Audit Manager

JSON twin: https://www.healthaidb.com/software/audit-manager.json

Company Name

Healthicity

Product URL

https://www.healthicity.com/products/audit-manager

Company URL

https://www.healthicity.com

Categories

• clinical Care
• administrative Operations
• diagnostic Support
• compliance Management
• audit Management
• Clinical
• Administrative
• Diagnostic

Summary

Healthicity's Audit Manager+ is a cloud-based medical auditing software designed to streamline audit workflows, enhance accuracy, and boost compliance in healthcare organizations.

Description

Audit Manager+ centralizes the entire audit process, from setup to reporting, offering customizable templates, real-time reporting, risk adjustment tools, and a built-in E/M calculator. It enables auditing of various claim types, including professional, dental, and facility claims, and supports auditing multiple auditees for the same encounter. The platform provides comprehensive and customizable rule sets, checklists, and suggested codes, along with automated quality assurance features and workflows to ensure quality. It also offers tools to maximize productivity and deliver comprehensive, high-quality audit results.

Api Available

unknown

Certifications

• FDA 510(k)
• CE/MDR
• ONC-ATCB
• ISO 13485
• ISO 9001
• ISO 27001
• ISO 27018
• ISO 22301
• ISO 20000-1
• ISO 14001
• ISO 45001
• ISO 50001
• ISO 31000
• ISO 37001
• ISO 55001
• ISO 56002
• ISO 55002
• ISO 56003
• ISO 56004
• ISO 56005
• ISO 56006

Company Founding

2015

Company Offices

• United States

Compliance

• HIPAA
• HITECH
• SOC 2
• ISO 27001
• GDPR
• ISO 9001
• ISO 27018
• ISO 22301
• ISO 20000-1
• ISO 14001
• ISO 45001
• ISO 50001
• ISO 31000
• ISO 37001
• ISO 55001
• ISO 56002
• ISO 55002
• ISO 56003
• ISO 56004
• ISO 56005
• ISO 56006

Customers

• Medical Practice
• Hospital & Health Care

Data Residency

US-only

Data Standards

• FHIR
• HL7 v2
• DICOM
• SNOMED
• ICD-10
• CPT
• HCPCS
• ICD-9
• Revenue Codes
• Condition Codes

Deployment Model

• SaaS

Features

• Standardized and customizable audit guidelines
• Prebuilt worksheets and workflows for various audit types
• Real-time editing and claim alerts
• Enhanced checklists for commonly audited data elements
• Parallel auditing capabilities for providers and coders
• Customizable scoring rules and metrics
• Multi-level reporting from line items to organization-wide insights
• Quality assurance oversight with skill-based tracking
• Advanced workflow management with at-a-glance dashboards
• Comprehensive code sets including CPT®, HCPCS, ICD-10-CM, ICD-10-PCS, and more
• Automated import of encounters and claims
• Integrated quality review
• Workflow management
• Work plan creation
• Provider and coder reports
• Ad hoc reporting
• Coding education modules
• Competency scoring
• Customizable templates
• Documentation elements

Id

SW1465

Integration Partners

• Modio Health
• SAI360
• MedStack

Integrations

• Epic
• Cerner
• PACS
• Billing Systems
• EHRs
• Practice Management Systems
• Data Analytics Platforms
• Learning Management Systems
• Compliance Management Systems
• Risk Assessment Tools
• Incident Management Systems
• Training Centers
• Medical Record Systems
• Quality Review Systems
• Workflow Management Tools
• Work Plan Creation Tools
• Provider and Coder Reporting Tools
• Ad Hoc Reporting Tools
• Coding Education Modules
• Competency Scoring Tools
• Customizable Template Systems

Languages Supported

• English

Last Updated

2025-10-11

License

commercial

Market Segment

• enterprise
• smb

Optional Modules

• Premium Reporting
• Claims Connect
• Analytics

Os Platforms

• Web

Pricing Details

Contact vendor for pricing information.

