HealthLeaders Media August 7, 2023
Hospitals will be seeing a payment bump for cases that report homelessness.
KEY TAKEAWAYS
– CMS has changed certain SDOH codes from the severity designation of “non-complication or comorbidity” to “complication or comorbidity,” thus increasing their reimbursement rate.
CMS recently released the fiscal year (FY) 2024 Inpatient Prospective Payment System (IPPS) final rule. Along with its yearly payment rate changes, the final rule placed a focus on promoting high-quality care and rewarding hospitals that deliver such care to underserved populations.
Notably, CMS finalized a higher severity level designation for three different social determinants of health (SDOH) codes describing homelessness.
More than 80% of hospitals are collecting data on SDOH—many right through their EHR platform and health information exchanges—yet only half...