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SDOH Coding Services
Annova Solutions offers SDOH (Social Determinants of Health) Coding Services to both providers and payers. SDOH data enables health organizations to measure risk factors and develop customized programs to help mitigate risks, enhance care coordination, and strengthen health equity, as well as population health management. As a result, care delivery is made more equitable and patient-focused while tackling the prevailing gaps in healthcare.
Who We Serve
At Annova Solutions, we serve a diverse range of healthcare organizations, each with unique needs:
Health Plans
We help payers optimize risk adjustment, improve data accuracy, and streamline operations for better financial outcomes.
Providers
We support providers in enhancing care quality, ensuring compliance, and improving revenue cycle performance.
Accountable Care Organizations (ACOs)
We empower ACOs to close care gaps, boost patient engagement, and achieve value-based care goals.
Benefits of SDOH Coding Services
Improves Patient Outcomes
An important element to identify and intervene on social risk factors, including housing instability, food insecurity, and transportation-related barriers, to help attain better health in total.
Increases Reimbursement Opportunities
Providing healthcare providers an opportunity to capture the proper amount of risk-adjusted payments and qualify for value-based care incentives.
Data-Driven Decision Making
Provides actionable insights into trends in population health-against which healthcare organizations are better positioned to develop targeted interventions.
Support to ensure regulatory
Compliance and reporting under federal and state reporting mandates and CMS and Medicaid initiatives regarding health equity.
Streamlined Care Coordination
The coordination with health care providers, social workers, and community-based organizations can link patients to relevant resources.
Decreased Healthcare Expenses
Social determinants responsible for chronic conditions could be reduced with the help of this care to decrease readmissions in hospitals and emergency visits.
It encourages proactive management
of health through better recognition and consideration of non-medical factors affecting the well-being of the patient.
Support health equity initiatives
Through identification and improvement of disparities in service delivery to underserved populations for access to fair and equitable distribution of health care services.
Comprehensive Services
SDOH Data Capture
Systematically capture SDOH relevant material to improve patient outcomes.
Risk Factor Identification
Identify social factors and environmental factors that affect the health status of patients.
Patient Questionnaire Implementation
Administer tailored questionnaires and obtain critical SDOH information.
Holistic Patient Interviews
Conduct in-depth interviews to understand the socio – economic challenges on top of the care provided.
Tailored Documentation Recommendations
Recommendations on coding schemes for appropriate documentation to improve accuracy.
Health Disparity Mitigation
Reduce disparities through the consideration of SDOH data in care planning.
Population Health Insights
Use analytics to improve the health of the community.
Supporting Services
Clinical Documentation Improvement
Increase the precision with which SDOH data is collected to enhance patient care.
Training and Education
Train staff within the healthcare system on how to comprehensively capture and address SDOH.
Support for Regulatory Compliance
Maintain compliance with changing SDOHs coding and reporting requirements.
Data Analytics and Reporting
Use actionable information to monitor and make decisions.
Care Coordination Tools
Strengthen communication between providers as it relates to the social determinant of health.
Member Engagement Approaches
Create specific outreach strategies to reach and assist vulnerable populations.
Technology Integration Services
Support the proper capture of SDOH data in electronic health records.
FAQs
Coding using SDOH enables healthcare organizations to accurately identify and deal with social factors that affect patients’ health and leads to positive results, decreased readmission rates, and improved care management. Furthermore, accurate SDOH documentation enhances the efficiency of value-based care models, risk adjustment, and regulatory compliance.
Coding of SDOH enables the healthcare services providers to classify social risk factors which have an impact on patients and enhances risk adjustment accuracy and reimbursement efficiency. Many value based care and Medicaid initiatives acknowledge SDOH related diagnoses, which enables providers to receive more for addressing determinants of health.
Owing to their relevance in compliance regulations and quality reporting, SDOH services are essential within the sector even though they cannot be compulsory. SDOH is encouraged by organizations such as The Joint Commission and CMS to be integrated into patient care, particularly in models where providers are reimbursed based on quality rather than quantity. SDOH assessment is required by some states and payers as a prerequisite for payment, and tackling these issues can enable some population health objectives to be achieved and sanctions to be avoided.
The ICD-10-CM Z-codes that are related to SDOH are located in categories Z55-Z65. These categories cover various factors. The codes will assist providers to document social risks affecting health outcomes and can, in some health care programs, support reimbursement.
SDOH services can add value to value-based care by focusing on social and economic factors that can influence health outcomes, thereby facilitating better patient engagement and lower costs of healthcare. Healthcare providers will be able to:
- Improve care coordination and preventive health measures
- Reduce hospital readmissions and emergency visits
- Enhance patient adherence to treatment plans
- Support risk stratification for targeted interventions
- Optimize reimbursement and incentives under value-based payment models
Focusing attention on social determinants will also allow providers the opportunity to develop better health equity, improved patient satisfaction, and greater overall care delivery efficiency.