Pricing Model

subscription

Privacy Features

• Business Associate Agreement (BAA)
• Consent Management
• Data Anonymization
• Data Minimization
• Data Encryption
• Access Controls
• Data Masking
• Data Segregation
• Data Retention Policies
• Data Disposal Procedures

Product Code

SW1465

Product Name

Audit Manager

Ratings

• 5/5 on G2
• 4.0/5 on Capterra

Regions Available

• United States

Related Urls

• https://elion.health/products/healthicity-audit-manager

Release Year

2015

Security Features

• Encryption
• Role-Based Access Control (RBAC)
• Single Sign-On (SSO)
• Audit Logs
• Two-Factor Authentication (2FA)
• Data Loss Prevention (DLP)
• Secure Data Transmission
• Regular Security Audits
• Compliance with Security Standards
• User Activity Monitoring

Specialties

• Medical Auditing
• Healthcare Compliance
• Revenue Cycle Management

Support Channels

• email
• phone
• chat
• ticketing
• community
• 24x7

System Requirements

Target Users

• auditors
• compliance officers
• healthcare administrators

Training Options

• documentation
• webinars
• live_online
• onsite
• certification

Type

product

User Reviews

• I love the simplicity and the overall design of the program. It is easy to navigate and makes getting audits done 200 times faster and easier. I have trained physicians on this, and they have had excellent and positive feedback.
• We are able to pinpoint issues that the physicians are having & the reports don't lie so the MD's are having to make the correct adjustments. This keeps us compliant with CMS, etc.

