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Healthicity Audit Manager

by Healthicity
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OVERVIEW

Cloud-based medical auditing software that streamlines audit workflows, management, education, and reporting for healthcare organizations.

Healthicity Audit Manager (also referred to as Audit Manager+) is a comprehensive, cloud-based medical auditing solution designed to simplify medical documentation and coding reviews for healthcare providers and consulting organizations. The platform combines advanced workflow management features with sophisticated auditing tools to streamline the entire audit process and ensure accurate results.

Key Benefits and Capabilities:

  • Efficiency and Revenue: Users can improve auditing efficiency by up to 40%, minimize claim denials, and identify up to 10% in missed revenue.
  • Parallel Auditing: The solution offers unique parallel auditing capabilities, allowing auditors to review a provider and a coder simultaneously within the same encounter.
  • Coding and Compliance: It supports auditing of E/M, CPT®, HCPCs, ICD9, and ICD10 Codes, and includes a built-in E/M calculator for automatic code calculation.
  • Customization: The software features customizable audit templates, checklists, and scoring rules to reflect specific organizational requirements and ensure consistent language across the audit management lifecycle.
  • Oversight and Reporting: A centralized dashboard allows users to track and manage audit projects, view individual assignments, and run multi-level reports that scale from individual line items to organization-wide insights. It also includes QA Oversight features for quality review workflows.
  • Education: The platform integrates training modules to assign courses based on identified deficiencies, enhancing accuracy and efficiency in audits.

Audit Manager is a web-based, easy-to-use solution that centralizes audit workflow, management, education, and reporting into one platform.

RATING & STATS

User Rating
4.4/5.0
34 reviews
Customers
300+
Founded
2015

KEY FEATURES

  • Advanced Audit Workflow Management
  • Parallel Auditing (Provider and Coder)
  • Built-in E/M Calculator
  • Customizable Audit Templates and Checklists
  • Real-Time Reporting and Analytics
  • Real-Time Editing and Claim Alerts
  • QA Oversight and Quality Review Workflow
  • Training Modules/Education Administration

PRICING

Model: enterprise
Pricing is not publicly disclosed; contact the vendor for a quote. The solution is described as having "mid-range pricing" with multi-account discounts available for consulting organizations. Implementation costs are separate.

TECHNICAL DETAILS

Deployment: cloud, saas
Platforms: web

USE CASES

Medical Documentation and Coding ReviewRevenue Recovery and Missed Revenue IdentificationClaim Denial Minimization and Reprocessing PreventionCompliance Program Management (Auditing Component)

INTEGRATIONS

Tableau

COMPLIANCE & SECURITY

Compliance:
SOC2HIPAA

SUPPORT & IMPLEMENTATION

Support: email, phone
Target Company Size: medium, enterprise
TRAINING AVAILABLE

PROS & CONS

✓ Pros:
  • +Highly user-friendly and easy to navigate
  • +Significantly increases auditing efficiency (up to 40%)
  • +Unique parallel auditing of provider and coder simultaneously
  • +Identifies missed revenue and minimizes denials
  • +Comprehensive workflow management and QA oversight
✗ Cons:
  • -Pricing is not publicly disclosed
  • -Limited public reviews specifically for the Audit Manager product
  • -No explicit mention of advanced security features (e.g., SSO, 2FA)

ABOUT HEALTHICITY

BROWSE SOFTWARE IN CODING AUDITING AND COMPLIANCE