Products

Healthicity
Healthicity
Legal, Compliance & Security
An all-in-one Governance, Risk, and Compliance (GRC) and auditing platform for healthcare, focusing on billing integrity and HIPAA compliance.

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About Healthicity

Healthicity is a healthcare technology company dedicated to simplifying the complexities of healthcare compliance and medical auditing for physicians and healthcare organizations. They offer a comprehensive suite of governance, risk management, and compliance (GRC) solutions designed to streamline operations and enhance regulatory adherence. Key offerings include their Compliance Manager and Audit Manager software, which provide customizable workflows, real-time reporting, and tools for managing compliance programs, conducting risk assessments, and efficiently reviewing medical documentation and coding.

For physicians, Healthicity’s solutions aim to alleviate administrative burdens associated with compliance and auditing, allowing for a greater focus on patient care. They also provide specialized education and training services, such as HCC coder training and risk adjustment training, to help medical professionals stay current with evolving regulations and optimize billing processes. By integrating various compliance and auditing functions into user-friendly, web-based platforms, Healthicity helps physician groups, hospitals, and other healthcare entities navigate regulatory challenges, reduce audit risks, and improve overall operational efficiency and financial performance.

Focus Areas

Healthcare compliance medical auditing risk management governance education & training incident management revenue cycle solutions analytics medical coding AI in healthcare compliance

Business Intelligence

Key InvestorsSixSails
PartnershipsAlabama Department of Public Health (ADPH), AAPC (founding organization)
TechnologyCloud-based, web-based solutions, AI-powered conversational prompts (SmartLine), workflow automation, real-time reporting, integrated learning management system (LMS), SOC 2 Type 2® certified, secure AWS environment

What Physicians Need to Know

Healthcare Compliance
Healthicity offers 'Compliance Manager,' a comprehensive Governance, Risk Management, and Compliance (GRC) platform specifically designed for healthcare. It integrates a Learning Management System (LMS), incident management, and HIPAA risk assessments into a single application. The platform centralizes policies, training, audits, and corrective actions across an organization. They also provide 'SmartLine,' an AI-powered compliance hotline for anonymous reporting.
Medical Auditing
Their 'Audit Manager' solution provides total oversight of an entire audit program, designed by auditors for auditors, with advanced customization options and real-time insights. Healthicity also offers expert medical auditing services, including documentation and coding audits, risk adjustment audits (HCC), and underpayment recovery, leveraging a national network of highly trained auditors across various medical specialties.
Risk Management
Healthicity's solutions assist in identifying and assessing healthcare risks, including HIPAA Privacy and Security assessments. They help organizations create automated workplans to address identified vulnerabilities and ensure an effective compliance program.
Governance
The company specializes in designing governance, risk management, and compliance (GRC) solutions for a range of healthcare organizations, including hospitals, health systems, and physician groups. Their '10 Keys of Compliance' framework provides a blueprint for building and maintaining an effective, continuously monitored compliance program.
Education & Training
Healthicity provides extensive education and training services, including HCC coder training for physicians and coders, risk adjustment training, and AAPC-certified education modules. Their Compliance Manager features an integrated LMS to manage multiple training programs and deliver content to relevant audiences.
Incident Management
The Compliance Manager platform offers scalable incident and investigation management capabilities, allowing organizations to capture, track, and document every issue from report through resolution. It includes automated routing, escalation, and audit trails. The AI-powered 'SmartLine' serves as a 24/7 compliance hotline for employees to report concerns.
Revenue Cycle Solutions
Healthicity helps improve revenue cycle efficiency by reducing claims denials, enhancing coding accuracy, and offering services like Charge Description Master (CDM) maintenance and denial appeals. They also discuss AI in healthcare compliance as a means to enhance coding accuracy and speed up workflows, ultimately accelerating the revenue cycle.
Analytics
Their platforms provide real-time reporting and analytics, offering actionable insights into compliance activities, audit results, and risk trends. This data helps organizations identify common trends and errors, and report effectively to leadership and regulators.
Medical Coding
Healthicity offers medical coding services with expert coders across all specialties and provides comprehensive training for coders. They are also at the forefront of integrating AI into healthcare compliance and coding to enhance accuracy and streamline workflows.
AI in Healthcare Compliance
Healthicity leverages AI through its 'SmartLine' compliance hotline, which provides recorded calls and automatically generated transcripts. They are actively exploring and discussing how AI can enhance coding accuracy, speed up workflows, and provide practical use cases in coding, auditing, and clinical documentation.
Physician Tip

For physicians, Healthicity stands out by simplifying the often-complex world of healthcare compliance and auditing. Their 'Compliance Manager' and 'Audit Manager' platforms replace fragmented, manual processes (like spreadsheets) with a unified, user-friendly system, significantly reducing administrative burden. This allows physician groups to efficiently manage their entire compliance program, from employee training and policy adherence to medical chart audits and HIPAA risk assessments, ensuring audit readiness and total oversight of risks. Healthicity's focus on medical coding accuracy, denial appeals, and Charge Description Master (CDM) maintenance directly contributes to revenue optimization and improved cash flow. Furthermore, their expert coders across specialties and tailored training programs ensure that physicians receive relevant and accurate support. By streamlining these critical operations, Healthicity empowers physicians to focus more on patient care and less on regulatory complexities.

Healthicity's platforms offer robust API integration capabilities, supporting connections with various external systems. This includes single sign-on (SSO), HR systems, and Electronic Health Records (EHRs) such as Epic and Cerner, facilitating seamless data exchange and workflow automation.

Products by Healthicity

1 product in the directory

Healthicity
Healthicity
Legal, Compliance & Security
An all-in-one Governance, Risk, and Compliance (GRC) and auditing platform for healthcare, focusing on billing integrity and HIPAA compliance.

