AI Clinical Documentation Integrity

AI Clinical Documentation Integrity (CDI) products leverage artificial intelligence to review and evaluate clinical documentation in support of appropriate patient care, billing, and compliance with regulatory requirements. 

These solutions can operate at the point of care, ensuring the documentation reflects the patient-clinician conversation and available clinical data, and supports the assigned medical codes. They can also operate post-encounter, between the medical coding and billing steps, to review the documentation against what has been coded and surface suggestions for revenue and quality opportunities. Many of these solutions include built-in functionality to suggest potential diagnoses that may have been missed based on information in the patient record.

While similar in concept to risk adjustment solutions, AI CDI products are predominantly used in a fee-for-service context to ensure more accurate and complete billing and improve care quality.

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AKASA Coding logo
AKASA
Claimed

AKASA Coding

Company Info
Founded: 2018
Headcount: 201-500
Customers
Verified Customers: 1
Customers Served: Hospital / Health System
Product Overview
Security and Compliance Certifications: HITRUST CSF, HIPAA, SOC 2 Type 2
AKASA Coding leverages generative AI and large language models fine-tuned on health system-specific data to automate and enhance medical coding and CDI processes. It reviews clinical documentation, suggests appropriate codes, provides justifications and direct evidence for recommendations, and flags missed revenue or quality opportunities. The platform is tailored to each client's workflows, boosting coder productivity, accuracy, and revenue capture while reducing administrative costs and error rates. It blends machine learning with expert-in-the-loop mechanisms for exception handling and continuous improvement.
Ambience CDI logo
Ambience Healthcare
Claimed

Ambience CDI

Company Info
Founded: 2020
Headcount: 11-50
Customers
Customers Served: Ambulatory Practice, Hospital / Health System
Product Overview
Security and Compliance Certifications: GDPR, HIPAA
Ambience CDI (integrated with Ambience Scribe) automatically generates comprehensive medical notes and coding suggestions from patient encounters for provider review and EHR entry. It supports customized documentation workflows for over 80 specialties and subspecialties, ensures compliance with coding and billing requirements, and offers real-time, integrated scribing and CDI assistance. The solution reduces clinician administrative workload, improves documentation quality, and optimizes revenue cycle processes.
MarianaAI logo
MarianaAI
Claimed

MarianaAI

Company Info
Founded: 2023
Headcount: 11-50
Customers
Customers Served: Digital Health Provider, Hospital / Health System, Ambulatory Practice
Product Overview
Security and Compliance Certifications: HIPAA, SOC 2 Type 1
MarianaAI's CARE platform automates clinical workflows with AI tools like the AI Medical Scribe, which transcribes multi-lingual medical encounters in real-time and generates clinical notes and codes. The platform also creates detailed Patient Portraits, summarizes patient histories to improve care and optimize HCC/RAF scores, and automates medical coding. Additionally, it auto-drafts responses and triaging messages for patient communication.
Regard logo
Regard
Claimed

Regard

Company Info
Founded: 2017
Headcount: 51-200
Customers
Verified Customers: 10
Customers Served: Ambulatory Practice, Hospital / Health System
Product Overview
Security and Compliance Certifications: HIPAA, SOC 2 Type 2
Regard Health provides a clinical insights platform that leverages AI to synthesize all available patient data within an EHR, surfacing relevant insights, recommending both acute and chronic diagnoses, and suggesting care plans. The platform functions as an AI co-pilot, assisting clinicians by aggregating vast quantities of structured and unstructured data, identifying potential safety concerns and missed diagnoses, and enabling accurate, auditable documentation. Regard integrates directly with major EHRs, streamlining workflows and reducing documentation time, while improving diagnostic specificity and enhancing hospital revenue through better coding and billing documentation.
SmarterDx SmarterPrebill logo
SmarterDx
Claimed

