During a payment integrity proof of concept with a national commercial health plan, Penstock uncovered irregular billing patterns in skin substitute claims—specifically for a wound-care product billed per square centimeter.
Health Plan Skin Substitute Audit Uncovers Carve-Out Overpayments Read More »
Penstock partnered with a national health plan to investigate unusual, high-dollar payments tied to an unlisted laboratory procedure code—a billing category often used for new or emerging tests.
State Medicaid Policy Gap Uncovers $2.7M in Missed Recoveries Read More »
Penstock partnered with a national health plan to investigate unusual, high-dollar payments tied to an unlisted laboratory procedure code—a billing category often used for new or emerging tests.
Post-Payment Audit Uncovers $400K in Overpayments Hidden in Contract Details Read More »
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