Audit Manager
From Audit Response to Revenue Integrity
Bring your entire revenue integrity operation into one intelligent platform so you can recover more revenue with less effort.
2,000+
Hospitals supported
Participating eMDR/esMD Vendor
One System. Every Layer of Revenue Integrity.
Our revenue integrity solution provides expert support and intelligent automation at every step.
Monitor
Identify billing and compliance risks before auditors do. Continuous monitoring of facility and physician billing against CMS benchmarks and specialty norms.
Respond
Manage every inbound audit, denial, and documentation request in one place. Automated workflows, payer connectivity, and deadline tracking so nothing falls through the cracks.
Recover
Turn denied claims into recovered revenue. MRO evaluates every denial, and builds the right appeal so your team focuses on care, not paperwork.
We run reports and look to see if a region/procedure is struggling with denials. Then we work on concrete process changes to operations. We are now more efficient using reporting to create corrective action plans.
—Compliance Assistant VP
Proven Results. Measurable Returns.
$187k
Annual Savings
Average 500-bed hospital
300%
ROI over 3 years
3.5-month payback period
80%
Reduction in Time
for processing per audit workflow
1 FTE
Redeployed
per 2,000 audits
Built for Revenue Cycle & Compliance Teams
Audit Manager automates the intake, routing, documentation, and submission process, so your team spends time on decisions, not data entry.
98%
time reduction
Automated Audit Workflows
Electronic intake, auto-populated templates, and batch processing eliminate manual work from audit day one.
70%
faster processing
Clinical Denial Intelligence
Track denial patterns, prioritize the appeals worth fighting, and drive corrective action before the same denials recur.
15%
reduction in A/R days
Seamless Payer Connectivity
Direct integrations with payer portals through our release of information solution. Respond to pre-payment audits in days, not weeks.
Enterprise-Wide Visibility
Centralized views show every open audit, every dollar at risk, every deadline — across your entire organization.
Audit volumes and revenue at risk
Denial trends by payer, procedure, department
One-click drill-down for root cause analysis
Everything You Need in One Platform
- eMDR/esMD electronic receipt
- 835/837 claim data ingestion
- Auto-populated appeal templates
- Batch processing
Denial Analyzer
Appeal the Right Denials
Most teams don’t have the bandwidth to pursue every denial that’s worth fighting. The result is real revenue left on the table, every month.
MRO’s Clinical Appeals solution changes that equation. We evaluate your denials, identify the strongest cases, build the appeal, and manage the submission back to the payer. Your team reviews and approves.
Over
50%
of all denied claims are overturned on appeal.
Our clinical experts
are supported by Collaborative Intelligence™
Our system scores denials at scale and surfaces the strongest arguments — so every decision is fast, informed, and backed by data.
What MRO Does
- Evaluate every denial for appeal strength
- Build the clinical and administrative case for recommended appeals
- Draft appeal letters through a blend of AI and human expertise.
- Submit directly to the payer
- Track outcomes and recovery across all active cases
What You Get
- More recovered revenue with less team effort
- Faster turnaround on every appeal in the queue
- Full transparency and control — nothing submitted without your approval
- Denial pattern data that feeds back into your prevention strategy
- One partner for the full cycle: audit response and appeals, together
Upgrade Your Internal Audit Process
Audit Manager helps you win the audits that are already here. But the strongest revenue integrity programs prevent audits before they occur. MRO’s Internal Audit Monitoring tools give your compliance team continuous visibility into billing risk before a payer ever sends a request.
Institutional Audit Monitor
- Monitor facility billing compliance across your entire enterprise
- Benchmark against CMS standards
- Identify high-risk accounts automatically
- Drive corrective action
Professional Audit Monitor
- Benchmark every physician against specialty peers
- Spot E&M coding outliers
- Compare performance across departments and locations
- Give your compliance team the data to intervene early
Take Control of Your Revenue
Whether you’re drowning in external audits, trying to get ahead of compliance risk, or leaving appeal revenue on the table — MRO has a solution. Let’s find the right starting point for your organization.