decisionhealth Newsletters, Part B News - 2021 Issue 6 (June)
BHI class of 2018 codes show growth, but with denial teething pains
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Article Overview
This article examines the early Medicare experience with behavioral health integration and care management coding after the 2018 rollout of newer codes. It focuses on claim volume trends, denial-rate patterns, and the broader push toward behavioral health and care management services in Medicare. The piece is useful for coding professionals, reimbursement staff, and practices tracking adoption and denial trends for these services.
Why This Topic Matters
It helps readers understand how Medicare utilization patterns changed after a major behavioral health coding update and why denial trends may matter for practices following these services.
Article Sections
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Overview of Medicare behavioral health coding trends
Introduces the article’s focus on Medicare behavioral health integration and care management coding, along with early uptake patterns and denial trends.
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2018 code transition and early utilization
Summarizes the move from earlier behavioral health codes to newer Medicare billing codes and describes initial adoption patterns in the first years of use.
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Claim volume and denial-rate comparison
Reviews year-to-year comparisons in claims and denials for the behavioral health and care management services discussed in the article.
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Top behavioral health and care management codes, 2018-2019, with denial rates
Presents the article’s chart-based summary of Medicare claims data and denial-rate patterns for the services covered.
What You Will Learn
- How Medicare behavioral health integration and care management coding has been trending
- What the article says about claim volume changes over time
- How denial-rate patterns are being tracked for these services
- Why adoption of these codes is important for Medicare-focused practices
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle professionals
- Compliance staff
- Practice administrators
- Behavioral health providers
Codes Discussed
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