• Who do you typically work with?

Peregrine Healthcare is a Texas- and Arizona-based medical billing company serving physician practices, ASCs, and ancillary providers nationwide. We specialize in revenue cycle management (RCM) for pain management, orthopedics, cardiology, colorectal, and other procedure-driven specialties where compliance and payer complexity directly impact collections.

We partner with practices that want stronger cash flow, cleaner workflows, and hands-on operational support.

• Is Peregrine a good fit for small practices, large groups, or both?

Both.

We support solo physicians, growing group practices, and multi-location healthcare organizations. Smaller practices rely on us for full-service medical billing and revenue cycle management without expanding in-house staff. Larger groups use our services to strengthen internal teams, improve reporting visibility, recover aged A/R, and support payer negotiations.

Our RCM model is scalable and designed to grow with your practice.

• What makes Peregrine different from other medical billing companies?

We operate as an extension of your practice, not just a claims processor.

Unlike many medical billing companies that focus only on claim submission, Peregrine Healthcare manages the full revenue cycle, including patient-facing support and legacy A/R clean-up.

Our services include:

∙ Front office workflow optimization
∙ Eligibility and authorization management
∙ Coding oversight and RCM audits
∙ Denial management and old A/R recovery
∙ Provider credentialing and payer enrollment
∙ Managed care contracting and negotiations
∙ Patient balance follow-up and pre-collections
∙ Dedicated patient advocates who answer calls live

We provide real client service, including scheduled meetings, reporting transparency, and direct communication. Most RCM companies stop at insurance claims. We work both payer balances and patient balances to protect total revenue.

The result: improved collections, reduced revenue leakage, and stronger patient communication.

• Do you replace our existing billing staff or work alongside them?

We do both.

Some practices fully outsource physician medical billing. Others retain internal billing teams and use Peregrine for oversight, aged A/R clean-up, credentialing, denial management, patient collections, or revenue cycle audits.

We align with your current structure and focus on stabilizing your revenue cycle, protecting compliance, and improving financial performance without unnecessary disruption.

• What services do you offer beyond medical billing?

Peregrine Healthcare provides full-service revenue cycle management (RCM) beyond traditional medical billing.

In addition to claims processing, we support:

∙ Provider credentialing and payer enrollment
∙ Managed care contracting and payer negotiations
∙ Front office optimization (eligibility, authorizations, scheduling)
∙ Coding oversight and RCM audits
∙ Denial management and aged A/R recovery
∙ Patient balance follow-up and patient collections
∙ Payroll, bookkeeping, and operational consulting
∙ New practice start-up consulting and revenue cycle setup

We manage the full revenue cycle, from patient intake to final payment.

• Can we choose specific services or do we have to outsource everything?

You can choose the level of support that fits your practice.

Some clients outsource their entire medical billing and revenue cycle. Others engage us for specific services such as provider credentialing, payer enrollment, aged A/R clean-up, payer negotiations, front office workflow improvement, or coding audits. Our model is flexible. We adapt to your structure and scale services as your needs evolve.

• Do you support front office workflows like eligibility, authorizations, and scheduling?

Yes… and this is where many practices quietly lose revenue.

We support front office operations including insurance verification, eligibility checks, prior authorizations, scheduling workflows, and intake process improvement. When front-end systems are weak, denials increase and collections suffer. By strengthening front office performance, we reduce claim rejections, improve clean claim rates, and protect revenue before the claim is even submitted.

• Do you help with payer contracting and negotiations?

Yes.

In addition to provider credentialing, we assist with managed care contracting, payer negotiations, and reimbursement analysis to ensure your practice is competitively positioned. Many practices accept outdated contracts that suppress long-term revenue. Our team evaluates fee schedules, identifies underpayments, and supports negotiations to improve reimbursement terms and payer performance. This is a strategic service that directly impacts profitability.

• How do you improve collections and reduce revenue leakage?

We improve collections by addressing the entire revenue cycle, not just claim submission.

Our approach includes front-end verification controls, clean claim optimization, denial management, aged A/R recovery, payer follow-up, and patient balance pre-collections. We also identify workflow gaps that quietly reduce reimbursement over time.

By strengthening systems at every stage, we reduce revenue leakage and increase overall collection performance.

• What KPIs do you track and report on?

We provide transparent reporting and measurable performance tracking.

Key revenue cycle metrics include:

∙ Net collection rate
∙ First-pass clean claim rate
∙ Days in A/R
∙ Denial rates and denial categories
∙ Aged A/R distribution
∙ Patient collection performance
∙ Credentialing turnaround

Regular reporting and scheduled client meetings ensure visibility, accountability, and proactive revenue cycle management.

• How quickly should we expect to see financial improvement?