SmarterDx SmarterPrebill

Company Info
Founded: 2020
Headcount: 51-200
Customers
Verified Customers: 12
Customers Served: Hospital / Health System
Product Overview
Security and Compliance Certifications: HIPAA, SOC 2 Type 2
SmarterPrebill by SmarterDx is an AI-driven solution that analyzes hospital patient records in the prebill phase to identify opportunities for coding and documentation improvements. It uses over 800 proprietary clinical algorithms to review provider notes, lab results, medications, orders, vitals, and radiology/pathology studies to ensure accurate billing and quality reporting. The system presents actionable recommendations with supporting clinical evidence, allowing CDI teams to validate findings before submission.
Abridge logo
Abridge

Abridge

Company Info
Founded: 2018
Headcount: 51-200
Customers
Verified Customers: 21
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System
Product Overview
Security and Compliance Certifications: HIPAA
Abridge is an AI-based healthcare tool designed to streamline the documentation process in medical settings. Its core feature is the ability to accurately convert patient-clinician dialogues into structured, comprehensive clinical notes in real-time. These notes are integrated into EHR systems, facilitating more efficient and precise medical record-keeping. Abridge uses machine learning to create these notes and summaries of medical appointments, emphasizing crucial information such as follow-up steps and medication instructions. Abridge has both as a patient-facing application and a provider-facing application for recording medical interactions, and can be used with an iPhone, iPad, on Android devices, and on Windows devices.
Accuity logo
Accuity

Accuity

Company Info
Founded: 2016
Headcount: 501-1000
Customers
Customers Served: Hospital / Health System
Product Overview
Security and Compliance Certifications: HIPAA, HITRUST R2
Accuity is a CDI solution that combines physician-led reviews with technology to enhance the accuracy and compliance of hospital documentation. This pre-bill review system helps health systems capture more accurate diagnoses and procedures, leading to optimized reimbursements and improved clinical outcomes. Accuity's solution also includes analytics-driven tools for identifying documentation gaps, peer-to-peer education for clinicians, and management of clinical denials.
AGS CDI logo
AGS Health

AGS CDI

Company Info
Founded: 2011
Headcount: 10000+
Customers
Verified Customers: 1
Customers Served: Hospital / Health System
Product Overview
AGS CDI (Computer-Assisted Clinical Documentation Improvement) by AGS Health utilizes AI to enhance the accuracy and efficiency of clinical documentation. It automatically analyzes patient charts, suggests query improvements, and provides real-time alerts for quality measures. The platform supports collaboration across coding, HIM, clinical, and CDI teams, aiming to improve data quality, compliance, and revenue. Key features include intelligent worklists, automatic query suggestions, and actionable CDI reporting.
Company Info
Founded: 2018
Headcount: 201-500
Customers
Customers Served: Hospital / Health System, Ambulatory Practice
Product Overview
Security and Compliance Certifications: HIPAA, SOC 2 Type 2
AKASA CDI Optimizer is a generative AI-powered tool designed to support Clinical Documentation Integrity (CDI) teams in reviewing and enhancing inpatient documentation. It automatically analyzes 100% of inpatient encounters post-discharge and prebill by synthesizing clinical data such as vitals, labs, medications, and physician notes. The platform surfaces high-impact cases for CDI teams to review, validates potential documentation gaps with clear evidence, and supports seamless collaboration between CDI and coding teams.
Brellium logo
Brellium

Brellium

Company Info
Founded: 2021
Headcount: 11-50
Customers
Verified Customers: 7
Customers Served: Ambulatory Practice, Digital Health Provider, Hospital / Health System
Product Overview
Security and Compliance Certifications: HIPAA, SOC 2 Type 1
Brellium automates the medical chart review process. It audits clinical documentation and billing notes according to custom criteria, identifying discrepancies, errors, and gaps. The platform connects with EHR systems to provide real-time reporting, helps improve documentation quality, and allows for same-day billing validation. It is designed to reduce the workload on CDI teams, enhancing accuracy and efficiency in auditing thousands of charts.
Charta Health logo
Limo Health

