For community behavioral health & safety-net providers

180 of your notes are fine. These are the 20 that need fixing.

Penguin checks every note against your programs, your payers and your state's Medicaid rules before the claim goes out, then hands your team the short list.

Book a Demo What we check

Today · 412 notes checked 7 need attention

paymentsUndercoded Encounter 4471 · Crisis services

Billed as a 60 minute psychotherapy session. The note documents crisis stabilization.

Route to billing Recoverable before billing

paymentsMissing add-on Encounter 4488 · Outpatient therapy

Interpreter documented in the note, never claimed.

Route to billing Recoverable before billing

event_busyAuthorization Encounter 4502 · Case management

Authorization expired 11 days before the date of service.

Route to utilization review Denial risk

40%+

More issues found than manual audit, at one community behavioral health organization

3 → 2

QA staff, now covering more charts than they did with three

15 to 20

Hours a week returned to the QA team

~3 wks

From first call to live audits running on your data

Real catches

What lands on that short list

Revenue you did not capture

Crisis service billed at the standard therapy rate
Interpreter add-on delivered but never claimed
Service delivered, documented, never submitted

Risks that get denied or cited

Authorization expired before the date of service
"Went for a walk" billed as case management
Diagnosis on the claim not supported by the note

What we check

Everyone checks the note. We check what gets it paid.

Configured to your programs, from your denial reports and your own audit templates.

Note and coding quality

Completeness, cloned notes, interventions, progress, golden thread. Service codes, units, modifiers, diagnosis support, under and over coding.

Authorization and eligibility

Rarely checked elsewhere

Authorization active on the date of service, units remaining, eligibility at time of service, authorizations about to lapse.

State and program rules

Rarely checked elsewhere

Your state's Medicaid program manual, medical necessity and level of care, per diem and bed day rules, signature windows, required assessments.

Accreditation and reporting

Rarely checked elsewhere

CARF, COA and Joint Commission standards, treatment plan currency, plus the fields your state submission and funder reports will reject.

Who it's for

Every program plays by different rules.

If you bill Medicaid or managed care and answer to a state program manual, your rules change program by program. We configure to yours.

Behavioral health Addiction Autism & IDD Community health Housing

Usually several of these under one roof. Community and safety-net providers, nonprofit and for-profit.

How it works

Three steps, and nothing changes for your clinicians

Step 01

We connect to your EHR

Read-only pull via API, FHIR or SFTP. No PHI leaves your environment.

Step 02

Every note is checked before it bills

Against your payers, programs, state rules and accreditation standards. Real time, daily, weekly or monthly.

Step 03

Your team gets the short list

Flagged charts route to QA, billing, UR or the supervisor. Nothing changes in the chart without a human.

Your data

We will do the integration work other vendors turn down.

Legacy EHRs, thin APIs, exports that arrive as flat files. If the API is not there, we work over SFTP. If the export is messy, that is our problem to solve, not yours.

Common questions

Does it change the note?

No. Penguin flags and routes. Your team makes every correction.

What about false positives?

Every rule is tuned with your team. That is why we start with an accuracy test on your real notes.

Is this a scribe?

No. A scribe writes the note. Penguin checks it before the claim goes out. Many of our customers run both.

How long until it is live?

About three weeks, assuming data access is confirmed in week one.

Built to work with the EHRs the safety net runs on. Not on the list? We can work with your data too.

Pricing

Priced for a community budget, because that is who we built it for.

Published, because you should not have to sit through three calls to find out whether this is affordable.

Most common start

One program pilot

$3,000

per month

checkOne program or grant, one rule set
checkKPIs agreed up front
checkWe prove accuracy on your real notes first

Multi-program

Custom

scope based

checkMultiple programs, payers and rule sets
checkCoaching, survey and funder reporting
checkQuoted once we have seen your data

The math worth running. One SUD clinic we know has two people doing this by hand, full time, and still leaves $80,000 to $90,000 a year in preventable denials on the table. Decide whether this is a software purchase or a staffing decision.

Why this exists

I'm a Florida man fighting for people I could have become.

I grew up in a low-income household shaped by addiction, and I lost my mom to opioids. The organizations that were supposed to catch families like mine now lose four and five hours a day to manual chart review, on budgets that keep shrinking. Every one of those hours is an hour not spent on care.