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Our reviewers understand the nuances of NYS HCRA—from billing behavior to exemption criteria, surcharge rules, and how plans operationalize those requirements. We translate that expertise into accurate assessments, clear documentation, and real financial impact.
Services: NYS HCRA Support
The clarity plans need for
one of New York’s most complex obligations.
one of New York’s most complex obligations.
If you’re a NYS Health Plan, you know about HCRA, a healthcare “tax” so complex that payers often end up overpaying. We help prevent and recover inaccurate payments.
What We Do
HCRA expertise built for depth and defensibility.
Uncover hidden HCRA errors
HCRA isn’t a “set it and forget it” surcharge. Errors hide across systems, requiring cross-claims analysis to surface incorrect surcharges, missed exemptions, misclassified members, and submission inaccuracies—returning lost dollars to New York plans.
Ensure compliance. Minimize exposure.
When errors appear, we provide clear documentation, corrective guidance, and defensible findings. Every recommendation is transparent and actionable.
Proven HCRA results
More than $300M in identified overpayments and 100% accuracy on state audits of our work.
HCRA Regulatory Solutions
HCRA audits.
We help recover and prevent inaccurate HCRA payments. Our audit services retrospectively reclaim surcharge overpayments over a six-year look back, and our HCRA as a Service offering ensures accuracy before the payment is made
to the State on a go-forward basis.
Retrospective HCRA Audits
We meticulously review your previous Office Pool Administration submissions, pinpointing both overpayments and underpayments within the 6-year retrospective period to ensure accuracy and avoid future audit liabilities.
HCRA-as-a-Service
Prevent future overpayments with ongoing monthly validation – backed by an annual audit – to ensure you're paying your true obligation, not a dollar more.
Audit Readiness
Facing a State Audit? What auditors look for.
State teams focus on underpayments. Penstock independently identifies overpayments and validates the State’s findings.
Proven impact
100% of Penstock clients have reduced their state audit liabilities.
Why timing matters
Once an audit closes, missed overpayments can’t be recovered—accuracy in-window is critical.
Next Steps
Stop overpaying. Start recovering.
Partnering with Penstock means your HCRA obligations are accurate—past, present, and future. You’ll know exactly where dollars were lost, how to reclaim them, and how to prevent repeat errors.
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