Charta Health

Company Info
Founded: 2021
Headcount: 11-50
Customers
Customers Served: Hospital / Health System, Ambulatory Practice, Digital Health Provider
Product Overview
Security and Compliance Certifications: GDPR, HIPAA, SOC 2 Type 2
Charta provides an AI-driven platform that conducts autonomous pre-bill reviews of medical charts to identify revenue opportunities and coding errors. By integrating with existing electronic health record (EHR) systems, it aims to enhance revenue integrity, prevent claim denials, and ensure compliance with billing standards. The platform claims to increase relative value units (RVUs) per patient by up to 15.2% and reduce auditing costs by 98.2% compared to manual processes.
EnjoinCDI logo
Enjoin

EnjoinCDI

Company Info
Founded: 2011
Headcount: 51-200
Customers
Verified Customers: 1
Customers Served: Hospital / Health System, Ambulatory Practice
Product Overview
EnjoinCDI is a clinical documentation integrity (CDI) program designed to improve documentation accuracy, optimize coding, and support value-based care. Unlike technology-driven CDI solutions, Enjoin takes a physician-led, education-focused approach with tailored programs, frequent record reviews, and peer-to-peer physician education. The program emphasizes revenue protection, denial prevention, and alignment with quality measures through data-driven performance monitoring.
Evidently CDI logo
Evidently

Evidently CDI

Company Info
Founded: 2020
Headcount: 11-50
Customers
Customers Served: Hospital / Health System
Product Overview
Security and Compliance Certifications: HIPAA
Evidently CDI integrates with EHRs to improve documentation of patient care, improving data accuracy for clinical, administrative, and regulatory purposes. By ensuring that patient records are precise and up-to-date, Evidently’s CDI solution helps healthcare providers improve patient care, support compliance with industry standards, and optimize reimbursement processes.
HorusCDI logo
Horus Health

HorusCDI

Company Info
Founded: 2024
Headcount: 1-10
Customers
Customers Served: Hospital / Health System, Ambulatory Practice
Product Overview
Security and Compliance Certifications: HIPAA
HorusCDI is a GenAI-powered clinical documentation integrity (CDI) platform that automates the review of clinical documentation and streamlines CDI and billing audit workflows. It identifies documentation gaps, suggests improvements, generates AI-driven CDI queries, and provides real-time tracking of physician responses. The platform includes tools for physician education, documentation quality metrics, and revenue impact analysis. It also analyzes payer contracts to ensure CDI efforts align with reimbursement requirements, helping healthcare organizations maximize revenue integrity and operational efficiency.
Iodine AwareCDI logo
Iodine Software

Iodine AwareCDI

Company Info
Founded: 2010
Headcount: 201-500
Customers
Customers Served: Ambulatory Practice, Hospital / Health System
Product Overview
Iodine AwareCDI enhances clinical documentation from admission through post-billing review by identifying missing elements in patient documentation based on clinical evidence, improving documentation integrity and revenue capture. The product prioritizes cases for review, increases query and response rates, spots gaps in patient documentation, reduces denials, predicts final discharge DRGs, minimizes audit risk, automates the query process, and identifies coding opportunities.
Iodine AwarePreBill logo
Iodine Software

Iodine AwarePreBill

Company Info
Founded: 2010
Headcount: 201-500
Customers
Customers Served: Hospital / Health System, Ambulatory Practice
Product Overview
Security and Compliance Certifications: HITRUST CSF, HIPAA, SOC 2 Type 2
Iodine AwarePreBill is an AI-powered solution that targets revenue leakage in the post-discharge, pre-bill phase of the revenue cycle. It uses Iodine’s proprietary CognitiveML™ platform to identify high-value inpatient records with potential documentation or coding issues that could impact reimbursement. The system prioritizes these cases for second-level CDI reviews, ensuring accurate DRGs and ICD-10 codes before claims are submitted. AwarePreBill also incorporates generative AI to streamline physician queries and improve response rates.
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John Snow Labs

