Revenue Cycle Services and Outsourcing
Complete & Extended Business Office (CBO & EBO) Services for Hospitals
Recruiting and retaining skilled revenue cycle staff has never been harder. AR backlogs grow. Denials pile up. And your business office team can only do so much. TruBridge Complete Business Office (CBO) and Extended Business Office (EBO) services give you the outside expertise you need to stabilize cash flow, reduce AR days, and keep your revenue cycle running, without adding headcount. We don't get paid until you do. Zero risk. Proven results.
What Is a CBO or EBO? Understanding Your Options
Struggling with healthcare revenue cycle staffing or workflow challenges? TruBridge’s Complete Business Office (CBO) and Extended Business Office (EBO) services help hospitals, clinics, and critical access facilities improve cash flow, reduce accounts receivable (AR) days, and free staff to focus on patient care.
Complete Business Office (CBO
• Full outsourcing model in which TruBridge manages your entire revenue cycle — from claims to collections — acting as your business office. It’s the right fit for organizations that need comprehensive, ongoing support across every function of AR management.
Extended Business Office (EBO)
• Targeted, flexible outsourcing model in which TruBridge supplements your existing team to address specific challenges — aged AR workdowns, EHR transition backlogs, payer-specific clean-up, or high-volume claim backlogs. It’s the right fit for organizations that need surge capacity, specialized expertise, or a defined project scope without a long-term full-service commitment.
HFMA® Peer-Reviewed
• Both models are HFMA Peer Reviewed and operate on the same principle: TruBridge doesn’t get paid until you do.
Common Healthcare Revenue Cycle Challenges We Solve
Registration Errors Driving Claim Denials
Inaccurate patient information is the leading cause of preventable denials. Our patient intake specialists ensure clean, complete data from the start, reducing denial rates and eliminating costly rework.
Claim Denials Disrupting Cash Flow
Frequent denials create a dangerous cycle: delayed revenue, increased AR days, and mounting backlogs. Our denial management experts break this cycle by addressing root causes, appealing denials aggressively, and recovering revenue others write off.
High Administrative Costs from Inefficient Workflows
Manual billing processes and outdated systems cost more than you realize. Our streamlined CBO/EBO processes combine automation with expert oversight to reduce overhead while improving collection performance.
Revenue Cycle Staffing Shortages
Finding and retaining qualified billing staff is expensive and difficult. Staff shortages create backlogs and errors. With our CBO/EBO services, you access experienced specialists immediately—no recruiting, training, or turnover concerns.
Complete Business Office & Extended Business Office Services
Why TruBridge CBO & EBO Services Work
Our certified revenue cycle specialists combine best practices and technology to optimize every stage of billing:
Accounts Receivable (AR) Recovery & Collections
• Recover aging claims, small-balance co-pays, and lower-dollar claims
• Turn potential write-offs into cash efficiently
Insurance Follow-Up & Claims Resolution
• Manage aged claims (30, 60, 90+ days)
• Reduce denials and recover revenue quickly
Early-Out Patient Payment Services
• Boost private-pay revenue by 37% on average
• Transparent financial management covering all steps of patient payment
Patient Intake & Eligibility Verification
• Reduce staff workload and outstanding patient balances
• Improve cash flow while preparing patients for care
HFMA Peer-Reviewed Solutions: Trusted by Healthcare Finance 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 and their communities.
HFMA’s Peer-Reviewed designation means these solutions have met the rigorous standards set by healthcare finance industry professionals — ensuring value, reliability, and effectiveness for your organization.
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.
- Initial revenue recovery: $2.6 million (from the blacklog of claims)
- Decrease in AR days: from 147 in April 2023 to 57 in April of 2025
- Average AR days: 65.8 (over six months)
- Revenue growth: from $14.1 million in FY 2023 to $18.1 million in FY2025
- Case on hand: from 6 days in July 2023 to 111 days in May 2025
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.
- $2 million in cash collected on 90+ day accounts
- 79% reduction in aging AR in the Cerner system
- 1,416 accounts worked from legacy backlog
- Internal team reset, now better equipped to manage AR going forward
- Improved financial position amid a high-risk transition
Frequently Asked Questions About CBO and EBO Services
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CBO stands for Complete Business Office. In healthcare revenue cycle management, a Complete Business Office is a full outsourcing model in which a third-party provider manages the entire accounts receivable function on behalf of a hospital — from claims submission through final collections — operating as a seamless extension of the organization’s business office.
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EBO stands for Extended Business Office. In healthcare billing, an Extended Business Office supplements a hospital’s existing revenue cycle team to address specific challenges — such as aged AR workdowns, EHR transition backlogs, or payer-specific claim clean-up — without requiring a full business office outsourcing commitment.
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A Complete Business Office (CBO) manages the full, ongoing revenue cycle function for a hospital. An Extended Business Office (EBO) provides targeted, flexible support for a specific project or period of elevated need. CBO is the right fit for organizations that need comprehensive, long-term outsourcing. EBO is the right fit for organizations that need surge capacity, backlog resolution, or support during a major transition like an EHR conversion.
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A hospital should consider outsourcing its business office when AR days are climbing, claim backlogs are growing faster than staff can work them, or revenue cycle turnover is creating persistent gaps in collections. It is also worth evaluating during EHR transitions, when legacy claim inventory needs dedicated resources, and when cost-to-collect ratios are rising without a clear path to improvement through internal staffing alone.
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Outsourcing revenue cycle management reduces AR days by providing dedicated, experienced specialists who work accounts consistently and systematically — without the interruptions, turnover, and bandwidth constraints that affect internal teams. TruBridge Complete Business Office clients typically reduce AR days by 24% by combining expert AR follow-up with root cause analysis that identifies and corrects the systemic issues driving account aging in the first place.
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