5 min read

The Critical Importance of the Revenue Cycle in Rural Hospitals

Featured Image

Today is National Rural Health Day. In appreciation, we are taking this opportunity to celebrate and raise awareness of OS inc.’s and our client’s teams that work in the revenue cycle inside these rural health organizations. The work we all do plays a major role in the health and sustainability of rural hospitals and the communities they serve.

In the vast landscape of healthcare, small and rural hospitals play a vital role in providing essential medical services to underserved communities. However, these hospitals face unique challenges, including limited resources and funding. The ability of these healthcare facilities to remain operational is often contingent on the success of their revenue cycle. In this blog, we will delve into the significance of the revenue cycle for small and rural hospitals and how it impacts their ability to stay open. We will also provide data on the closure of rural hospitals in recent years and emphasize how revenue cycle teams are the unsung heroes in healthcare working diligently to effectively save lives by ensuring the financial health of these institutions.

The Struggles of Small and Rural Hospitals

Small and rural hospitals serve as lifelines for residents in remote and underserved areas. These facilities offer a wide range of healthcare services, from emergency care to routine medical treatments, ensuring that people living in these regions have access to medical care when they need it. However, they often operate on thin financial margins, facing numerous challenges that can threaten their sustainability.

  1. Financial Strain: Small and rural hospitals typically have ageing and shrinking populations that limits their patient volumes and lowers their reimbursements from payers, leading to financial challenges. They often lack the economies of scale enjoyed by larger urban hospitals.
  2. Declining Populations: Many rural areas are experiencing population decline, which can lead to reduced patient numbers and decreased revenue.
  3. Limited Resources: These hospitals may struggle to attract and retain skilled medical staff, invest in modern medical equipment, or offer specialized services due to resource constraints.

The Revenue Cycle's Vital Role

The revenue cycle in a healthcare setting refers to the process of managing financial transactions associated with patient care, from the point of patient registration to the final payment received. It encompasses tasks such as patient billing, claims processing, and revenue collection. For small and rural hospitals, the revenue cycle is the linchpin that ensures their financial stability and, ultimately, their ability to continue providing healthcare services.

  1. Cash Flow Management: Effective revenue cycle management ensures a steady flow of funds into the hospital, which is crucial for meeting operational expenses, including staff salaries, facility maintenance, and purchasing medical supplies.
  2. Timely Reimbursements: Revenue cycle teams work diligently to process insurance claims promptly and accurately, ensuring that hospitals receive reimbursements for the services provided. Any delay or denial can have a significant impact on a hospital's financial health.
  3. Compliance: Compliance with healthcare regulations and payer requirements is a critical aspect of revenue cycle management. Failing to adhere to these rules can lead to penalties and fines, further straining a hospital's resources.

Rural Hospital Closures: A Growing Concern

The vulnerability of small and rural hospitals is evident in the alarming number of closures in recent years. According to data from the Chartis Center for Rural Health, since 2010, 141 rural hospitals have closed their doors in the United States and another 453 are vulnerable to closure. These closures and “at-risk” hospitals have left millions of rural residents without nearby access to critical healthcare services and millions more at risk of losing their essential healthcare services.

This trend is concerning. It highlights the precarious financial situation faced by these institutions and underscores the importance of effective revenue cycle management.

Rural-health-limited-resourcesThe Lifesaving Role of Revenue Cycle Teams

Revenue cycle teams in small and rural hospitals work tirelessly to ensure the financial viability of these institutions. Their efforts directly impact a hospital's ability to stay open and continue serving the community. Here's how the work of revenue cycle teams contribute to the mission of helping to save lives:

  1. Sustaining Access to Care: Revenue cycle teams help small and rural hospitals maintain a stable financial footing, ensuring that these facilities remain open. This, in turn, ensures that residents in these underserved areas have access to essential healthcare services, including emergency care, maternity services, and chronic disease management.
  2. Preventing Healthcare Deserts: When a rural hospital closes, it can create a healthcare desert, leaving residents with long travel times to reach the nearest medical facility. Revenue cycle teams play a pivotal role in preventing such closures, thus safeguarding the health and well-being of the community.
  3. Enhancing Quality of Care: By optimizing revenue collection and financial operations, revenue cycle teams enable hospitals to invest in modern medical equipment, hire skilled healthcare professionals, and offer a broader range of services. This leads to improved patient outcomes and an overall enhancement in the quality of care.


Small and rural hospitals are invaluable assets to their communities, providing vital healthcare services to residents who would otherwise face significant barriers to access. However, these hospitals face unique challenges that threaten their sustainability. Effective revenue cycle management is key for these institutions to ensure they can continue to operate and serve their communities.

The closure of rural hospitals in recent years is a stark reminder of the financial fragility faced by these healthcare facilities. Revenue cycle teams, through their diligence and expertise, are playing a crucial role in saving lives by keeping rural hospitals open. Their efforts not only sustain access to care but also contribute to the overall health and well-being of underserved communities. As we recognize the critical importance of revenue cycle management, we must support and acknowledge the vital work of these teams in preserving the lifeline of small and rural hospitals.

If you are part of a revenue cycle team in a rural hospital. We want to take this opportunity to thank you for everything you do. Working in the back-office doesn’t always have the glamour and glitz of the frontlines, but it’s just as important in ensuring that rural communities can continue to offer quality healthcare.

OS inc., celebrates all the individuals who work in the revenue cycle at small and rural hospitals. Thank you for your service, you are appreciated and valued.

Here are some links to different events and resources aligned with 2023’s National Rural Health Day:





Do not forget to subscribe to Revenue Cycle Matters for healthcare billing best practices and industry tips!

Subscribe to Healthcare Revenue Cycle Blog