For community behavioral health & safety-net providers

Catch billing and compliance risks before claims go out.

Penguin reviews every note before billing, flags what creates denials and audit risk, and turns findings into fixes, coaching, and QI.

Book a Demo

Pre-Billing Audit

Live

flag missing element

priority_high code mismatch

Audit complete

search_check 3 risks flagged

search_check

40%+

More errors caught

one community BH org

schedule

15 to 20

Hours saved per week

one community BH org

fact_check

100%

Chart review coverage

vs. small manual QA samples

Who we serve

Built for the safety net, in all its complexity

Different programs, payers, and settings mean different documentation rules. Penguin applies the right requirements to each.

apartment

Every care setting

Outpatient, residential, detox, community and home-based. Each with its own documentation requirements.

diversity_3

Every program and population

MH, SUD and MAT, IDD, ABA, peer and recovery support, housing. Penguin checks each note against the rules for that program.

corporate_fare

Every safety-net organization

Community mental health centers, CCBHCs, FQHCs, and safety-net nonprofits running on Medicaid margins.

The problem

Billing and compliance risk is hiding in charts no one has time to review

QA teams sample manually. Billing catches issues too late. Leaders see recurring problems after denials, audits, or corrective actions.

timer

Manual review cannot keep up

QA teams review samples while most charts go unchecked.

money_off

Problems surface too late

Documentation gaps become denials, rework, and repeat findings across staff and programs before anyone sees the pattern.

group_work

Teams are stretched

QA and billing teams are asked to protect revenue without enough support.

Product workflow

How Penguin Health audits every encounter before claims are submitted

Connect to your data. Audit pre-billing. Route risky charts to the right reviewer.

No clinician workflow change. Built for QA, compliance, billing, and QI teams.

hub

Connect to existing workflows

Works with notes, billing fields, programs, payers, providers, authorizations, and key dates.

Start with your data arrow_forward

integration_instructions

Works with what you already have

Reads from EHR exports or data feeds. No clinician workflow change required.

fact_check

Audit before billing

Checks each encounter against payer, regulatory, program, and internal rules.

Review every chart arrow_forward

rule

Tuned to your rules

Payer policies, regulatory and program requirements, and your internal standards in one place.

move_to_inbox

Focus human review

Surfaces what needs attention with context for QA, billing, compliance, or clinical leads.

Route what matters arrow_forward

alt_route

The right reviewer, every time

Routes to QA, compliance, billing, or clinical leadership with full context.

insights

Turn audits into action

Shows recurring risks, coaching needs, workflow gaps, and QI opportunities.

Strengthen QI arrow_forward

auto_graph

From findings to coaching

Trends become coaching plans, template fixes, and operational improvements over time.

EHR data east Pre-billing audit east Human review east Revenue + QI insights

What each team gets

event_available

Intake & scheduling

Coverage and eligibility confirmed up front, so visits start clean.

supervisor_account

Clinical supervisors

The handful of notes that need their attention, not a 200-note queue.

fact_check

QA & compliance

Every note checked against payer, program, and accreditation rules.

receipt_long

Billing

Coding and claim issues caught upstream of denials.

End to end

One engine. Building blocks across the whole workflow.

Penguin runs from intake through claims. No two providers use the same set of blocks.

description

Pre-bill note & chart audit Start here

Every note checked before claims go out.

verified_user

Eligibility checks (270 / 271)

Coverage confirmed before the visit.

event_available

Authorization tracking

Expiring auths and unit limits flagged early.

rule

Coding & service checks

Codes the documentation actually supports.

groups

Coaching & performance management

Recurring findings become coaching plans.

pending_actions

Workflow oversight

Every open flag, who it's with, and what's aging.

summarize

Grant & funder reporting

Compliance evidence for funders, on demand.

verified

Accreditation support

CARF and Joint Commission standards built into checks.

trending_up

Quality improvement

Trends across programs become QI initiatives.

What we catch

Issues Penguin catches before billing

Configured to each program, payer, provider, and workflow.

description

Missing documentation

Required elements absent from the note.

medical_information

Unsupported diagnoses

Codes the note does not support.

rule

Service mismatches

Issues with modality, provider, payer, or program rules.

event_busy

Missing or expired items

Plans, assessments, authorizations, or signatures.

event_repeat

Duplicates and timing

Repeated services, time issues, or billing-field mismatches.

rate_review

Needs human review

Notes for QA, billing, compliance, or supervisor review.

Our process

From workflow mapping to live audits in weeks

One workflow. Real data. Clear success metrics.

account_tree

Map the workflow

Identify the reviews, rules, and handoffs creating the most risk or manual work.

tune

Configure the first audit

Connect data, translate rules into checks, and focus on one pre-billing workflow.

query_stats

Test, review, and expand

Validate flags. Tune the workflow. Track issues caught, hours saved, and revenue protected.

flag Typical pilot: one focused workflow, real data, weekly feedback, measurable outcomes

Pricing

Paid pilots starting at $2K per month

Start with one high-impact workflow, real data, and clear success metrics.

rocket_launch

Paid Pilot

Starting at $2K / month

Pricing scales with provider size and scope.

Prove value on one pre-billing workflow before expanding.

check_circleReal provider data
check_circleWeekly workflow tuning
check_circleIssues caught, hours saved, and revenue protected
check_circleClear ROI before expansion

Book a pilot discussion

domain

Custom Enterprise

Flexible scope-based pricing

Expand across programs, payers, workflows, reporting, and QI needs.

check_circlePrograms and service lines
check_circleChart volume
check_circlePre-billing workflows
check_circleIntegration and rule complexity
check_circleRevenue impact
check_circleReporting and QI support

Discuss enterprise pricing

Pricing can flex around programs, chart volume, workflows, integrations, revenue impact, and reporting needs.

Catch billing and compliance risks before claims go out.

Built for the safety net, in all its complexity

Every care setting

Every program and population

Every safety-net organization

Billing and compliance risk is hiding in charts no one has time to review

Manual review cannot keep up

Problems surface too late

Teams are stretched

How Penguin Health audits every encounter before claims are submitted

Connect to existing workflows

Works with what you already have

Audit before billing

Tuned to your rules

Focus human review

The right reviewer, every time

Turn audits into action

From findings to coaching

What each team gets

One engine. Building blocks across the whole workflow.

Issues Penguin catches before billing

Missing documentation

Unsupported diagnoses

Service mismatches

Missing or expired items

Duplicates and timing

Needs human review

Protect revenue. Reduce admin. Move margin back to care.

From workflow mapping to live audits in weeks

Map the workflow

Configure the first audit

Test, review, and expand

Paid pilots starting at $2K per month

Paid Pilot

Custom Enterprise

The team building Penguin Health