decisionhealth Newsletters, Coder Pink Sheets - 2016 Issue 12 (December)
Behavioral health integration, dementia care will pay in 2017
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Article Overview
This article covers new Medicare physician fee schedule additions related to behavioral health integration and dementia care, with emphasis on the types of services addressed, the care delivery framework referenced for some services, and the providers who may report them. It is relevant to physicians, non-physician practitioners, coding professionals, and practice administrators tracking Medicare billing changes and implementation requirements.
Why This Topic Matters
The article highlights new reimbursement opportunities and documentation considerations tied to Medicare payment policy changes, making it useful for practices evaluating behavioral health integration workflows and dementia assessment billing.
Article Sections
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Behavioral health integration codes debut in 2017
Introduces the new behavioral health integration service codes and the Medicare timing of their availability. It also places the changes in the context of the final physician fee schedule.
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Collaborative Care Model requirements
Discusses the care delivery model referenced for several of the behavioral health integration services and the staffing structure associated with it. The section also addresses general payment context for these services.
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General behavioral health integration service
Covers the separate behavioral health integration service option for practices not using the collaborative model. It describes the broad care management focus of this service category.
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Cognitive and functional assessment for dementia
Describes a dementia-related assessment service and the provider types who may report it. The section also notes documentation and functional evaluation considerations discussed in the article.
What You Will Learn
- How the article frames new Medicare payment options for behavioral health integration
- What general categories of services are included in the new behavioral health and dementia-related offerings
- Which provider groups and care settings are discussed in connection with the new services
- What broader documentation and workflow issues the article says practices may need to consider
Who Should Read This
- Physicians
- Nurse practitioners
- Physician assistants
- Medical coders
- Billing staff
- Practice administrators
- Behavioral health care teams
Codes Discussed
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