Three Rivers Health

Located in Basin, Wyoming, Three Rivers Health includes a 12-bed critical access hospital, emergency room, outpatient clinic providing family practice and specialty care, clinical laboratory, radiology department, and swing bed program. Three Rivers Health strives to ensure great patient outcomes, make a personal connection with each person, and provide exceptional customer service.

The present and future look bright for Three Rivers Health of Basin, Wyoming. But just a few short years ago, the outlook for Three Rivers Health wasn’t so rosy. In fact, substantial revenue shortfalls threatened the organization’s ability to meet basic financial obligations.

Three Rivers Health faced major revenue cycle management (RCM) challenges, largely due to outdated legacy systems that lacked automation, integration, and real-time tracking. These system constraints, combined with limited staffing for coding, billing, and insurance functions, led to a backlog of nearly 5,000 accounts representing nearly $4.3 million, that went months without accounts receivable (AR) follow-up. The situation was worsened by delayed and inaccurate coding from an outside vendor, which the legacy platform struggled to process efficiently.

Based on a recommendation by an affiliated regional health system, Three Rivers Health initiated a partnership with TruBridge in 2022. The primary goal was to address the organization’s most pressing RCM issue: following up on the thousands of unresolved accounts.

Three Rivers Health tapped into the TruBridge Extended Business Office (EBO) solutions. EBO gives clients the flexibility to choose services that fill gaps in their RCM capabilities. TruBridge deployed an AR recovery team, who quickly went to work collaborating with internal staff to clear the backlog of claims in the organization’s legacy system. During the brief 15-month EBO contract period, Three Rivers Health and TruBridge resolved a majority of the backlogged accounts, while addressing other RCM issues, from coding problems and claim denials to the erroneous adjustments of high-dollar claims.

Upon completion of the EBO contract, the partnership evolved into a new phase under TruBridge’s Complete Business Office (CBO) model. This transition provided Three Rivers Health with access to TruBridge’s full suite of RCM services and deep industry expertise. A key component of this phase was support during the 2023 implementation of a Cerner electronic health record (EHR) system, which replaced the organization’s outdated legacy system. Throughout the transition, Three Rivers Health remained actively engaged, ensuring the TruBridge team stayed aligned with the facility’s unique challenges and evolving priorities. This collaborative approach
was critical to keeping operations on track and tailoring solutions to the specific needs of the organization.

Today, Three Rivers Health and TruBridge work hand in hand to ensure effective RCM and the achievement of crucial financial goals. TruBridge handles much of the “heavy lifting,” from medical coding—now consistently accurate and timely—to billing and insurance follow-ups.

By the end of the initial 15-month EBO engagement, TruBridge and Three Rivers Health had collected $2.6 million by clearing out the bulk of unresolved accounts in the organization’s legacy system. This infusion of revenue helped stabilize Three Rivers Health’s finances—and that was just a taste of successes to come.

During the ongoing CBO phase, Three Rivers Health, supported by TruBridge, racked up notable improvements in several key performance indicators. For example, AR days decreased by 61.2% from April 2023 to April 2025. Currently, the AR days six-month average stands at 65.8, well within the 90-day benchmark. Other signs of progress include higher coding accuracy, lower discharged, not final billed (DNFB) days, and increased collections driven in large part by the growing swing-bed program.

Most importantly, Three Rivers Health has realized steady revenue growth during its collaboration with TruBridge: rising from $14.1 million in FY2023 to $18.1 million in FY2025. Year-over-year growth of 12% for outpatient services and 150% for the inpatient side are also adding revenue. With this additional revenue, the organization has enhanced its ability to make investments in people, technology, infrastructure, and areas of growth, such as the swing-bed program.

The story of Three Rivers Health and its remarkable financial turnaround couldn’t have happened without two essential ingredients: a strong commitment by the organization’s leadership to RCM improvements and tight collaboration with TruBridge, to implement the necessary changes. Also crucial to success is frequent, transparent communication among the partners, including weekly meetings to discuss progress and necessary adjustments.