Timelines vary depending on the current health of your revenue cycle.

For practices with strong foundations, improvements in denial reduction and cash flow may be visible within the first few months. For practices requiring aged A/R clean-up, credentialing corrections, or workflow restructuring, stabilization may take longer. Our focus is on building sustainable, measurable improvement rather than short-term fixes.

• Can you help with denied claims and aging A/R?

Yes.

Denial management and aged A/R recovery are core components of our revenue cycle management services.

We analyze denial trends, correct root causes, appeal claims appropriately, and aggressively pursue outstanding payer balances. We also perform legacy A/R clean-up for practices with unresolved aging receivables. Recovering old revenue is important but preventing future denials is equally critical.

• Do you use Artificial Intelligence (AI) or automation in your revenue cycle process?

Yes.

Peregrine Healthcare utilizes Artificial Intelligence (AI) and advanced automation tools to enhance revenue cycle management performance, including claim tracking, denial trend analysis, payer monitoring, and reporting visibility.

Automation improves efficiency and data accuracy. Experienced human oversight ensures compliance, strategic decision-making, and revenue protection.

Technology supports our process. It does not replace accountability.

• How do you balance automation with human oversight?

We combine structured systems with experienced review.

Automation supports workflow efficiency and data analysis. Our revenue cycle specialists validate coding accuracy, review denials, monitor payer trends, and identify compliance risks.

Revenue cycle management requires clinical understanding, regulatory awareness, and operational judgment. Human oversight remains central to our model.

• Will we have access to our data and reporting?

Yes.

Clients retain visibility into their practice management and billing data. We provide regular reporting, KPI tracking, and scheduled review meetings to ensure transparency and performance accountability. You should always understand how your revenue cycle is performing.

• How do you ensure data security and compliance?

We maintain HIPAA-compliant operations supported by SOC 2-certified infrastructure.

Secure systems, access controls, and compliance-focused workflows are built into our revenue cycle management processes. We also monitor regulatory and payer policy updates to help protect your practice from compliance exposure. Strong collections should never compromise data security or regulatory standards.

• How do you ensure compliance with changing payer rules and regulations?

Healthcare reimbursement rules change frequently, and non-compliance directly impacts revenue.

Our revenue cycle management team actively monitors payer policy updates, coding changes, reimbursement guidelines, and regulatory developments that affect physician practices and ASCs. We adjust workflows, documentation standards, and billing processes accordingly to reduce exposure.

Proactive compliance reduces denials, audit risk, and reimbursement delays.

• Are your processes HIPAA compliant and secure?

Yes.

Peregrine Healthcare maintains HIPAA-compliant operations supported by secure systems and SOC 2-certified infrastructure. Access controls, structured workflows, and data security protocols are built into our revenue cycle processes. Revenue performance should never compromise patient privacy or regulatory standards.

• Do you help prepare for audits or respond to payer requests?

Yes.

We assist practices with audit preparation, payer documentation requests, reimbursement reviews, and denial appeals. Our team supports RAC audits, commercial payer reviews, and medical necessity documentation responses. We help organize records, evaluate exposure, and respond strategically to protect revenue and reduce disruption.

Audit readiness is part of responsible revenue cycle management.

• What’s the difference between credentialing and payer enrollment?

Credentialing verifies a provider’s qualifications, licensure, training, and compliance status.

Payer enrollment connects that provider to insurance networks so claims can be submitted and reimbursed.

Both steps are required for successful reimbursement. Delays or errors in either process can result in claim denials, payment holds, or lost revenue.

• How long does credentialing and enrollment usually take?

Credentialing and payer enrollment timelines can range from several weeks to several months, depending on the insurance carrier, state requirements, and documentation accuracy.

Industry averages often fall between 30 and 90 days. Peregrine Healthcare consistently beats the industry standard, with credentialing turnaround typically under 90 days when required documentation is complete and payers are responsive. We proactively manage submissions, track approvals, and follow up directly with carriers to minimize delays and protect revenue.

Faster credentialing supports faster reimbursement and reduced cash flow disruption.

• Can you fix credentialing issues that are already delaying payments?

Yes.

We regularly assist practices facing delayed approvals, incomplete enrollments, retroactive denials, or payer participation errors. Our team identifies root causes, corrects documentation, and works directly with carriers to resolve credentialing-related revenue holds.

Credentialing delays directly impact cash flow. Rapid resolution protects collections and payer access.

• What does the onboarding process look like?

Our onboarding process is structured, organized, and designed to minimize disruption.

We begin with a revenue cycle assessment, system review, and workflow evaluation. From there, we confirm credentialing status, establish payer access, secure reporting visibility, and implement front-end controls before transitioning billing operations. Clear timelines, defined responsibilities, and proactive communication guide each phase. Our goal is a smooth transition that protects revenue and operational continuity.

