decisionhealth Newsletters, Part B News - 2016 Issue 11 (November)
Behavioral health integration, dementia care will pay in 2017
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Article Overview
This article reviews 2017 Medicare physician fee schedule changes affecting behavioral health integration and dementia care. It is aimed at physicians, care managers, coders, and revenue cycle staff who need to understand the new service categories, general billing framework, and CMS-related updates discussed in the final rule.
Why This Topic Matters
The article helps readers track new Medicare-reimbursable care management opportunities and understand the broad documentation and operational themes associated with them.
Article Sections
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Care management
Introduces the 2017 Medicare payment changes tied to behavioral health integration and care management services. It frames the new service types and their general reimbursement context.
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You’ll find a general BHI service too
Summarizes the general behavioral health integration service option available for practices not using the more structured model. It contrasts the general service with the other behavioral health integration offerings.
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Note changes to the BHI codes
Reviews updates CMS made to the behavioral health integration service requirements and billing-related elements. It covers operational and staffing-related revisions at a high level.
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Get paid for cognitive, functional assessment
Discusses the dementia-related assessment service and its place in the 2017 Medicare payment update. It also notes who may report the service and the general documentation focus.
What You Will Learn
- How the 2017 Medicare fee schedule affected behavioral health integration services
- What broad categories of behavioral health integration services were introduced
- What CMS updated in the service and billing framework for these services
- How the dementia-related cognitive assessment service fits into the 2017 changes
- Which types of clinicians were discussed as potential reporters of the services
Who Should Read This
- Physicians
- Primary care practices
- Behavioral health care managers
- Medical coders
- Billing staff
- Revenue cycle teams
- Non-physician practitioners
Codes Discussed
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