Peregrine Practice Health Score™ Assessment

ASSESSMENT

Instructions
Please answer each question based on your current practice operations.

CATEGORY 1

Revenue Cycle Health

1. Do you monitor denial trends and have a documented process to work and resolve denials promptly?*

Yes

In Progress / Sometimes

Not Sure

2. Do you monitor clean claim performance, charge lag, and claims submitted without errors?*

Yes

In Progress / Sometimes

Not Sure

3. Do you review A/R aging monthly and actively work balances approaching or exceeding 90 and 120 days?*

Yes

In Progress / Sometimes

Not Sure

4. Do you monitor payer underpayments, adjustments, and write-offs for preventable revenue loss?*

Yes

In Progress / Sometimes

Not Sure

5. Does practice leadership receive meaningful monthly revenue cycle reports covering collections, denials, A/R, charge activity, and emerging risks?*

Yes

In Progress / Sometimes

Not Sure

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Revenue Cycle Score

CATEGORY 2

Documentation & Compliance

6. Are internal chart or documentation audits performed at least annually?*

Yes

In Progress / Sometimes

Not Sure

7. Do providers receive ongoing coding and documentation education, including feedback on coding patterns and audit findings?*

Yes

In Progress / Sometimes

Not Sure

8. Is medical necessity routinely reviewed for high-risk or high-volume services?*

Yes

In Progress / Sometimes

Not Sure

9. Are compliance concerns documented, tracked, and resolved through a formal process?*

Yes

In Progress / Sometimes

Not Sure

10. If Medicare or a commercial payer audited your practice tomorrow, would you feel confident in your documentation?*

Yes

Somewhat

Not Sure

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Documentation & Compliance Score

CATEGORY 3

Patient Access & Front Office

11. Is insurance eligibility verified before most patient visits?*

Yes

In Progress / Sometimes

Not Sure

12. Are prior authorizations obtained before services are rendered when required?*

Yes

In Progress / Sometimes

Not Sure

13. Are referrals verified before appointments?*

Yes

In Progress / Sometimes

Not Sure

14. Does your practice actively monitor no-show and cancellation rates?*

Yes

In Progress / Sometimes

Not Sure

15. Are patient financial responsibilities estimated, communicated, and collected through a consistent process before, during, and after the visit?*

Yes

In Progress / Sometimes

Not Sure

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Patient Access & Front Office Score

CATEGORY 4

Credentialing & Payer Management

16. Are provider credentialing and enrollment statuses actively monitored?*

Yes

In Progress / Sometimes

Not Sure

17. Are your CAQH/DataSpring profiles reviewed and updated regularly?*

Yes

In Progress / Sometimes

Not Sure

18. Are payer contracts and renewal dates tracked?*

Yes

In Progress / Sometimes

Not Sure

19. Has your practice reviewed payer contracts or reimbursement schedules within the last two years?*

Yes

In Progress / Sometimes

Not Sure

20. Are new providers enrolled with payers before seeing patients whenever possible?*

Yes

In Progress / Sometimes

Not Sure

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Credentialing & Payer Management Score

CATEGORY 5

Practice Growth & Risk Readiness

21. Do you regularly review operational KPIs beyond collections and revenue?*

Yes

In Progress / Sometimes

Not Sure

22. Are new services or growth initiatives evaluated for operational, financial, and compliance impact before implementation?*

Yes

In Progress / Sometimes

Not Sure

23. Do you have a formal process for reviewing vendor access to patient or billing data?*

Yes

In Progress / Sometimes

Not Sure

24. Has your practice completed a HIPAA Security Risk Assessment within the past 12 months?*

Yes

In Progress / Sometimes

Not Sure

25. Do you have a documented strategic plan for practice growth and operational improvement?*

Yes

In Progress / Sometimes

Not Sure

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Practice Growth & Risk Readiness Score

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Overall Score

Almost Done!

Enter your information to receive your personalized Practice Health Score™, category breakdown, and recommendations

Name*

First

Practice Name*

Phone*

Email*

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Current Billing Arrangement*

In-house

Outsourced

Hybrid

Consent*

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