On this episode, the panel discusses social determinants of health (SDoH), including its history, when to use different codes, and some sample coding scenarios.

This month's panel includes:

• Jan Milliman, HCS-D, Director, AHCC
• Sherri Parson, RN, HCS-D, HCS-O, HCS-H, COS-C, CEO, Infusion Health
• Kelly Kavanaugh, RN, HCS-D, HCS-H, HCS-O, BCHH-C, Home health and hospice consultant, owner of The OTB Group, Inc.

You can download the show notes for this episode here: https://ahcc.decisionhealth.com/media/1735/ahcc-talk-episode-77-handouts.pdf

Links Mentioned in Episode

Outcome and Assessment Information Set OASIS-E Manual: https://www.cms.gov/files/document/oasis-e-guidance-manual51622.pdf?gclid=1000

Healthy People 2030: https://odphp.health.gov/healthypeople

AHCC Credential Holders Survey: https://www.surveymonkey.com/r/S6R8QYK

Chapters:

(1:30) Intro on social determinants of health

(1:55) Coding and SDoH - what do you need to know to assign SDoH codes?

(2:28) Z55-Z65 socioeconomic and psychosocial circumstances

(4:50) Scenario from February AHCC Talk

(5:35) Answer to scenario

(7:05) When to use Z60.2?

(8:04) What is a social determinant of health (SDoH)?

(8:53) The history of social determinants of care

(10:45) Assistant Secretary reports to Congress

(12:09) Watch out for personal bias!

(14:36) OASIS-E SDoH items

(15:37) Standardization of guidance

(16:27) A1005 Ethnicity

(17:59) Race

(18:37) A1100 Language

(19:32) Coding literacy SDoH codes

(21:13) Health literacy

(22:27) Impact of health literacy

(24:08) Transportation

(26:17) Assigning Z59.82 Transportation Insecurity

(27:45) Social Isolation D0700

(28:59) Coding Social Isolation

(29:57) Next Steps

(32:34) Scenario Spotlight: OASIS Practice Scenario (tune in next month for the answer!)

(34:45) Resources

(35:26) AHCC Member Discount: Save 20% on the ICD-10-CM Coding Companion

(36:08) What's new with AHCC: AHCC Credential Holders Survey