Revenue Cycle Services and Outsourcing
Healthcare CBO and EBO Solutions
Solutions to deliver the outside help you need
Maintaining a skilled business staff can be a real challenge for healthcare providers. But with TruBridge, you’ll never need to worry! Our Complete Business Office (CBO) and Extended Business Office (EBO) solutions can deliver the outside help you need to keep you in the black and moving forward.
We’ll work with you to develop a cost-effective solution to boost collections, reduce AR days and give your team more time for the tasks that matter most.
It is time to take the pressure off of your people.
Product Features
CBO/EBO
Our experts will manage your revenue cycle from claims to collections, implementing best practices, innovative services and intelligent solutions to help you achieve your financial and operational goals.
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AR Recovery Service: Turn potential write-offs into cash. Our collections experts will handle all the time-consuming details necessary to work your aging small balance co-pays and lower-dollar claims.
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Insurance Follow-Up Service: Get paid for all the work your healthcare facility does. We will review claims that have aged 30, 60, 90 or more days handling the time-consuming tasks to get the claim processed and paid.
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Early Out Service: See a 37% average increase in your private pay revenue stream with this transparent financial management solution that covers every function required to bolster this key element of your revenue cycle.
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Intake Management: Reducing outstanding patient balances along with staff workload to better prepare patients for scheduled services and boost your cash flow at the same time.
Inaccurate or incomplete patient registration leading to denials.
Denials are often the result of inaccurate or incomplete patient information, but staying on top of those details is a difficult task in today’s resource-strapped healthcare environment.
Frequent claim denials and rejections can disrupt cash flow and delay revenue.
As claim denials and rejections sap your cash flow, your revenue cycle can find itself in a downward spiral.
High administrative costs associated with manual processes and inefficient workflows can impact the financial performance of healthcare.
Inefficient administrative practices can cost your organization more than you’re aware of.
Inadequate training and resources for revenue cycle staff can lead to errors. Staffing shortages make finding and keeping staff difficult.
Staffing shortages can really bring down your team’s effectiveness, but the costs and risks of hiring and training new staff can put you even further behind.
Real Results: The Three Rivers Health Story
From Revenue Struggles to Financial Stability in Rural Wyoming
Three Rivers Health, a critical access provider in Basin, Wyoming, was facing a financial crossroads. With outdated legacy systems and limited RCM staff, the organization had nearly 5,000 unresolved claims—representing $4.3 million—sitting untouched in accounts receivable. Revenue shortfalls threatened core operations.
That changed with TruBridge. By first leveraging Extended Business Office (EBO) solutions, then transitioning to a Complete Business Office (CBO) model, Three Rivers Health overhauled its revenue cycle operations—recovering immediate cash and achieving long-term financial growth. With TruBridge’s full-service CBO support, Three Rivers Health has emerged from crisis mode into a new era—defined by data-driven operations, sustainable growth, and the ability to invest in its future.
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Initial revenue recovery: $2.6 million (from the blacklog of claims)
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Decrease in AR days: from 147 in April 2023 to 57 in April of 2025
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Average AR days: 65.8 (over six months)
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Revenue growth: from $14.1 million in FY 2023 to $18.1 million in FY2025
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Case on hand: from 6 days in July 2023 to 111 days in May 2025
HFMA Peer-Reviewed Solutions: Trusted by Industry Professionals
Our Complete Business Office solution boosts cash collections by an average of 13% and reduces accounts receivable days by 24%. By combining skilled revenue cycle management specialists with our Revenue Cycle Management Product Suite, we deliver more cash more efficiently. This cost-effective service helps healthcare organizations better serve their patients.
HFMA’s Peer-Reviewed designation signifies that these solutions have met the rigorous standards set by industry professionals, ensuring value, reliability, and effectiveness for your organization.
Real Results: The Big Horn Hospital Association Story
Slashing Aging AR and Boosting Cash Flow During EHR Transition
When Big Horn Hospital Association transitioned to a new EHR, nearly half of its accounts receivable (AR) inventory exceeded 90 days—with no follow-up. Struggling to manage both legacy and new systems, AR days surged to 107 and gross AR ballooned to $5 million. For a small rural provider, this trend posed a serious financial threat. TruBridge stepped in with its Extended Business Office (EBO) solution, deploying a dedicated team of AR specialists to recover aging receivables and stabilize cash flow—fast.
Big Horn Hospital Association not only recovered critical revenue—it gained breathing room and control over its AR process. Thanks to the targeted EBO support from TruBridge, the team is now positioned for long-term financial health, even during major operational change.
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$2 million in cash collected on 90+ day accounts
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79% reduction in aging AR in the Cerner system
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1,416 accounts worked from legacy backlog
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Internal team reset, now better equipped to manage AR going forward
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Improved financial position amid a high-risk transition
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