Audit and Compliance Team

The Audit and Compliance Team at Penstock is responsible for ensuring the accuracy and integrity of healthcare payment processes. This team conducts thorough inpatient and outpatient audits, validates Diagnosis-Related Group (DRG) codes, and performs clinical audits to identify discrepancies and ensure compliance with regulatory standards. Their expertise helps health plans reclaim erroneous payments and supports providers in receiving accurate reimbursements, ultimately enhancing the efficiency and fairness of the healthcare payment system.