decisionhealth Newsletters, Part B News - 2018 Issue 6 (June)
Integrate behavioral health services, gain dollars: 5 tips for success
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Article Overview
This article explains Medicare behavioral health integration services and why they are becoming more relevant for primary care and specialty practices. It summarizes CMS guidance, compares major code categories used for collaborative care and general behavioral health care management, and discusses the operational and billing considerations practices should understand before adopting these services.
Why This Topic Matters
Behavioral health integration can expand access to care while creating new billing opportunities, but it also requires correct reporting and coordination between related service types. The article is useful for practices evaluating whether to add these services and for billing staff who need to understand the current CMS framework.
Article Sections
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Background on behavioral health integration
Introduces the CMS-driven growth of behavioral health integration and the broader context for its adoption in medical practices.
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Collaborative care and general behavioral health care management
Reviews the main BHI service categories discussed in the article and the practical differences in how practices approach them.
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5 reporting tips for BHI services
Outlines general reporting considerations for behavioral health integration services, including patient eligibility, initiating visits, coordination with other care management services, staffing, and timing of claims.
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Resources
Lists CMS resource documents related to behavioral health integration.
What You Will Learn
- How CMS has framed behavioral health integration services for Medicare practices
- What broad categories of BHI-related services are discussed in the article
- What operational and documentation topics affect BHI reporting
- How BHI services relate to other care management workflows
- What CMS resource materials are referenced for further review
Who Should Read This
- Primary care practices
- Specialty practices
- Medical coders
- Billing staff
- Practice managers
- Care coordinators
Codes Discussed
Code Ranges Discussed
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