• How involved will our team need to be during transition?

Your involvement is focused and purposeful, not burdensome.

We manage payer communication, system alignment, workflow setup, and aged A/R evaluation. Your team provides documentation, system access, and operational insight to ensure accuracy.

Our objective is to reduce internal strain while strengthening your revenue cycle structure.

• Who is our point of contact once we’re live?

Each client is assigned an experienced account manager focused specifically on their practice.

Your account manager provides direct oversight, reporting coordination, and strategic communication. In addition, our patient advocates handle billing inquiries, patient balance questions, and payment support, ensuring calls are answered by a live, knowledgeable team member. We support both the practice and the patient experience.

• How often do we meet or receive updates?

We provide structured reporting and monthly client meetings to review key performance indicators, payer trends, aged A/R, denial patterns, and operational performance.

Monthly meetings ensure accountability, transparency, and consistent alignment. Additional communication is available as needed.

Revenue cycle management should never feel unclear or reactive. Predictability builds confidence. Visibility builds trust.

• How is pricing structured?

Our pricing is transparent and aligned with the scope of services provided.

Medical billing and revenue cycle management services are typically structured as a percentage of collections or a customized fee model based on complexity, specialty, and service level. Credentialing, contracting, audits, and consulting services may be structured separately depending on engagement.

We provide clear expectations upfront. No hidden fees. No unnecessary add-ons.

• What if we want to scale services up or down?

Our model is flexible.

As your practice grows, adds providers, opens new locations, or adjusts internal staffing, services can scale accordingly. Some clients begin with full-service revenue cycle management and later add payer negotiations or operational consulting. Others engage us for specific projects and expand over time.

We adapt to your needs as your practice evolves.

• Do you help physicians start a new private practice?

Yes.

Peregrine Healthcare works with physicians who are launching new private practices, opening additional locations, or transitioning from hospital employment to independent practice.

We help establish the operational and revenue cycle foundation needed for a successful launch, including credentialing, payer enrollment, billing system setup, front office workflows, and reimbursement strategy.

Starting a private practice requires more than clinical expertise. We help ensure the business infrastructure is built correctly from the beginning.

• What services do you provide for new practice start-ups?

We support physicians throughout the private practice launch process, including:

∙ Provider credentialing and payer enrollment
∙ Managed care contracting and payer negotiations
∙ Practice management and billing system setup
∙ Revenue cycle workflow design
∙ Fee schedule and reimbursement analysis
∙ Front office processes (eligibility, authorizations, scheduling)
∙ Patient billing support and collections
∙ Administrative and operational support through our Practice Support Center

Our goal is to help new practices launch with a stable revenue cycle and a strong operational structure.

• When should credentialing begin for a new practice?

Credentialing should begin as early as possible.

Payer enrollment timelines can range from several weeks to several months depending on the insurance carrier and state requirements. Beginning the process early helps ensure providers are approved and able to submit claims when the practice starts seeing patients.

Early credentialing protects cash flow and prevents revenue delays during the launch phase.

• Can you help transition a physician from employment to private practice?

Yes.

We frequently assist physicians leaving hospital systems or group practices to launch independent practices. This transition often requires new credentialing, payer contracting, billing setup, staffing support, and complete revenue cycle infrastructure.

Through our Practice Support Center, we help establish the operational framework needed to run efficiently, including front office processes, patient billing support, and administrative services.

Our team coordinates these elements so physicians can focus on patient care while the operational and financial foundation of the practice is built correctly.

• How early should we involve Peregrine before opening our practice?

The earlier the better.

Engaging revenue cycle and operational support during the planning phase allows time to complete credentialing, establish payer contracts, implement billing systems, and design front office workflows before the practice opens.

Early preparation helps ensure a smoother launch, faster reimbursement, and fewer operational disruptions once patient care begins.

• What are the biggest financial mistakes physicians make when starting a private practice?

One of the most common mistakes is selecting practice management or billing software without fully understanding how the revenue cycle will actually be managed.

Some platforms may appear to offer comprehensive billing functionality, but practices often purchase systems that include billing features without providing full revenue cycle support, leaving staff responsible for follow-up and collections. Systems such as athenahealth are frequently marketed as complete solutions, but many practices later discover that effective accounts receivable management and payer follow-up still require dedicated operational oversight.

Another challenge is relying on software that promotes Artificial Intelligence (AI) capabilities without recognizing the level of human review still required. AI can assist with workflow efficiency, but revenue cycle performance still depends on experienced oversight, payer follow-up, and structured processes.

Insufficient training and incomplete system configuration can also limit performance. Proper implementation, workflow design, and staff training are essential to ensure technology supports the practice rather than slowing it down.