For Medicaid behavioral health

Catch billing and compliance risks before claims go out.

Penguin Health reviews every note before billing, flags issues that create denials and audit risk, and turns findings into workflow fixes, coaching, and QI.

Book a Demo

Pre-Billing Audit

Live

flag missing element

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Audit complete

search_check 3 risks flagged

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40%+

More errors caught

schedule

15 to 20

Hours saved per week

fact_check

100%

Chart review coverage

0%+

More issues caught

Before claims go out.

15 to 20

Hours saved per week

Less manual QA and rework.

Chart review coverage

Every note reviewed.

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Fewer denials

Less rework and fewer audit surprises.

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.

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Manual review cannot keep up

QA teams review samples while most charts go unchecked.

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Issues surface too late

Documentation and coding gaps create denials, rework, and avoidable risk.

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Teams are stretched

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

visibility_off

Visibility comes too late

Leaders miss patterns until problems repeat across staff or programs.

Product workflow

How Penguin Health audits every encounter before billing

Connect to your data. Audit before 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.

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Focus human review

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

Route what matters arrow_forward

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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

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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 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.

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Needs human review

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

Where the time goes

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

Less time hunting for errors. More time fixing workflows, coaching teams, and improving care.

Admin
& QA

Care

Before Penguin

Admin

Care
& QI

With Penguin

schedule

Hours back to teams

15 to 20 hours per week reclaimed from manual review.

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More capacity for QI

More time for supervision, training, corrective action, and improvement cycles.

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Broader chart coverage

Every note reviewed before billing, not just a sample.

Our process

From workflow mapping to live audits in weeks

One workflow. Real data. Clear success metrics.

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Map the workflow

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

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Configure the first audit

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

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Test, review, and expand

Validate flags, tune the workflow, and track issues caught, hours saved, denials, 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.

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Paid Pilot

Starting at $2K / month

Final pricing scales with provider size and may be higher.

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.

Traction

Purpose-built with safety-net providers

Built with the teams reviewing charts, protecting revenue, and managing risk every day.

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Co-designed

With provider teams

QA, billing, compliance, and operators inside the workflow.

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Inpatient + outpatient

Across core workflows

Documentation, billing, intake, scheduling, QA, and programs.

forum

50+

Safety-net organizations interviewed

Frontline staff, compliance, revenue cycle, and operators.

fact_check

25K+

Notes audited

Built for behavioral health and safety-net providers.

Team

The team building Penguin Health

A small, senior team building alongside the Medicaid behavioral health and safety-net providers we serve.

Zach Dyce

Founder & CEO

Zach started Penguin Health because this work is personal. He grew up in a low-income household shaped by addiction and lost his mother to opioids.

He is building Penguin Health to help providers catch issues before claims go out, reduce manual QA, protect revenue, and move margin back to care.

Before Penguin Health, Zach worked on Wall Street, in strategy consulting, and as an operator scaling businesses in emerging markets. He started Penguin Health during his MBA at Stanford, where it was incubated and funded through the Stanford Impact Founder Fellowship.

Background

Brian Lindsey

CTO

Brian leads Penguin's technical architecture across compliance, documentation, billing, and QI workflows. He brings deep software engineering, machine learning, and DevOps experience.