decisionhealth Newsletters, Coder Pink Sheets - 2024 Issue 9 (September)
Rules & regulations: Commenters ask CMS to expand the SDOH risk assessment
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Article Overview
This piece covers CMS’s request for information on a new social determinants of health assessment service and the stakeholder comments submitted in response. It explains why the topic matters for practices that report the service, particularly those in primary care, behavioral health, pediatrics, and care coordination settings, and it highlights the broad categories of policy issues raised for future rulemaking.
Why This Topic Matters
The article is relevant to practices and coders that may report the social-needs assessment and need to monitor CMS policy changes, companion-service guidance, and payer adoption concerns. It also matters to organizations considering how social risk screening is documented and operationalized across different specialties and patient populations.
What You Will Learn
- What CMS asked stakeholders to comment on regarding the new social-needs assessment service
- What kinds of operational and policy barriers commenters said affect use of the service
- How commenters discussed the service in relation to nursing workflows, technology, pediatrics, and behavioral health
- Why future CMS clarifications and rulemaking could affect reporting practices
Who Should Read This
- Medical coders
- Coding auditors
- Physician practices
- Behavioral health providers
- Pediatric practices
- Compliance staff
- Revenue cycle teams
Codes Discussed
Code Ranges Discussed
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