Version

1.0

Alternatives

See related products

Canonical JSON

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  "product_name": "Audit Manager",
  "company_name": "Healthicity",
  "product_url": "https://www.healthicity.com/products/audit-manager",
  "company_url": "https://www.healthicity.com",
  "related_urls": [
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  ],
  "product_code": "SW1465",
  "summary": "Healthicity's Audit Manager+ is a cloud-based medical auditing software designed to streamline audit workflows, enhance accuracy, and boost compliance in healthcare organizations.",
  "description": "Audit Manager+ centralizes the entire audit process, from setup to reporting, offering customizable templates, real-time reporting, risk adjustment tools, and a built-in E/M calculator. It enables auditing of various claim types, including professional, dental, and facility claims, and supports auditing multiple auditees for the same encounter. The platform provides comprehensive and customizable rule sets, checklists, and suggested codes, along with automated quality assurance features and workflows to ensure quality. It also offers tools to maximize productivity and deliver comprehensive, high-quality audit results.",
  "categories": [
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    "administrative Operations",
    "diagnostic Support",
    "compliance Management",
    "audit Management",
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    "Administrative",
    "Diagnostic",
    "Compliance Management",
    "Audit Management"
  ],
  "market_segment": [
    "enterprise",
    "smb"
  ],
  "target_users": [
    "auditors",
    "compliance officers",
    "healthcare administrators"
  ],
  "specialties": [
    "Medical Auditing",
    "Healthcare Compliance",
    "Revenue Cycle Management"
  ],
  "regions_available": [
    "United States"
  ],
  "languages_supported": [
    "English"
  ],
  "pricing_model": "subscription",
  "pricing_details": "Contact vendor for pricing information.",
  "license": "commercial",
  "company_offices": [
    "United States"
  ],
  "company_founding": "2015",
  "deployment_model": [
    "SaaS"
  ],
  "os_platforms": [
    "Web"
  ],
  "features": [
    "Standardized and customizable audit guidelines",
    "Prebuilt worksheets and workflows for various audit types",
    "Real-time editing and claim alerts",
    "Enhanced checklists for commonly audited data elements",
    "Parallel auditing capabilities for providers and coders",
    "Customizable scoring rules and metrics",
    "Multi-level reporting from line items to organization-wide insights",
    "Quality assurance oversight with skill-based tracking",
    "Advanced workflow management with at-a-glance dashboards",
    "Comprehensive code sets including CPT®, HCPCS, ICD-10-CM, ICD-10-PCS, and more",
    "Automated import of encounters and claims",
    "Integrated quality review",
    "Workflow management",
    "Work plan creation",
    "Provider and coder reports",
    "Ad hoc reporting",
    "Coding education modules",
    "Competency scoring",
    "Customizable templates",
    "Documentation elements"
  ],
  "optional_modules": [
    "Premium Reporting",
    "Claims Connect",
    "Analytics"
  ],
  "integrations": [
    "Epic",
    "Cerner",
    "PACS",
    "Billing Systems",
    "EHRs",
    "Practice Management Systems",
    "Data Analytics Platforms",
    "Learning Management Systems",
    "Compliance Management Systems",
    "Risk Assessment Tools",
    "Incident Management Systems",
    "Training Centers",
    "Medical Record Systems",
    "Quality Review Systems",
    "Workflow Management Tools",
    "Work Plan Creation Tools",
    "Provider and Coder Reporting Tools",
    "Ad Hoc Reporting Tools",
    "Coding Education Modules",
    "Competency Scoring Tools",
    "Customizable Template Systems"
  ],
  "data_standards": [
    "FHIR",
    "HL7 v2",
    "DICOM",
    "SNOMED",
    "ICD-10",
    "CPT",
    "HCPCS",
    "ICD-9",
    "Revenue Codes",
    "Condition Codes"
  ],
  "api_available": "unknown",
  "system_requirements": "",
  "compliance": [
    "HIPAA",
    "HITECH",
    "SOC 2",
    "ISO 27001",
    "GDPR",
    "ISO 9001",
    "ISO 27018",
    "ISO 22301",
    "ISO 20000-1",
    "ISO 14001",
    "ISO 45001",
    "ISO 50001",
    "ISO 31000",
    "ISO 37001",
    "ISO 55001",
    "ISO 56002",
    "ISO 55002",
    "ISO 56003",
    "ISO 56004",
    "ISO 56005",
    "ISO 56006"
  ],
  "certifications": [
    "FDA 510(k)",
    "CE/MDR",
    "ONC-ATCB",
    "ISO 13485",
    "ISO 9001",
    "ISO 27001",
    "ISO 27018",
    "ISO 22301",
    "ISO 20000-1",
    "ISO 14001",
    "ISO 45001",
    "ISO 50001",
    "ISO 31000",
    "ISO 37001",
    "ISO 55001",
    "ISO 56002",
    "ISO 55002",
    "ISO 56003",
    "ISO 56004",
    "ISO 56005",
    "ISO 56006"
  ],
  "security_features": [
    "Encryption",
    "Role-Based Access Control (RBAC)",
    "Single Sign-On (SSO)",
    "Audit Logs",
    "Two-Factor Authentication (2FA)",
    "Data Loss Prevention (DLP)",
    "Secure Data Transmission",
    "Regular Security Audits",
    "Compliance with Security Standards",
    "User Activity Monitoring"
  ],
  "privacy_features": [
    "Business Associate Agreement (BAA)",
    "Consent Management",
    "Data Anonymization",
    "Data Minimization",
    "Data Encryption",
    "Access Controls",
    "Data Masking",
    "Data Segregation",
    "Data Retention Policies",
    "Data Disposal Procedures"
  ],
  "data_residency": "US-only",
  "customers": [
    "Medical Practice",
    "Hospital & Health Care"
  ],
  "user_reviews": [
    "I love the simplicity and the overall design of the program. It is easy to navigate and makes getting audits done 200 times faster and easier. I have trained physicians on this, and they have had excellent and positive feedback.",
    "We are able to pinpoint issues that the physicians are having & the reports don't lie so the MD's are having to make the correct adjustments. This keeps us compliant with CMS, etc."
  ],
  "ratings": [
    "5/5 on G2",
    "4.0/5 on Capterra"
  ],
  "support_channels": [
    "email",
    "phone",
    "chat",
    "ticketing",
    "community",
    "24x7"
  ],
  "training_options": [
    "documentation",
    "webinars",
    "live_online",
    "onsite",
    "certification"
  ],
  "release_year": "2015",
  "integration_partners": [
    "Modio Health",
    "SAI360",
    "MedStack"
  ],
  "id": "SW1465",
  "slug": "audit-manager",
  "type": "product",
  "version": "1.0",
  "last_updated": "2025-10-11",
  "links_json": {
    "self": "https://www.healthaidb.com/software/audit-manager.json"
  }
}