AUDIT MANAGER+

Frequently Asked Questions

The most common questions healthcare leaders and auditing professionals ask when evaluating medical auditing software

Product Overview

What is Audit Manager+?

Audit Manager+ is Healthicity’s healthcare auditing platform that centralizes audit planning, documentation, scoring, reporting, education, corrective action, trends analysis, and QA validation. 

What makes Audit Manager+ different from other auditing platforms?

Audit Manager+ fully automates the audit lifecycle, provides multi-level insights (from line-item scoring to enterprise roll-ups), and includes built-in education and corrective action tracking. Unlike many competitors, it supports broad code sets (CPT®, HCPCS, CDT, ICD-10-CM, ICD-10-PCS, Revenue Codes) with advanced reporting and QA validation that scales with program maturity.

Who uses Audit Manager+?
  • Coding auditors 
  • Compliance officers 
  • Revenue integrity teams 
  • Internal audit committees 
  • Provider education teams

Audit Functionality & Customization

Does Audit Manager+ include Quality Assurance workflows?

Yes. Audit Manager+ includes dedicated QA oversight with customizable scoring criteria, self-audit validation, peer comparison, and skill-development feedback loops. 

Can I customize scoring rules, templates, and audit criteria?

Absolutely. Audit Manager+ offers high customization flexibility across scoring rules, audit types, sampling, templates, and dashboards.

What code sets are supported?

Audit Manager+ supports comprehensive code coverage: 

  • CPT® 
  • HCPCS 
  • CDT 
  • ICD-10-CM 
  • ICD-10-PCS 
  • Revenue Codes 
  • Dental codes 
What automation capabilities are included?

The system features high-level automation: 

  • Progress tracking 
  • Auto-assignment of education and re-review 
  • Corrective action tasking 
  • Workflow routing and alerts 
  • Time-saver templating and one-click scoring

Reporting & Outcomes

What kind of reporting does Audit Manager+ provide?

The platform offers multi-layered reporting, including: 

  • Line-level scoring 
  • Provider performance comparisons 
  • Audit trends over time 
  • Individual vs. Multiple auditee reports 
  • Root-cause identification 
  • Enterprise summary and benchmarking dashboards 
  • Reports on multiple separate auditing projects  

 Reports can be exported for leadership reviews, payer response, and compliance committee reporting. 

What ROI should we expect from implementing Audit Manager+?

Our clients have seen up to: 

  • 40% efficiency improvement 
  • 10% revenue integrity improvement 
  • Noticeable reductions in manual audit hours and rework cycles 

Compliance

Can it track corrective action and education results?

Yes. Audit Manager+ automatically routes education, flags re-review cases, and tracks follow-up effectiveness to support compliance improvement documentation for auditors and payers.

How does Audit Manager+ support compliance requirements?

The system aligns audit workflows with: 

  • OIG compliance auditing standards 
  • CMS audit documentation expectations 
  • Medicare and commercial payer integrity protocols

Scalability & Implementation

How does Audit Manager+ support enterprise scalability?

Whether auditing 10 or 1,000 encounters, Audit Manager+ handles: 

  • User role permissions 
  • Multi-location roll-ups 
  • Provider benchmarking 
  • Centralized oversight

It can scale from small compliance teams to complex, multi-state healthcare networks. 

Does Audit Manager+ require IT implementation support?

Minimal. Deployment is managed by Healthicity implementation experts and does not typically require deep internal IT resourcing. If you would like to leverage Premium Reporting or Claims Connect, we may need to collaborate with your IT department on setup.

Audit Manager+ vs. Audit Manager Professional

What is the difference between Audit Manager+ and Audit Manager Professional?

Audit Manager+ offers more expansive audit capabilities,  such as the ability to run DRG audits, which is not a current feature available in Audit Manager Professional. Audit Manager+ also allows users to include checklist scoring methodology, single continuous audit worksheet functionality, and the ability to add custom data elements to your auditing guidelines.

Can we use Audit Manager Professional and Audit Manager+ simultaneously?

While Audit Manager Professional and Audit Manager+ can both be used by a client account, audits performed in one platform do not cross over to the other. 

Schedule a custom demo to see how Audit Manager+ can bring consistency, clarity, and confidence to your audit program.