To be used in conjunction with the Patient Tracking Spreadsheet.
There are different ways to bill for integrated behavioral health care depending on your model and staffing. This handout gives a brief overview of basic CPT and Medicare billing codes for behavioral health integration and collaborative care.
Remember to check with your state and all payers to determine the necessary qualifications for the designated billing providers. Not all states or payers reimburse for every code.
The Centers for Medicare and Medicaid Services (CMS) published final rules that allow Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) to bill for Behavioral Health Integration services, Chronic Care Managerment, and the Collaborative Care Model.
Last updated: February 7, 2018
This two page cheat sheet summarizes the AMA CPT codes for Behavioral Health Integration services.
The Centers for Medicare and Medicaid Services (CMS) answers frequently asked questions about billing Medicare for care management services in Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs).
The Centers for Medicare and Medicaid Services (CMS) answers frequently asked questions about billing Medicare for behavioral health integration (BHI) services using the four CMS BHI codes.
Registry tools that support Collaborative Care vary widely in their sophistication, functionality, cost, and scalability.
Using a registry tool that tracks clinical outcomes for populations of patients and supports systematic changes in treatment for patients who are not improving as expected is an essential part of successful Collaborative Care programs.
The Care Management Tracking System (CMTS) is a web-based registry that facilitates a shared care plan to collaboratively treat common medical and behavioral health conditions.
After the deaths of her daughter and her husband, Elizabeth struggled with depression for over 20 years but finally found relief.