Mary Rutan Health has released the results of an independent third-party review of its revenue cycle and billing operations, confirming compliance with healthcare regulations while also identifying opportunities to improve transparency and patient communication.
The review was conducted by RSM US LLP between January and March of this year. According to Mary Rutan Health, the assessment examined the hospital’s revenue cycle process from start to finish, including scheduling, registration, coding, billing, insurance follow-up, patient collections, and overall performance outcomes.
RSM reviewed 184 operational documents, interviewed 21 staff members, analyzed workflows, and audited 400 patient records across hospital and ambulatory services.
“Our review found Mary Rutan Health’s revenue cycle structure, staffing, and processes to be largely consistent with industry best practices,” said Michael Brown, National Director of Revenue Cycle Consulting at RSM. “The organization demonstrates strong operational performance and compliance with healthcare billing regulations. Our recommendations are primarily focused on enhancing transparency, strengthening documentation of payment plan arrangements and supporting operational efficiency.”
Mary Rutan Health President and CEO Chad Ross said the hospital voluntarily requested the review to ensure the community has confidence in its billing practices.
“Transparency, accountability, and integrity are core values of Mary Rutan Health,” Ross said. “We voluntarily engaged RSM to conduct this review because we want our community to have complete confidence in our billing practices. The independent assessment confirmed that billing coding, collections and broader revenue cycle processes are operating effectively and in compliance with applicable regulations. We are committed to continuous improvement and maintaining practices that align with regulatory requirements and industry standards.”
Among the key findings highlighted in the report:
- Strong compliance with federal and state healthcare regulations, including the Affordable Care Act, No Surprises Act, and Ohio consumer protection laws
- Insurance eligibility verification for more than 95 percent of scheduled patients
- Accounts receivable performance within industry standards
- Effective coding compliance and accurate charge capture processes
- A 99 percent clean claim acceptance rate upon submission
- Smooth coordination across revenue cycle departments
The review also noted opportunities to improve communication with patients earlier in the care process regarding financial assistance and payment options.
“As healthcare reimbursement shifts nationwide, patient financial responsibility has increased across the industry. This is a challenge being faced by health systems everywhere, not just at Mary Rutan Health,” Ross said. “Our focus is on ensuring patients clearly understand their options and feel supported every step of the way, with compassion, clarity, and transparency.”
Patients with questions about billing or financial assistance can contact Mary Rutan Health customer service at 844-674-1919.
