
Health Tech Nerds Radio From AI scribing to clinical intelligence: how Abridge is expanding its role across the clinical encounter | Shiv Rao
Apr 21, 2026
Shiv Rao, cardiologist and CEO/Co‑founder of Abridge, builds AI scribing and clinical intelligence tools. He outlines a pre/during/post visit framework that brings evidence from JAMA and NEJM into care. Conversation highlights a cardiology case changing a stress test choice, reframing decision support into contextual clinical intelligence, and collapsing workflows like CDI and prior authorization.
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Product Built Around Full Visit Lifecycle
- Abridge frames product around pre-visit, during-visit, and post-visit workflows to maximize clinical impact.
- Shiv Rao describes prepping charts Sunday night replaced by contextualized evidence from NEJM/JAMA before visits and conversational context after visits.
Cardiology Case Where AI Suggested Different Stress Test
- Shiv shared a cardiology case where Abridge suggested switching a nuclear stress test to a PET (MIBI) based on patient context.
- The clinician could tap to view the supporting NEJM/up-to-date evidence and then auto-adjust orders and documentation.
Clinical Intelligence Replaces Pop Up Alerts
- Abridge reframes old rule‑based clinical decision support as 'clinical intelligence' that runs contextually in the background.
- They use clinician-built rubrics, adversarial testing, and safety checks to avoid pop-up fatigue and wrong research surfacing.

