ArticleHealth services & outcomes research methodology2025
Physician explanation of Z-coded homelessness in medicaid claims.
Article in Health services & outcomes research methodology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
The International Classification of Diseases, 10th Revision (ICD-10) introduced a set of social determinants of health (SDOH) codes including Z59.0, indicating homelessness. Z codes are not widely used, and it is not clear how Z59.0 is used to document homelessness. The goal of this study was to examine patterns of Z59.0 within a linked administrative data set and explore physician explanations for coding prevalence. This study used sequential explanatory mixed methods, first examining claims data from New Jersey Medicaid linked to Homeless Management Information System (HMIS) data for adults aged 18 and older in 19 in 21 counties from 2014 to 2016 (
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