Diagnosis01
Documented diagnosis not captured
The final discharge assessment explicitly documents an additional diagnosis.
Add the documented diagnosis after coder review.
Demo StudioInpatient / IP-01
CLAIM WORKSPACE
DRG approval mismatch
Patient IP-001 · Inpatient medicine · 10–14 Oct 2026
1Clinical evidence
2Coding suggestions
3Claim validation
4Coder review
ADMISSION10 OctCLINICAL RECORDS14 OctDISCHARGE
Clinical evidence
2 recordsFICTIONAL ENCOUNTER · IP-01
Discharge summary
SYNTHETIC DISCHARGE SUMMARY Admitted: 10 October. Discharged: 14 October. The final documented clinical course supports the illustrative final group B. Demo group names are placeholders, not a validated DRG grouper result.
Synthetic evidence · Demo use only
Illustrative coding rules; not clinical or payer advice.
Review required
0 / 2 reviewedDRG approval02
Approved and billed groups differ
Authorised group A does not match the final illustrative group B.
Raise an approval-revision query with the discharge summary.
Review the diagnosis suggestion first to unlock validation.