Penstock

Overpayments contribute to $265.6 billion in waste within the U.S. healthcare system each year. And health plans often pay payment integrity vendors to uncover the same costly mistakes.

Enter ClearBridge from Penstock.

ClearBridge is an all-in-one audit workflow platform that ensures payment accuracy from the start—when it matters most.

Discover a world of true payment integrity that brings accuracy back into focus at: https://hubs.li/Q02c3Gxc0

Meet the "ClearBridge Queen" of Penstock!

In the shimmering ripples of Lake Erie, right on the serene outskirts of Toledo, Ohio, Nichole Russ is nearing the end of her master’s in health informatics and prepping for the launch of the ultimate payment integrity platform—one she helped bring to life.

By day, Nichole's knee-deep in edit concepts, investigating and developing fixes for a flawed claims adjudication system that drives up the cost of healthcare. But there’s so much more to her than an undeniable strength in payment accuracy.

Check out Nichole's inspiring story to learn more about the people behind Penstock!

Spotlight On: Nichole Russ, Director of Concept Development and Selection Analytics - Penstock Group Decoding the “ClearBridge Queen” of Penstock  In the shimmering ripples of Lake Erie, right on the serene outskirts of Toledo, Ohio, Nichole Russ is nearing the end of her master’s in health informatics and prepping for the launch of the ultimate payment integrity platform—one she helped br...

Ever wondered about the incredible journeys of the people who power Penstock? Dive into the stories of our unsung heroes who lower the cost of healthcare by ensuring accuracy in healthcare billing.

From navigating the bustling hallways of hospitals to diving deep into clinical data, Senior Clinical Auditor, Peggy Greenlee, has a career journey as diverse as it is inspiring.

Today, she's one of the brains behind the audits at Penstock, ensuring that health plan bills are paid accurately, and errors are kept to a minimum. But her journey to this point is peppered with stories of education, insurance companies and... nuns?

Check out our latest article to learn more about Peggy!

Spotlight On: Peggy Greenlee, Senior Clinical Auditor at Penstock - Penstock Group From delivering babies to delivering payment integrity solutions From navigating the bustling hallways of hospitals to diving deep into clinical data, Peggy Greenlee’s journey through the world of healthcare is as diverse as it is inspiring. Today, she’s one of the brains behind the audits at Pe...

Roll call for HPRI in Boston!

We’re preparing for this year's Healthcare Payment & Revenue Integrity Congress East—and we can’t wait to welcome you to our exhibit.

Are you a payer aiming to get claims accuracy right from the start? Or perhaps a provider looking to ace those revenue cycle decisions? Join us at the conference to see the innovative Penstock solutions that smooth out the claims process and reduce abrasion along the claims continuum.

Connect with our team to learn more at: https://hubs.li/Q021Mh3r0

And we’re live at the new https://hubs.li/Q021gb0d0!

The suspense was killing us.

Our Goodroot marketing team and the folks at New Park Creative have been diligently working to refine our brand, narrative and website to align with our exciting new chapter — encapsulating our identity as a team, our growth as a company and our power as an industry innovator.

This isn't just a website redesign. It's a new user experience. It’s a payment accuracy and regulatory efficiency resource hub. It’s a place where forward-thinking health plans can get accuracy right from the start—when it matters most.

It’s the next step in our journey. And we’re so excited to share it with you.

So, check out the new Penstock — grounded in our mission, proud of our journey and excited about our future at https://hubs.li/Q021gbyM0

When the Penstock crew met in Buffalo, NY, last week magic ensued! Brains buzzing, ideas flowing, we reveled in our collective strength, innovating, ideating and sharing visions of exciting new projects on the horizon.

Of course, we had to unleash our adventurous side, channeling our energy into axe-throwing and zip-lining at the local Buffalo RiverWorks.

A huge shout-out to our phenomenal Penstock team and our Amplified Services friends at Goodroot for making this gathering a memorable mix of teamwork, tenacity and strategic fun.

Claims and regulatory errors happen fast. We help you—and your team—move faster.

Penstock is a service partner and SaaS builder for forward-thinking health plans and providers, empowering recovery, audit and regulatory teams to get accuracy right from the start—when it matters most.

Reclaim time, control and confidence with an end-to-end partnership that beautifully and seamlessly connects human and machine intelligence, so you can get accuracy right from the start—when it matters most.

The 2023 CMS QHP Webinar REGTAP Series is sold out. Did you save your Issuer’s spot in line? If not, no worries. We’ll be there taking notes and sharing key updates and recommendations for the 2024 plan year with our clients!

Contact us today for a recap: https://hubs.li/Q01Bc6pB0

In response to Plan extension requests, the RxDC reporting deadline has been extended to January 31st “and will not consider a plan or issuer to be out of compliance with these requirements provided that a good faith submission of 2020 and 2021 data is made on or before that date."

Still feeling confused or maybe even overwhelmed about meeting the mandate? Penstock's ClearFile can help you cross the finish line, successfully and on time.

Learn how Health Plans can make RxDC filing simple and budget friendly. Download our one sheeter at https://hubs.li/Q01xxtpq0

We’re changing the future of payment integrity.

While our team is extraordinary at finding errors that others miss—often brought in during second-pass recovery auditing—we're building a more collaborative approach. An approach that impacts true fixes in the healthcare system to lower costs, reduce provider-member friction and prevent errors at the source.

Contact us today to learn more about our solutions that are tackling systemic complexities to lower healthcare costs for plans and members. https://hubs.li/Q01q8B0S0

Penstock president Laura Collier wrote this article for ICD10monitor about how artificial intelligence (AI) can be used effectively in healthcare payment integrity, as well as the technology’s current limitations. https://hubs.li/Q01jJ0qZ0

What AI Can and Can’t Yet Do in Payment Integrity It’s important to be realistic about what AI can and can’t do currently. Artificial intelligence (AI) has been a buzzword in payment integrity for years.

We believe PDPM has the potential to lead to better patient care and more appropriate reimbursement for Skilled Nursing Facilities across the country, but the success of the model depends on the accuracy of the MDS.

Real payment integrity helps all of us. In that spirit, we have created a free 30-page guide to help SNFs navigate the coding and documentation requirements and understand what an auditor looks for to validate a PDPM payment.

Download the Penstock PDPM Coding & Documentation Guide at:
https://hubs.li/Q01gB3Zp0