![[Case Study] Medicare Advantage Second-Pass Audit](https://www.penstockgroup.com/wp-content/uploads/2023/08/Meticulous-Second-Pass-Penstock-Audit-Returns-4.8M-to-Medicare-Advantage-Health-Insurer-jpeg.webp)
A national Medicare health insurer was looking for a partner to conduct second-pass, post-payment audits of provider claims. Penstock was brought in after seven incumbent post-audit providers reviewed the data.
Meticulous Second-Pass Penstock Audit Returns $4.8M to Medicare Advantage Health Insurer Read More »
Find out how a ‘second pass’ audit by Penstock leveraged expert knowledge to reveal $2.5MM in overlooked claim recovery opportunities for a Medicare Advantage plan, emphasizing the benefits of multiple layers of payment integrity evaluation.
Hidden Opportunities: ‘Second Pass’ Audit Unearths $2.5M for Medicare Advantage Plan Read More »
![[Case Study] Penstock Finds $3M in Misallocated HCRA Funds](https://www.penstockgroup.com/wp-content/uploads/2023/07/AdobeStock_129324016-1024x622.webp)
Discover how Penstock’s comprehensive analysis and expertise in compliance led to the identification and recovery of nearly $3MM in inappropriately submitted HCRA funds for a regional Health Plan, prompting systemic changes to prevent future overpayments.
Systemic Recovery: Penstock Discovers & Retrieves $3M in Misallocated HCRA Funds Read More »
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