Claim. A five-day sepsis admission billed at MS-DRG 871 — severe sepsis with two major complications.
Clinical picture. E. coli bacteremia with vasopressor-dependent shock and acute kidney injury, managed at ICU level of care.
Denial rationale. Anthem downgraded it to DRG 690, calling the hypotension dehydration and the AKI transient — underpaying by $19,370.
Fictitious sample cases for demonstration. Patient, provider, and clinical details are invented; only the payer names are real.
Aegis reads every denial, finds what matters across the record, and builds the right response — so your team recovers more revenue with less work.
Put it to the test
