinical note reviews, proactive protection against potential Medicare clawbacks, and early identification of any documentation discrepancies.

Benefits of using Shoreline’s Clawback Service Guarantee for your practice

Meticulous Review

Each clinical note submission is thoroughly analyzed for LCD compliance.

A Rated Insurance Backing

Our guarantee is backed by an A rated carrier, providing trusted coverage for your practice.

LCD Compliance

Expertise in LCD guidelines, to ensure your practice is covered and compliant.

Guaranteed Accuracy

Our Clawback Service Guarantee, ensures approved clinical notes protects your practice from clawbacks, ensuring peace of mind during audits or disputes.

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DID YOU KNOW?

58%

Of the initial clinical notes we review would not pass an audit.

That’s why Shoreline’s program exists — to catch compliance issues before they become costly clawbacks. You can confidently submit claims using our review process and Clawback Protection Guarantee.

Compliance first. Risk minimized. Peace of mind guaranteed.

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Service Guarantee You Can Rely On

When Shoreline approves your clinical documentation, we issue a Confirmation of Coverage, ensuring that your submission aligns with Medicare’s applicable coverage criteria.

This isn't just a formality. It’s your documented proof that a compliance-focused clinical review has been performed, with the added protection of Shoreline’s Clawback Protection Guarantee.

That means your team can stay focused on patient care, with confidence that your documentation has been thoroughly reviewed and supported.

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Straightforward Service Fee Structure

At Shoreline, our pricing is transparent and directly tied to the value we help protect.

Medical providers pay a service fee based on the gross reimbursement of covered procedures and products; there are no hourly rates, administrative markups, or surprise charges.

This structure ensures your investment aligns with the care you deliver, while keeping compliance front and center, not financial guesswork.

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Duty to Reimburse

If Medicare later determines an overpayment on a billing that Shoreline reviewed and approved, our Clawback Protection Guarantee goes into action.

After all appeals are exhausted, we reimburse the overpaid amount under the terms of our agreement.

The result? Your practice stays financially protected, and you stay focused on what truly matters: delivering excellent patient care, not defending documentation after the fact.

The Shoreline Solution

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The Shoreline Clawback Service Guarantee provides comprehensive protection for your Practice.

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Shoreline reviews every clinical note submission, ensuring accurate submissions based on the most up-to-date Medicare requirements.

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In the event of an overpayment notice, Shoreline is the first line of defense In the appeals process. Providing legal assistance to handle each step of the appeal process.

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Your Practice can fearlessly provide best-in-class care utilizing a Skin Substitute, free from burdensome clawback issues.