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May 5, 2025 18 mins

In this episode of Leaders in Medical Billing, host Chanie Gluck sits down with Ramesh Gogineni, CEO of Med-Strategies, who shares his entrepreneurial journey from India to the U.S., and how he built a hybrid offshore/onshore medical billing model along the way. 

Formally an engineer with plenty of operations and tech experience, Ramesh’s healthcare career started when he married a physician and decided to set up a company that set up Electronic Health Records (EHRs) and then a billing company. He highlights the challenges of early offshoring, why blending automation with human expertise is critical for success, and the optimal staffing mix for RCM operations today. 

He also offers practical insights on using RPA, AI, and smart vetting processes to drive efficiency while maintaining quality in Revenue Cycle Management. Listen to this episode to hear first-hand experience from someone who has spent decades experimenting with offshoring medical billing. Plus, Ramesh shares what he’s looking forward to in the future of medical billing: improving relationships between payors and providers. 

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