The new intelligence capability expands Abridge’s platform approach to bring context of clinical conversations through to the submitted claim, helping CDI and coding teams verify inpatient diagnoses and DRGs before billing.
SAN FRANCISCO–(BUSINESS WIRE)–Abridge announced today the next extension of its clinician intelligence platform: a pre-bill review capability designed specifically for clinical documentation integrity (CDI), coding, and revenue cycle teams. Built on the same platform and clinical record already used at the point of care, it reviews inpatient claims before submission for reimbursement. It compares the final coded diagnoses and diagnosis related group (DRG) against what the clinical documentation actually supports and shows the evidence behind every discrepancy, so teams can resolve discrepancies while the claim is still in their hands before they become denials or require retrospective review. Abridge doesn’t change documentation, codes, or claim status—CDI teams maintain control over what to hold, correct, or release.
“Health systems aren’t reimbursed for the care that they deliver. They’re reimbursed for the care they document that they delivered,” said Dr. Shiv Rao, CEO and Co-Founder of Abridge. “We’ve been working on that gap directly at the point of care—surfacing diagnoses as the note is written, raising the question before anyone has left the room. But weeks and a dozen hands separate the encounter from the claim, and detail fades at every step. In June, we described a platform that carries clinical context into every decision a health system makes. When a clinician and a CDI specialist are working from the same record, the claim ends up matching what actually happened.”
A New Checkpoint on the Same Platform, Grounded in the Encounter
Between the moments care is delivered and the moment a claim goes out, a case passes through documentation, coding, and review. Most pre-bill tools start from the completed chart and work backward through documentation that has already been signed. The resulting work often prompts questions that are returned to clinicians for resolution. When a query arrives weeks after discharge, a clinician is asked to reconstruct critical details from memory and amend an already completed record.
Because Abridge captures the record as the clinical interactions happen, it already knows what was said, what the clinician documented, and what carried through to discharge. Extending that same platform into pre-bill review allows Abridge to compare the clinical record with the diagnoses and DRG on the claim and show where they do not align. CDI and coding teams can then determine before submission whether the coded record accurately reflects the documented complexity of care.
“Our partnership with Abridge started with documentation and has kept growing because each step earned the next one,” said Muhammad Siddiqui, Chief Digital and Information Officer at Reid Health, a not-for-profit health system serving east central Indiana and west central Ohio. “It’s in the ED and urgent care, with our nurses and medical assistants in ambulatory. What makes their pre-bill work compelling is that it doesn’t ask us to stand up a separate system with its own view of the patient. It runs on the same record our clinicians are already creating. We’re looking forward to rolling this out to our CDI and coding teams.”
Every discrepancy is paired with the documentation behind it and reviewed as part of the health system’s existing query process. The capability also helps teams assess whether a condition was present on admission (POA), a determination that affects hospital-acquired condition (HAC) reporting and publicly reported quality scores.
“From a CFO and revenue cycle perspective, getting the claim right the first time matters enormously. An inaccurate claim creates far more than a denial—it creates rework, delays cash, consumes scarce clinical and administrative resources, and adds unnecessary cost,” said Sharon Kelley, former health system Revenue Cycle Chair and CFO, and advisor to Abridge. “What is particularly compelling about Abridge’s approach is the ability to carry intelligence from the clinical conversation through pre-bill review, creating a more connected process that can strengthen both documentation integrity and reimbursement accuracy.”
Pre-bill review will be the first Abridge product built for the mid-revenue cycle and one of a growing set of capabilities that follow a case from clinical conversations to the submitted claim. Each works with the same record, from bedside to bill, so a clinician documenting a case and a coder reviewing it are working with the same intelligence.
About Abridge
Founded in 2018, Abridge is the first AI-native clinician intelligence platform organized around the patient, built for clinicians, and designed to help health systems coordinate the clinical, financial, and evidence-based decisions for every moment of care. Powered by purpose-built AI for healthcare, Abridge connects patients, providers, payers, and life sciences companies. This year, the platform will support more than 100 million patient-clinician conversations across more than 300 of the largest and most complex health systems in the U.S. With deep workflow integration, the Abridge clinician intelligence platform has been validated to support encounters in 28+ languages across specialties and care settings.
Abridge is setting the industry standard for the responsible deployment of AI across health systems with continual and transparent AI evaluation. Clinical decision support references and cites gold-standard sources of evidence, and features like Linked Evidence map AI-generated documentation to source data, helping clinicians quickly trust and verify the output.
Abridge was awarded Best in KLAS for Ambient AI in 2025 and 2026, in addition to other accolades, including TIME Best Inventions of 2024 and 2025, CNBC Disruptor 2025, and Fast Company’s Most Innovative Companies 2025.
Contacts
Katie Jennings, External Communications Lead
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