We help practice owners streamline their processes
to increase efficiency
and boost revenue

Let's Connect

Send us a request to help you
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For more info, call toll free at 877-463-1110

We help practice owners streamline their processes to increase efficiency and boost revenue

Let's Connect

Send us a request to help you
Name(Required)
Disclaimer(Required)
This field is for validation purposes and should be left unchanged.

For more info, call toll free at 877-463-1110

If you are looking to break out into your own practice or to partner with other physicians, let us help you strategically plan at the beginning for your future success.

Services

Practice Management

In today’s changing healthcare climate, your practice must not merely scrape by, but should be able to adapt to the change on the horizon. We can provide strategic planning and full-scale practice solutions to manage the entire group.

Credentialing and Payer Enrollment

Does filling out a 28-page Standardized Credentialing Application or working with NPPES, CAQH, or any of the many named branches of Medicare, sound foreign to you or downright tedious? It does to most practices, and if not done right it can cost thousands of dollars in revenue.

Coding

We hand-pick some of the most talented coders and add them to our ever-growing team. Furthermore, these individuals continue to receive on-the-job training that helps them stay up-to-date with the latest trends. Contact us today and have our team work on your revenue cycle system.

Revenue Cycle Management

The outcome of switching to Peregrine’s proven Revenue Cycle Management system for your medical billing is faster payments, increased collection rates, and positive insight into your practice’s performance.

Consulting

Trusted by physicians and healthcare organizations, Peregrine’s practice consulting experts have helped providers make better decisions and realize results for their practices by focusing on their most critical issues and opportunities.

Contracting

Managed care contracts are a reality in most medical practices. Peregrine’s expert contract negotiators can potentially increase the profitability of your practice by thousands or even millions of dollars.

Membership Affiliations

Working together to create positive outcomes, overall growth and client value in an ever-changing healthcare environment.

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Integrity

In the Health industry, nothing is more important than trust. When working with Peregrine you can sleep easy knowing we have your best interest in mind.

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Passion

The Peregrine Healthcare team loves working with physicians and physicians’ clinics. Our passion is making your life easier. Work with us and let our passion allow you to pursue yours.

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Transparency

Our suite of reporting tools is available 24/7 and allows you easy access into the day-to-day operations of your practice. Never doubt your data again with Peregrine Healthcare.

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Knowledge

With over 30 years of experience in the healthcare industry, no one knows more about practice operations than Peregrine Healthcare. We come fully prepared to transform your practice into a well-oiled machine.

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Experience

With over 140 clients served we’ve seen it all. From RCM to full-on outsourcing we have seen it all. Get expert help today and let us deal with the headache of managing a practice so you can get back to treating your patients.

Why you should choose Peregrine Healthcare:

Peregrine Healthcare offers consulting, marketing, branding, revenue cycle and practice management services to physician practitioners.

At Peregrine Healthcare, we can provide you new levels of financial stability, ensuring the success of your business and boosting your revenue cycle. Consequently, you can focus on providing top-notch healthcare services, while we handle all your needs.

At Peregrine Healthcare being a partner to our clients is the mission. Therefore, we still have clients from 2001, our first year in operation. Contact us and find out more about the benefits of working with us.

Peregrine has brought together a team of experienced professionals who have worked in hospitals, health plans, practice management firms, and various sizes of medical practices and healthcare entities.

As the professional extension of our client’s practices, we work together to create positive outcomes, overall growth, and client value in an ever-changing healthcare environment.

Peregrine's corporate office is in Houston, Texas; and serving clients across the United States.

Specialties Served

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Ambulatory Surgical Centers

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Anesthesiology

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Cardiology

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Dermatology

Z

ENT

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Endocrinology

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Family Medicine

Z

Emergency Medicine

Z

Family Practice

Z

FQHC

Z

Gastroenterology

Z

General Surgery

Z

Hospitalists

Z

Internal Medicine

Z

Interventional Radiology

Z

Mental Health

Z

Neurology

Z

Neurosurgery

Z

OB/GYN

Z

Orthopedics

Z

Pain Management

Z

Nephrology

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Pediatrics

Z

Physical Medicine

Z

Physical Therapy

Z

Plastic Surgery

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Podiatry

Z

Urology

Z

Vascular

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And More

Revenue Cycle Management

Patient
Registration

Appointment
Demographics
Insurance
Authorizations
Referral
Management

Claims
Management

Coding
Charge Entry
Claims Scrubbing
& Transmission
Payment Posting
 

A/R
Management

Follow Up
Denial Management
Appeals
Patient Statements
Patient Collections
Collections Referral

Analytics

Reporting
EOM Dashboard
Provider Education
Staff Education
Aberrance Alerts
 
 

Credentialing
& Contracting

Negotiations
EOB Reconciliation
to Contract. 
 

