Hospitals & Health Systems

Exchange Services

Exchange Connector

Audit Manager

Institutional Audit Monitor

Professional Audit Monitor

Ambulatory and Physicians

Exchange Services

Audit Manager

Polaris MIPS Reporting

Exchange Forms Service

Accountable Care Organizations (ACO) Capabilities


Health Plan Capabilities
With our solution in place, hospitals can respond to audit requests quickly and seamlessly — managing audits through to resolution.

See what Audit Manager can save you.

Protect, defend, and retain your revenue against audits and clinical denials so you can focus on your mission.

Maximizing revenue means ensuring you’re getting the appropriate reimbursement for services provided and maximizing collections.

This requires focus on accurate and complete coding and charge capture to reduce the risk of non-compliance, manage utilization, optimize payment, and minimize the expense of fixing problems downstream.

Eliminate the guessing game and place the who, what, and when of audits at your fingertips. In a single solution, you can track the status and financial impact of every payer-related audit.

  • Improve cross-departmental collaboration
  • Grasp financial impacts across payers
  • Automate manual processes and tasks
  • Track audits’ status and outcomes
  • Boost productivity and efficiency
  • Shorten turnaround times
  • Easily prioritize and track work
  • Meet deadlines and payer contract terms
White Paper: Audit Manager Return on Investment

May 31, 2023

Monitor financial success with business intelligence

Take a more comprehensive view of revenue won, lost, and at risk with Audit Manager. It empowers you with information about performance, risk, and financial impact across all payer audits — all in one efficient, secure solution.

Conduct financial reconciliations, evaluate outcomes, identify risks, and track appeal activity. Trust Audit Manager to expose areas of financial risk and show where you can reduce revenue leakage.

Dig into root-cause analysis across all your systems with reporting and analytics features. Audit Manager provides interoperability where you need it — in electronic health records (EHR) systems, patient financial systems, digital payer communication, and more.

Audit Manager key features

  • Analytics reports provide visibility into the financial impact of audits, error root causes, staff productivity, and duplicate requests across the entire enterprise.
  • Event messaging enables cross-departmental communication and visibility of audit status through the hospital’s patient account system.
  • Exchange Manager integration for claim attachment services to support the audit and appeal process.
  • emDR (electronic medical documentation request) enables electronic receipt of government audit request letters from Medicare contractors and automates audit entries.
  • eSMD instantly transmits records, discussions, and appeal filings to Medicare, Medicaid, and commercial auditors.

“If we didn’t have Audit Manager, we would need to double our staff from 3 FTEs to 6 FTEs.” – Assistant VP, Compliance


“Turnaround time to submit records is much quicker, so payments come in within 10-14 days, 2 weeks faster than before.” – Audit Specialist


HFMA Survey Indicates Executive Concern with Clinically Avoidable Denials

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