Clinicians and healthcare policymakers are accepting that physical and mental health are closely interconnected. This view is now influencing the aims and focus of value-based care (VBC) through chronic care management (CCM), care coordination, and behavioral health integration (BHI).
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There are several ways that providers, like family medicine and primary care, health systems, and value-based care groups, are leveraging innovative payment arrangements and technologies to provide behavioral health support and treatment.
The combination of a burgeoning senior adult population and an increased prevalence of behavioral health conditions—encompassing mental health and substance use disorders—creates greater risks to elder health and wellness. It also produces an unsustainable burden on Medicare and provider organizations.
Understanding the CPT billing codes for Behavioral Health Integration (BHI) will provide you with a better idea of what is expected, both by the patient and by Medicare.
Chronic Care Management | RHCs / FQHCs | Annual Wellness Visit | Remote Patient Monitoring (RPM) | Principal Care Management | CPT codes | CMS Final Rule | Behavioral Health Integration | Chronic Pain Management (CPM)
The Centers for Medicare & Medicaid Services (CMS) announced key reimbursement rates, additional CPT codes, two program expansions, and an entirely new care management program, effective January 1, 2023.