The Pulse by Peregrine
Actionable insights. Smarter systems. Better revenue.
Feature Insights…
Is Your Practice Ready for Q4?
The last quarter of the year brings more than just patient volume. Payer reimbursement updates, Medicare policy changes, credentialing delays, and prior authorization backlogs can create serious cash flow problems for practices that aren’t prepared.
Top revenue cycle risks we’re tracking:
- Medicare, UHC, Aetna and Cigna reimbursement changes taking effect through year-end.
- Credentialing and enrollment delays; renewals submitted late may not clear until 2026.
- Prior authorization slowdowns tied to Medicare’s upcoming WISeR model.
- Collections & accounts receivable (A/R) pressure from rising denials and claim volume.
What your practice can do now:
Run a revenue cycle audit to identify preventable denials
Submit credentialing and payer enrollment updates early
Review payer contracts and reimbursement rates before 2026 shifts
Lean on expert medical billing and revenue cycle management (RCM) support
Don’t wait until December to act. Every day of delay = lost reimbursement and revenue leakage.
In Case You Missed It
Major shifts are coming in reimbursement, credentialing, compliance, and telehealth. Stay informed with Peregrine’s latest resources designed to keep your practice ahead of the curve.
- Medicare WISeR Model 2026 Prior Authorization Requirements
- G2211 Complexity Add-On Code, capture an extra $90K annually
- Aetna & Cigna Reimbursement Policy Updates thru year-end
- UHC Reimbursement Policy Updates thru year-end
- Prior Authorization and Pre-Claim Review: What ASC Providers Need to Know
- 2026 ICD-10 updates take effect on October, 1st. Check out the latest ICD-10 Coding Books
- Visit our Practice Support Center where we our experts handle scheduling, eligibility, authorizations, referrals & collections
- Telehealth Waivers Set to Expire Sept. 30th
Don’t miss these practice-critical updates, all in one place.
Peregrine Breakroom
☕ Coffee Break Question
If you had one more hour back in your day, would you:
- See more patients
- Catch up on admin
- Get out of the office early
- Finally finish that coffee while it’s hot
Fast Fact:
1 in 4 medical claims is denied on first submission. A clean claims process = more revenue, fewer headaches.
Quick Tip:
Submitting payer credentialing updates at least 90 days before renewal can save your practice from costly coverage gaps.
Did you know?
- The average denial costs $118 to rework.
- 65% of denials are never reworked.
- That’s thousands of dollars left uncollected every month.
As Medicare requirements and insurance coding updates grow more complex, practices can’t afford to go it alone. The only way to keep up and protect your revenue is to partner with a trusted RCM team who lives and breathes these changes every day.