{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T07:09:06Z","timestamp":1788764946183,"version":"build-2803163510"},"reference-count":16,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T00:00:00Z","timestamp":1788652800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T00:00:00Z","timestamp":1788652800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["shmpublications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Hospital Medicine"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Patients with substance use disorder (SUD) represent a high\u2010complexity, high\u2010cost population on hospital medicine services, yet their admissions are systematically under\u2010reimbursed due to narrow clinical documentation. Increasingly, hospital\u2010based addiction consultation service (ACS) clinicians provide dedicated addiction care to medically complex hospitalized patients. Hospitalizations coded solely for SUD fail to capture clinical complexity and concomitant diagnoses, depressing diagnosis\u2010related group weights and Case Mix Index. We describe three actions for ACS clinicians, hospitalists, and system leaders: (1) document the complete clinical picture, (2) utilize advanced billing mechanisms, and (3) build institutional infrastructure to improve reimbursement to support long\u2010term ACS sustainability.<\/jats:p>","DOI":"10.1002\/jhm.70461","type":"journal-article","created":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T06:38:41Z","timestamp":1788763121000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Improving healthcare value: Optimizing billing and documentation for inpatient addiction consultation services"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-0491-1001","authenticated-orcid":false,"given":"Philip A.","family":"Durney","sequence":"first","affiliation":[{"name":"Department of Medicine, Division of Hospital Medicine Thomas Jefferson University Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nancy","family":"McLaughlin","sequence":"additional","affiliation":[{"name":"Clinical Documentation Improvement Program Thomas Jefferson University Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0584-7783","authenticated-orcid":false,"given":"Susan L.","family":"Calcaterra","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Hospital Medicine University of Colorado Aurora Colorado USA"},{"name":"Department of Medicine, Division of General Internal Medicine University of Colorado Aurora Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,6]]},"reference":[{"issue":"3","key":"e_1_2_9_2_1","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2021.0242","article-title":"Assessment of annual cost of substance use disorder in US hospitals","volume":"4","author":"Peterson C","year":"2021","journal-title":"JAMA Netw Open"},{"issue":"2","key":"e_1_2_9_3_1","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1007\/s11606-023-08356-4","article-title":"Hospital addiction medicine consultation service orders and outcomes by patient race and ethnicity in an urban, Safety\u2010Net hospital","volume":"39","author":"Lindsay AR","year":"2024","journal-title":"J Gen Intern Med"},{"issue":"4","key":"e_1_2_9_4_1","doi-asserted-by":"crossref","first-page":"587","DOI":"10.1016\/j.mcna.2018.03.001","article-title":"Inpatient addiction consult service","volume":"102","author":"Weinstein ZM","year":"2018","journal-title":"Med Clin North Am"},{"issue":"7","key":"e_1_2_9_5_1","doi-asserted-by":"crossref","first-page":"2161","DOI":"10.1007\/s11606-020-05966-0","article-title":"Impact of inpatient addiction consultation on hospital readmission","volume":"36","author":"Wakeman SE","year":"2021","journal-title":"J Gen Intern Med"},{"issue":"8","key":"e_1_2_9_6_1","doi-asserted-by":"crossref","first-page":"909","DOI":"10.1007\/s11606-017-4077-z","article-title":"Inpatient addiction consultation for hospitalized patients increases post\u2010discharge abstinence and reduces addiction severity","volume":"32","author":"Wakeman SE","year":"2017","journal-title":"J Gen Intern Med"},{"issue":"10","key":"e_1_2_9_7_1","doi-asserted-by":"crossref","first-page":"2521","DOI":"10.1007\/s11606-021-07362-8","article-title":"Inpatient addiction medicine consultation service impact on post\u2010discharge patient mortality: a Propensity\u2010Matched analysis","volume":"37","author":"Wilson JD","year":"2022","journal-title":"J Gen Intern Med"},{"key":"e_1_2_9_8_1","unstructured":"Centers for Medicare & Medicaid Services; National Center for Health Statistics.ICD\u201010\u2010CM Official Guidelines for Coding and Reporting: FY 2026 (October 1 2025 to September 30 2026). 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