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Behavioral Health Integration (BHI)

Simple software solutions to help your practice manage Medicare's new BHI Program (99484)

Manage these BHI Conditions in ThoroughCare
  • Depression
  • Anxiety
  • Alcohol abuse
  • Substance Abuse
  • Mood Disorders

1 in 5 of your patients may have at least ONE of these conditions.

 

What is General BHI?

General BHI, billed through CPT code 99484 is a monthly service furnished using BHI models of care that include “core” service elements such as systematic assessment and monitoring, care plan revision for patients whose condition is not improving adequately, and a continuous relationship with a designated care team member. Unlike the Psychiatric Collaborative Care Model, the General BHI model of care does not involve a psychiatric consultant, nor a designated behavioral health care manager (although such personnel may furnish General BHI services).

General BHI Service Components Include:

  • Initial assessment
  • Initiating visit (if required, separately billed)
  • Administration of applicable validated rating scale(s)
  • Systematic assessment and monitoring, using applicable validated clinical rating scales
  • Care planning by the primary care team jointly with the beneficiary, with care plan revision for patients whose condition is not improving
  • Facilitation and coordination of behavioral health treatment
  • Continuous relationship with a designated member of the care team  
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BHI Software Features Designed with clinicians in mind

Find out why practices everywhere can now run this program in-house with your existing staff.

  • Your own secure, HIPAA-compliant software portal
  • Unlimited users and patients
  • Live BHI Dashboard with real-time stats
  • Patient-centered BHI Care Plan
  • Screening Assessments that score automatically using clinical-validated programs
  • Instant scores to justify participation
  • Generates unique patient printable reports
  • Tech Support via email and phone
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INTEGRATING BHI

Integrating behavioral health care with primary care (“behavioral health integration” or “BHI”) is now widely considered an effective strategy for improving outcomes for the millions of Americans with mental or behavioral health conditions. As of January 1, 2017, Medicare makes separate payments to physicians and non-physician practitioners for BHI services they furnish to beneficiaries over a calendar month service period.

ELIGIBLE CONDITIONS

Eligible conditions include any mental, behavioral health, or psychiatric condition being treated by the billing practitioner, including substance use disorders, that, in the clinical judgment of the billing practitioner, warrants BHI services. The diagnosis or diagnoses could be either pre-existing or made by the billing practitioner and may be refined over time.

REVENUE FROM BHI

This program can be leveraged in combination with other high value Medicare preventative, wellness and care coordination programs, and will reimburse doctors, on average, $48 per patient per month for 20 minutes of non-face-to-face care management services.  The average single-doctor practice can generate between $6500 and $7000 per month through this initiative

Behavioral Health Facts

  • Behavioral health conditions are extremely common, affecting nearly one of five Americans and leading to health care costs of $57 billion a year, which is on par with cancer.
  • Recent data indicates that 20.4 percent of adults aged 65 and older show signs of a mental disorder
  • Depression and alcohol abuse are common among Medicare beneficiaries, which often complicates the management of any chronic diseases, while Psychiatric and substance abuse disorders are the second leading cause of hospital readmissions nationally
  • Due to preexisting physical conditions, elderly adults are more likely to seek treatment from primary care physicians, rather than specialty mental care settings, and thus approximately two-thirds of Medicare patients with a behavioral health disorder do not receive treatment

20.4 percent of adults aged 65 and older show signs of a mental disorder

Learn more about the BHI Program

These documents outline specific details about the program.  

View BHI Guidelines from CMS

View BHI FAQ From Medicare 

 

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“ThoroughCare is by far the most user friendly software application that captures all ingredients of Chronic Care Management. We see this as a great value for our enrolled patients. ThoroughCare has made this seemingly complicated task very easy for patients and providers alike.”

Eugene Sangmuah, MD
Matthews Internal Medicine, Matthews NC

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