Insights

A Q&A with Penstock President Steve Palma on why post-pay auditing remains essential, how health plans can validate payment controls, and where AI delivers real value in payment integrity.

Payment integrity isn’t solved by a single strategy. Learn how combining pre-pay and post-pay approaches helps health plans uncover errors, recover overpayments, and continuously improve outcomes.

What happens when claims pay despite the controls meant to stop them? Explore how post-pay analysis uncovers hidden gaps and strengthens future payment integrity strategies.

Post-pay auditing does more than recover dollars — it uncovers the root causes of recurring overpayments and drives the upstream corrections that keep them from happening again.

AI-assisted coding may speed up claims processing, but it can also increase coding errors that lead to costly inpatient claim overpayments.

As payment integrity challenges grow more complex, many health plans are moving beyond a single-vendor model and adopting a layered post-pay strategy. Vendor stacking allows organizations to combine specialized expertise, strengthen audit coverage, and improve overpayment recovery by applying multiple methodologies across the same claims environment.