Abridge expands into revenue cycle with AI-powered pre-bill claim review
Abridge is moving into mid-revenue cycle workflows. The company launched a pre-bill review capability designed specifically for clinical documentation integrity, coding and revenue cycle teams.
Abridge, an AI-powered clinical intelligence platform, has expanded into the revenue cycle with a pre-bill claim review capability. This tool analyzes inpatient claims before submission, comparing coded diagnoses and diagnosis-related groups (DRGs) against clinical documentation to identify potential discrepancies. Abridge's platform, which has been built around the clinical conversation, now extends upstream to support visit preparation and downstream into administrative workflows.
CDI and coding teams can review the comparison of the clinical record with the claim to ensure the coded record accurately reflects the documented complexity of care. The company operates with 300 of the largest health systems in the U.S. and supports over 100 million patient-clinician conversations annually. Abridge's CEO and co-founder, Shiv Rao, stated that health systems are reimbursed for the care they document, not the care they deliver, and the pre-bill review tool bridges the gap between clinical documentation and reimbursement accuracy.
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