Audit with confidence. Protect revenuebefore it's at risk.
Audit Manager+ brings audit workflows, documentation review, and reporting into one platform, so your team catches issues early, standardizes every review, and turns findings into action.
65+
Pre-Built Checklists
4
Major Code Sets
1
Unified Workflow
Book Your Demo
See Audit Manager+ in action. A 30-minute walkthrough of how your team can standardize audits, reduce denials, and surface risk before it moves downstream.
No obligation · 30-second form · Your data stays private
The Platform
Your entire audit operation, in one view
Work queues, pending reports, unprocessed files, and assignments, every auditor sees exactly what needs attention next.
The Problem
Manual audit workflows create inconsistency, missed issues, and revenue leakage
Every auditor does it differently
When reviews rely on personal interpretation rather than standard frameworks, findings vary from auditor to auditor. That inconsistency creates provider pushback, low credibility in appeals, and compliance exposure that compounds over time.
Issues surface too late
Coding errors, documentation gaps, and billing mistakes are far more costly to fix after submission. By the time a denial lands, the rework and the revenue impact have already started.
No clear picture of where risk lives
A final audit score with no context doesn't tell you why an issue happened or where to focus education. Without trend data tied to specific code sets, providers, or departments, your team is correcting problems instead of preventing them.
What Audit Manager+ Does
Real audit workflows, built for how healthcare teams actually work
Catch issues before they cost you
Review claims prospectively before submission to catch coding and documentation problems before they become denials, rebills, or lost revenue.
Standardize every review
Build reusable audit guidelines with configurable checklists, scoring rules, and QA criteria aligned to your standards. Every auditor follows the same process, every time.
Audit provider and coder activity together
Run simultaneous audits on provider and coder activity in a single workflow, with no switching between tools or reconciling separate reviews.
Turn findings into trend data
Data-element reporting captures findings at the claim-detail level, surfacing modifier misuse, MDM documentation gaps, under- and over-coding trends, and risk areas most likely to draw external scrutiny.
65+ pre-built checklists, ready to use
Checklists for E/M visits, procedures, ICD-10, and more come pre-loaded and trigger automatically based on procedure code. Build custom checklists for code sets with unique requirements.
One platform for every code set
Professional and outpatient (CPT), HCPCS Level II, inpatient (DRG), dental (CDT), HCC risk adjustment, and behavioral health, all in one audit environment that adapts to the code set, not the other way around.
Standardized Checklists
Every check, built in and documented
Configurable audit elements, element types, and supporting text mean every reviewer evaluates the same way. Checklists trigger automatically by procedure code, and findings are captured with the regulation and the reason behind each result.
65+ pre-built checklists across E/M, procedures, ICD-10, and more
Yes/No, date, number, and picklist element types for precise capture
Supporting text ties every finding back to the specific regulation
How It Works
One structured framework. From setup to findings.
Configure it once, then run consistent, defensible audits across every claim type your organization touches.
01
Set up an audit guideline
Configure a reusable template defining claim type, data fields, who is audited, and how scoring and checklists behave. Set it up once, use it repeatedly.
02
Select data elements and assign metrics
Choose the fields to review, CPT, diagnosis codes, modifiers, place of service, and more. Assign metrics that govern how errors are tracked, scored, and reported.
03
Run the audit
The worksheet surfaces all configured data elements, auto-triggers relevant checklists based on procedure codes, and applies scoring rules in real time as findings are selected.
04
Review findings and report
Results roll up into an Audit Summary with metric errors, checklist details, and data element results by source, giving leaders a clear, defensible picture of where risk lives.
What It Covers
Every major code set. One audit platform.
Each code set is updated on its own cycle, so your audits reflect the current rules without manual maintenance.
CPT / Professional & Outpatient
MDM checklists, time-based billing logic, and documentation gap flagging, updated each cycle to reflect revised E/M codes and new CPT additions.
HCPCS Level II
Drug J codes, wound management A codes, compression wraps, urinary catheters, and more, refreshed quarterly alongside CMS releases.
Hospital Inpatient (DRG)
DRG-based templates with admitting diagnosis, principal DX with present-on-admission indicators, CC/MCC, severity of illness, and ICD-10-PCS codes.
Dental & Specialty
CDT codes with oral cavity, quadrant, tooth number, and tooth surface fields, plus specialty templates for HCC risk, behavioral health, and compliance walk-throughs.
The Difference
What makes Audit Manager+ different
01
Findings that explain themselves
Instead of a final score with no context, Audit Manager+ captures the why behind every result, supporting internal education, payer response, and audit defensibility.
02
Consistency regardless of who runs the audit
Audit guidelines and embedded checklists mean every reviewer follows the same standard. No more interpretive variance between auditors, which means fewer provider disputes and stronger appeal positions.
03
Prospective reviews, not just retrospective corrections
Most audit tools catch problems after submission. Audit Manager+ is built to catch coding and documentation issues before claims go out, reducing denials and the rework that follows.
04
From findings to education
Real-time dashboards surface training needs tied to specific code sets, departments, and providers, so your education program targets actual gaps, not assumptions.
05
One platform for every claim type
Professional, facility, dental, inpatient, Audit Manager+ handles every claim type your organization touches without separate tools or rebuilding your workflow when the code landscape shifts.
06
Built for teams, not solo auditors
Shared visibility across auditors, coders, and QA leaders means faster follow-up, clearer ownership, and audit activity that actually drives improvement.
Who It's For
Built for the people accountable for audit outcomes
Audit Directors & Managers
"How do I know if my auditors are scoring encounters the same way?"
Configurable guidelines and standardized checklists mean every auditor follows the same framework, reducing variability and giving you consistent, defensible results across your entire team.
Revenue Cycle & Revenue Integrity
"We are losing revenue to denials we should be catching before submission."
Prospective claim reviews let your team flag coding and documentation issues before claims go out, stopping revenue leakage before it starts.
Risk Management & Compliance
"We need audit findings we can actually defend in a payer review."
Audit Manager+ captures findings at the data-element level with scoring logic tied to national standards, so you have the documentation and the methodology to back up every result.
Directors of Quality & Training
"Our education program is not targeted enough to change behavior."
Trend reporting surfaces modifier misuse, MDM documentation gaps, and under-coding patterns by provider and department, so your training addresses actual findings, not generic topics.
Stop chasing audit issues.Start preventing them.
See how Audit Manager+ helps your team standardize reviews, catch issues earlier, and turn findings into action.