What the Web Says

Healthicity offers compliance and auditing software solutions for healthcare organizations, aiming to simplify operations and ensure adherence to regulatory requirements. Their Compliance Manager and Audit Manager products are generally well-received for their ease of use, comprehensive features, and strong customer support. While product reviews are largely positive, employer reviews present a mixed picture regarding company culture and management.

Overall: Mixed

Strengths

  • Easy to use and navigate software
  • Excellent customer support
  • Comprehensive features for compliance and audit management (incident tracking, risk assessments, training, document management)
  • Streamlines compliance processes and saves time
  • Customizable workspace and real-time reporting
  • Supportive team and strong leadership (mentioned in some employer reviews)

Limitations

  • Incident reporting can be challenging to understand or clunky
  • Lack of flexibility in subscription terms and auto-renewal policies
  • User interface can be aggravating at times and reporting tools could be better
  • Some employees report a horrible job culture, lack of support, and frequent changes in commission structure
  • Job security and advancement rated low by some employees
  • System updates require frequent employee training/education, and some staff find it not very user-friendly as an administrator

Based on reviews from: G2, Indeed.com, Capterra

Last updated: 2026-08-12

Videos

News, demos, and interviews about Healthicity.

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Press & Coverage

Compliancy Group
Compliancy Group Acquires Healthicity, Creating the Definitive Platform for Healthcare Compliance and Auditing
Compliancy Group has acquired Healthicity, uniting two prominent names in healthcare compliance and auditing to create a single platform ecosystem for comprehensive compliance programs. This acquisition aims to address the increasing complexity of healthcare regulations and the need for organizations to prove the effectiveness of their compliance efforts.
2026-06
The HIPAA Journal
Compliancy Group Acquires Healthicity - The HIPAA Journal
The HIPAA Journal reported on Compliancy Group's acquisition of Healthicity, highlighting how the deal combines two healthcare compliance software companies to expand Compliancy Group's platform to include a wider range of compliance and auditing capabilities. The combined entity will serve over 3,000 healthcare organizations.
2026-06
Healthicity Blog
Healthicity Joins Compliancy Group
Healthicity announced its acquisition by Compliancy Group, emphasizing that this move will provide Healthicity customers with access to a more complete compliance platform built around the seven OIG elements of an effective compliance program. The existing products and services will continue without disruption.
2026-06
Healthicity Blog
Deeper Than the Headlines: When Compliance Fails: Kickbacks, Gift Cards, and a Costly Conviction
This article from Healthicity's blog discusses a case where compliance failed due to kickbacks and gift cards, leading to a costly conviction. It serves as a cautionary tale for healthcare organizations regarding the importance of robust compliance programs.
2025-10
Healthicity Blog
AI and Compliance: Future-Proofing Your Program
Healthicity's blog explores the increasing integration of AI in healthcare and the accelerating regulatory scrutiny that comes with it, emphasizing the need for organizations to future-proof their compliance programs.
2025-09
Healthicity Blog
5 Ways to Turn Audits Into a Revenue Protection Strategy
This Healthicity blog post outlines five strategies for healthcare organizations to leverage audits not just for compliance, but also as a method for revenue protection.
2025-09
Healthicity Blog
Compliance KPIs Healthcare Organizations Should Be Tracking Right Now
Healthicity's blog provides insights into key performance indicators (KPIs) that healthcare organizations should be tracking to measure compliance effectiveness and strengthen oversight.
2026-06
Healthicity Blog
How AI Is Transforming Healthcare Revenue Cycle Operations
This article from Healthicity's blog discusses the transformative impact of artificial intelligence on healthcare revenue cycle operations, addressing how AI solves problems and where human oversight remains crucial.
2026-06

Frequently Asked Questions

Healthicity provides a comprehensive suite of governance, risk management, and compliance (GRC) solutions, primarily through its Compliance Manager software. This platform integrates risk assessments, incident management, training, and third-party management to help organizations prevent fines and reduce risk.
Healthicity offers Audit Manager+ and Analytics Manager software to streamline medical auditing, identify at-risk providers, and analyze coding patterns against national benchmarks. These tools, along with their auditing and revenue cycle improvement services, help organizations detect underpayments, prevent denials, and optimize cash flow by ensuring accurate coding and documentation.
Healthicity leverages AI in its SmartLine Incident Reporting hotline for real-time, anonymous reporting, auto-transcription, and immediate alerts to enhance efficiency and accuracy. While recognizing AI's potential for enhanced risk assessment and monitoring, Healthicity emphasizes the need for strong safeguards and responsible implementation to maintain regulatory compliance and ethical standards.
Healthicity offers expert-designed compliance training through its integrated Learning Management System, including a Premium Training Center with over 20 courses. They also provide targeted education on board governance and oversight, ensuring that staff and leadership are equipped to meet compliance obligations and prevent errors.
Healthicity offers tiered pricing plans (Foundation, Professional, Enterprise) for its Compliance Manager, with starting prices for smaller organizations at $500/month and $1,450/month, billed annually. Customer support is available Monday through Friday, 7 AM to 5 PM MT, via phone, and through their online support portal which includes FAQs and articles.
Healthicity solutions are managed in a secure AWS environment and undergo annual SOC 2 Type II Audits to protect the confidentiality, integrity, and availability of sensitive data. Their platforms are designed to be HIPAA compliant, incorporating features like HIPAA Privacy and Security risk assessments to help organizations meet regulatory requirements.
Founded in 2015, Healthicity has grown to serve numerous clients, exceeding 20,000 monthly active users, and is part of the Six Sails portfolio of companies. While they offer solutions for 'Tech & Service Providers' acting as business associates, specific named partnerships are not extensively detailed in public information.

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