Contracting

& Credentialing

Our Format
Approach to CREDENTIALING &
APPOINTMENTS/ REAPPOINTMENTS
Selection Phase

There is a multitude of payers/insurance companies, IPAs, PHOs, ACOs or EAPs that you may want to be networked with. Major companies include Aetna, Anthem, Cigna, Humana, Magellan, Medicaid, Medicare, Optum, Tricare, and United Healthcare. Our expert team can help you in the selection of panels in which you would like to participate.

Complete Peregrine’s comprehensive checklist and send in necessary documentation as indicated.

Review your CAQH profile for accuracy. Peregrine changes credentialing contact to Peregrine and adds Peregrine E-mail to the provider’s profile to ensure receipt of reattestation deadline notices. Peregrine takes care of the attestations every time they are needed.

Application Phase

Peregrine will begin new applications, re-credentialing requests or negotiation appointment applications, etc. We report any “closed” panels to you, and per your request submit an appeal on your behalf.

Follow Up Phase

We will follow up with the various insurance companies and facilities to ensure they have everything required to process your application.

Please note we cannot expedite the processes that the Health Plans or facilities have internally.

Contracting Phase

Once a contract is received from an insurance company or EAP, we will review them for accuracy before forwarding them to you or your office for review, approval and signature.

Negotiation of rates or terms will be done on your behalf after we discuss with you and obtain your feedback.

Confirmation Phase

We submit signed contracts on your behalf.

We track, and follow up as necessary, to ensure we receive confirmation of your enrollment and all plans are “loaded” properly at the health plan.

Maintenance Phase

We maintain the credentialing files and provide client reminders when certifications or licensures are going to expire.

Note: Throughout the Credentialing process you will have complete access to see all managed care organization agreements as well as all correspondences as amendments by accessing your account via our secure server.

Meet The Leadership Team

Cheryl E. Hoffman

(Vice President of Operations)

28 years of experience in consulting with various clients nationwide strategizing operational issues, and creating multi-channel marketing, advertising and communications strategies for healthcare entities

James E. Chisolm

(President)

His operational experience of over 40 years includes strategic analysis and planning, financial analysis, budgeting, the profitable management of health plans and physician practices, provider/payor relations, and business and market development.

Cheryl E. Hoffman

(Vice President of Operations)

28 years of experience in consulting with various clients nationwide strategizing operational issues, and creating multi-channel marketing, advertising and communications strategies for healthcare entities

Samantha Cable

(Vice President of Revenue Cycle Management)

Holds a CPC license, Certified Professional Coder, AAPC. Over 25 years of extensive experience in all aspects of the Revenue Cycle Management process in all specialties; including coding.

Cheryl E. Hoffman

(Vice President of Operations)

28 years of experience in consulting with various clients nationwide strategizing operational issues, and creating multi-channel marketing, advertising and communications strategies for healthcare entities.

James E. Chisolm

(President)

His operational experience of over 40 years includes strategic analysis and planning, financial analysis, budgeting, the profitable management of health plans and physician practices, provider/payor relations, and business and market development.

Samantha Cable

(Vice President of Revenue Cycle Management)

Over 25 years of extensive experience in all aspects of the Revenue Cycle Management process in all specialties; including coding. Holds a Certified Professional Coder (CPC) by AAPC.

Some Words from
Our Clients

Peregrine Healthcare took over our billing and we saw a jump in revenue almost immediately. On average Peregrine collected over 11 percent more per month equating to an additional half a million dollars collected over the year. Their collection rate is much higher than other companies we have worked with over the years.
 

Ravender R.

With the team at Peregrine Healthcare, working collaboratively on my contracting and revenue cycle, they found over $50K in money due to the practice from one of the big 5 payers as a result of an error in payments being made on certain codes.
 

Dave C.

Peregrine Healthcare has been extremely helpful in evaluating our current managed care contracts and successfully negotiating better rates. The team monitors what we are getting paid, comparing to our fee schedules and this has resulted in higher income for our group.
 

Patrick W.

We originally came to Peregrine for consulting expertise on issues with our revenue cycle management department. Since then we outsourced our old A/R to them and collected over $440K in additional revenue that was previously deemed uncollectable or not being worked by our staff.
 

Amy R.

If you have questions about our services, or would simply like more
information, please call toll-free 877-463-1110

If you have questions about our services, or would simply like more information, please call toll-free

877-463-1110