04/01/26

Synergy of diagnosis coding between administrative claims and electronic health records of large patient populations across multiple healthcare organizations.

Xiong, Minqi Christelle; Pittell, Harlan; Kitchen, Christopher; Lasser, Elyse C; Kharrazi, Hadi. JAMIA Open.

Summary

Accurate diagnosis records are essential for research, billing, and patient care. This study compared diagnostic data in insurance claims and electronic health records for the same patients. Diagnostic information was often inconsistent across sources, and electronic records missed nearly half of all diagnoses, highlighting the need for better data completeness to support population health efforts.

Xiong MC, Pittell H, Kitchen C, et al. Synergy of diagnosis coding between administrative claims and electronic health records of large patient populations across multiple healthcare organizations. JAMIA Open. 2026;9(2):ooag030.