The Pulse by Peregrine
March 2026 Revenue & Compliance Update
You’ve Earned the Revenue. Let’s Make Sure You Keep It.
The rules of reimbursement are changing quickly and the margin for error is smaller than ever. With AI-driven claim denials on the rise and new 2026 coding updates, practices must stay ahead to protect revenue and maintain compliance.
The Pulse by Peregrine breaks down what matters most and how it impacts your operations.
Here’s what to know this month.
AI Is Reshaping Claim Reviews
What REVCON Revealed
At AAPC REVCON, one topic dominated nearly every discussion: insurers using artificial intelligence to review claims and request documentation at scale.
Many revenue cycle teams report spending more time submitting medical records than working accounts receivable.
What does this shift mean for practices?
Read the full breakdown:
AI Is Reshaping Healthcare Claim Reviews and Denials ➝
AI Insurance Denials Are Rising
AI Insurance Denials Are RisingA Growing Revenue Risk
Some insurers are now using algorithms to review hundreds of thousands of claims in seconds.
The bigger issue? Many practices never appeal these denials, leaving significant revenue uncollected. Understanding how these automated reviews work is becoming essential for protecting practice revenue.
Learn how practices can respond:
AI Insurance Denials Are Rising: What Physicians Must Do To Protect Revenue➝
CMS Tightens Oversight on DME Suppliers
CMS Tightens Oversight on DME SuppliersWhat Organizations Should Know
CMS recently issued a six-month nationwide moratorium on certain new Medicare DMEPOS supplier enrollments as part of broader efforts to address fraud and monitor billing patterns.
With regulators increasing scrutiny on credentialing, documentation, and payer contracting, organizations entering the DME space must ensure they are prepared for stricter compliance requirements.
Read the full article:
CMS DMEPOS Crackdown: Why DME Credentialing Matters Now ➝
2026 Vascular & Coronary Coding Updates
Small Changes. Big Documentation Impact.
Several 2026 CPT® updates introduce new clarification for vascular and coronary interventions, particularly around lesion classification and procedural documentation.
While the codes themselves may look familiar, documentation expectations are evolving.
Practices that prepare early can avoid coding errors, delays, and payer scrutiny.
See what’s changing:
Behind the Claim
What Protecting Revenue Looks Like
Sometimes getting a claim paid means hours on hold with a payer just to reach a live representative.
Our coding and audit team does whatever it takes to push claims across the finish line… because every claim deserves to be pursued before it’s written off.
A special thank you to Dawn Romero, CPC, CPMA Coding and Auditing Supervisor, for her persistence and dedication to providing exceptional service for our clients.
Peregrine Breakroom
Peregrine Breakroom RCM Reality Check
Many practices assume a denied claim means the revenue is gone. In reality, a large percentage of denials can be overturned when properly appealed with the right documentation.
The real risk isn’t the denial… it’s when no one has the time to pursue it.
What We’re Seeing
What We’re SeeingMore practices are asking for help with credentialing and contracting as payer requirements become more and more complex.
Peregrine Resource Center
Peregrine tracks payer, Medicare, and compliance changes, so your team stays informed without the overwhelm.
Each month, we highlight what matters most.
For official source updates, we recommend subscribing directly to:
Centers for Medicare & Medicaid
American Academy of Professional Coders
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