The Pulse by Peregrine
Actionable insights. Smarter systems. Better revenue.
What High-Performing Practices Do Differently
Not all busy practices are thriving but the ones that are share a few key habits.
At Peregrine, we work with practices of all sizes and specialties. And after thousands of audits and consulting hours, a pattern has emerged:
Β The most successful practices donβt just work harder, they work smarter.
What Sets High-Performing Practices Apart?
Β They measure what matters.
Denial rates. Days in A/R. Rework volume. Front-end errors. These practicesΒ track performance like itβs a business, because it is.
Β They outsource critical front-end tasks that demand accuracy and follow-through.
From eligibility checks to authorization management, referrals, and patient collections, high-performing practices know these processes require more than good intentions, they require trained specialists, daily consistency, and timely follow-up. Rather than overwhelm internal staff, they delegate to experts who are built for it.
Β They run proactive coding audits.
Itβs not about policing. Itβs about protecting revenue, avoiding compliance risks, and supporting accurate documentation.
Β They delegate whatβs outside their wheelhouse.
From credentialing to collections, they know that trying to do it all in-house drains time, morale, and margins.
Β They treat payers like partners but verify every claim.
Top performers donβt wait 90+ days to discover underpayments or coding edits. They spot them fast, and act faster.
The Takeaway:
If your practice feels like itβs always sprinting but never getting ahead, it might not be a volume problem, it could be a workflow and resource problem.
Curious how your practice stacks up?
Request a Complimentary Revenue Review
Weβll compare your metrics to industry benchmarks and show where you can improve β no pressure, just insight.
CODING CORNER:
Donβt Wait for a RAC Audit
RAC audits arenβt just for hospitals anymore.
Private practices are increasingly on the radar, especially in high-value specialties like Orthopedics, Cardiology, Pain Management, Gastroenterology, Physical Medicine & Rehab.
Common Red Flags That Trigger RAC Attention:
- Overuse of modifiers (like -25 and -59)
- E/M level creep (routine billing at Level 4/5)
- Repetitive or identical notes
- Mismatched procedure and diagnosis codes
- Billing for non-covered or medically unnecessary services
Why Proactive Coding Audits Matter:Β Coding issues are often unintentional.
They come from:
- Staff turnover
- Copy-paste habits
- Varying documentation standards between providers
- Misinterpreted payer guidelines
But intentional or not, the financial consequences are the same.
Our latest blog breaks down:
Β Why most coding errors go unnoticed
Β How a proactive coding audit protects your revenue and compliance
Β What RAC auditors are actually looking for
Donβt Wait for a RAC Audit to Discover Coding Errors
Peregrine Breakroom
Β Coffee Break Question
Β Coffee Break QuestionIf you had one extra hour in the day, how would you use it?
Β A. Sleep
Β B. Learn something new
Β C. Exercise
Β D. Absolutely nothing and love it
Practice Productivity Hack
Start every Monday with a 15-minute claim cleanup. Practices that review denials weekly get paid 30% faster than those who wait until month-end.
Β Word of the Month:Β Denial Code CO-97
Β Word of the Month:Β βThe benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.β
β€ AKA: Bundled services or not separately payable unless properly documented and coded.
CO-97 is one of the top denial reasons across all specialties and itβs often 100% preventable.
Next month:Β Weβll break CO-97 down by specialty and share real-world examples and modifier best practices to help you reduce denials and keep your reimbursements clean.
Did You Know?
Peregrine Healthcare isnβt just a billing company, weβre your full-service partner for practice growth, operations, and revenue protection.
From start-up support and front office efficiency to coding, compliance, and patient marketing, our team helps you run smarter, scale faster, and collect every dollar youβve earned.
Want to learn more? Letβs schedule a strategy call.