BHI Toolkit - Coding and payment

Tags: TAFP Behavioral Health Integration Toolkit, coding and payment

Behavioral Health Integration Toolkit

Coding and payment

How to get paid for what you do.



> Medicare Learning Network Booklet: Behavioral health Integration Services

This guide from CMS describes the necessary collaborative care team members and services required for primary care physicians to bill using the Psychiatric Collaborative Care CPT codes.

> Medicare payment for Behavioral Health Integration

The New England Journal of Medicine published this whitepaper in 2017, highlighting services billed using the Psychiatric Collaborative Care model. Learn how CMS pays for behavioral health integration services. Subscription or purchase may be required.

> Webinar – Value-Based Payments and Behavioral Health: Results of a Nationwide Environmental Scan

The National Council for Behavioral Health, in partnership with the Center for Health Care Strategies, held a webinar in the spring of 2019 where they discussed the results of an environmental scan they conducted of value-based payment models for behavioral health services. This webinar reports on the findings with the lead authors and a panel of leaders from within the health care delivery system.

> Collaborative mental health care for pediatric behavior disorders in primary care: Does it reduce mental health care costs?

The American Psychological Association provides analysis on a study examining whether a doctor-office collaborative care model leads to lower costs of mental health services for children. Subscription or purchase may be required.


Integrated care payment tools

> SAMHSA-HRSA financing tools

The Substance Abuse and Mental Health Services Administration and the Health Resources and Services Administration Center for Integrated Health Solutions provide you with financing mechanisms, structures, and infrastructure.

> Financial modeling workbook

In an effort to help organizations understand the ongoing costs and revenues associated with integrated strategies, the AIMS Center, in collaboration with the American Psychiatric Association, created this financial modeling workbook. The workbook can help you more accurately estimate revenues and expenses for providing collaborative care and other integrated services.