Martlet.ai

Company Info
Founded: 2015
Headcount: 51-200
Customers
Customers Served: Hospital / Health System, Ambulatory Practice
Product Overview
Security and Compliance Certifications: HIPAA
Martlet.ai is an AI-powered platform focused on real-time HCC coding and risk adjustment for providers, payers, and auditors. It integrates directly with EHRs to offer smart, in-the-moment prompts during patient encounters, using large language models to extract structured HCC codes from unstructured clinical notes. The system supports audit readiness with validated documentation, and is deployable on-premise to meet strict HIPAA compliance requirements.
Phare Health logo
Phare Health

Phare Health

Company Info
Founded: 2023
Headcount: 1-10
Customers
Customers Served: Hospital / Health System
Product Overview
Security and Compliance Certifications: HIPAA
Phare Health develops AI tools to automate administrative tasks and improving coding accuracy within inpatient settings. Their solutions identify missed revenue, suggest coding improvements, and automate routine coding processes using end-to-end deep learning. Their product helps identify coding improvement opportunities to coders as well as automates coding for simpler encounters.
Company Info
Founded: 2023
Headcount: 11-50
Customers
Customers Served: Hospital / Health System, Ambulatory Practice
Product Overview
Security and Compliance Certifications: HIPAA
RapidCDI by RapidClaims is an AI-powered clinical documentation improvement (CDI) and risk adjustment platform designed to support value-based care. It captures and codes patient complexity at the point of care using natural language processing and machine learning, improving Hierarchical Condition Category (HCC) coding accuracy and Risk Adjustment Factor (RAF) scores. RapidCDI integrates with major EHRs to provide real-time coding suggestions, quality measure tracking (e.g., HEDIS, STAR), and gap closure support, reducing clinician burden while enhancing compliance.
Company Info
Founded: 2023
Headcount: 11-50
Customers
Customers Served: Hospital / Health System, Ambulatory Practice
Product Overview
Security and Compliance Certifications: HIPAA
RapidScrub by RapidClaims is an AI-based pre-submission claim scrubber designed to prevent denials and optimize billing accuracy. It leverages a continuously updated library of over 119 million payer-specific edits to identify issues such as coding errors, missing data, and eligibility mismatches before claims are submitted. The platform includes analytics dashboards, real-time claim validation, and integration with major EHR and PM systems to support high-volume processing and improve first-pass yield.
Semantic Health logo
Semantic Health

Semantic Health

Company Info
Founded: 2019
Headcount: 11-50
Customers
Verified Customers: 1
Customers Served: Hospital / Health System
Product Overview
Security and Compliance Certifications: HIPAA, SOC 2 Type 2
Semantic Health offers an AI-driven platform designed for real-time medical coding, auditing, and clinical documentation improvement (CDI). It performs pre-bill audits, reviewing 100% of coded charts to detect errors and identify revenue opportunities with minimal workflow disruption. The platform integrates with major EHR systems and provides insights for various healthcare providers, including acute care and pediatric hospitals.
Company Info
Founded: 1902
Headcount: 10000+
Customers
Customers Served: Hospital / Health System
Product Overview
Security and Compliance Certifications: HIPAA
Solventum Revenue Integrity is designed to manage and prevent claim denials by analyzing clinical, coding, and payment data. Utilizing machine learning models, it predicts potential denials and provides real-time insights and recommendations throughout the patient journey. The system enhances reporting by linking clinical activities to payment outcomes and integrates workflow with denial risk alerts, guiding revenue cycle staff for timely interventions to prevent denials.
Streamline Evaluator logo
Streamline Health

Streamline Evaluator

Company Info
Founded: 1989
Customers
Verified Customers: 2
Product Overview
Security and Compliance Certifications: HIPAA, SOC 2 Type 2
Streamline Health eValuator is a cloud-based platform for automated pre-bill coding analysis, designed to optimize revenue integrity by identifying and correcting coding and charge accuracy issues before billing. It analyzes every inpatient, outpatient, and pro-fee case in real time, utilizing AI and custom rule sets to detect under-coding and over-coding. The platform integrates easily with EMR systems and provides detailed, actionable insights to reduce compliance risks and enhance financial performance.