We help practice owners streamline their processes
to increase efficiency
and boost revenue
Let's Connect
Send us a request to help you
"*" indicates required fields
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
"*" indicates required fields
For more info, call toll free at 877-463-1110
Services
Credentialing and Payer Enrollment
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
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.
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.
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.
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.
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.
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
Ambulatory Surgical Centers
Anesthesiology
Cardiology
Dermatology
ENT
Endocrinology
Family Medicine
Emergency Medicine
Family Practice
FQHC
Gastroenterology
General Surgery
Hospitalists
Internal Medicine
Interventional Radiology
Mental Health
Neurology
Neurosurgery
OB/GYN
Orthopedics
Pain Management
Nephrology
Pediatrics
Physical Medicine
Physical Therapy
Plastic Surgery
Podiatry
Urology
Vascular
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
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.
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
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