The field of case management is rapidly evolving as hospital leaders look to case managers to help them meet a host of new regulatory requirements and financial goals. But too often this has put undue pressure on case managers and taken focus off their most important job—coordinating care.
The most important means of identifying and documenting social determinants of health (SDoH) is establishing a strong patient screening program. Recording codes for SDoHs in the medical record can be time-consuming, so streamlining your screening process can make this job less arduous and more accurate.
Behavioral health is a highly specialized area of coding that many coders and billers are unfamiliar with. There are hundreds of ICD-10-CM codes for mental disorders with unique characters to specify symptoms and complications.
Case managers have long faced challenges related to caring for patients who are affected by social determinants of health. These factors have become even more of an issue since the implementation of healthcare reform, with the introduction of accountable care organizations and other innovative projects.
