Behavioral Health Integration and Psychiatric Collaborative Care Model - New Codes and New reimbursement opportunities from Medicare

Event Information
Product Format
Prerecorded Event
Jill M. Young, CPC, CEDC, CIMC
60 minutes
Product Description

New Behavioral Health Integration (BHI) and CoCM Codes and New Reimbursement Opportunities

The Final Rule for the Medicare Physician Fee Schedule for 2017 established four new Behavioral Health Integration (BHI) codes. Three of these codes fall under the Psychiatric Collaborative Care Model (CoCM). These new codes apply to care management and allow for payment of services provided by many primary care physicians.

Until this year, primary care physicians haven’t been able to bill Medicare for BHI services but the rules have changed and reimbursement for these separately reportable codes opens the door to more primary care physicians offering care management services for eligible beneficiaries.

If this is a service your practice has considered providing but couldn’t because of no reimbursement for the coordination efforts, join Jill M. Young, CPC, CEDC, CIMC, in this informative webinar. Learn about the BHI codes involved and get the insights that will help you change your mind about providing these reimbursed services in 2017.

Session Highlights:

  • Establishing Behavioral Health Integration (BHI) services
  • Details of each code and documentation requirements
  • Types of patients BHI codes are established for
  • When is time overlapping with other Care Management Codes and when is it proper to independently bill for a time period
  • Skills required for Primary Care Physicians providing BHI services
  • Using the 4th new code of BHI services—What other services are covered and who can provide them?
  • Defining the 4 new HCPCS codes
  • Listing of elements of the Psychiatric Collaborative Care codes
  • Defining roles and requirements of practitioners (Primary Care, Behavioral Health Care Manager, Psychiatrist)
  • Calculating time and effort spent on managing care transitions for CCM or TCM
  • Location of fìnal rule for CMS comments on questions submitted

Session Outline:

  • Problems with the current system
  • Improving payment accuracy
  • CMS logic
  • 2017 CMS Medicare changes
    • BHI
    • Psychiatric CoCM
    • Diagnosis
    • Location
  • Episode of care
  • Treating physician
  • Behavioral healthcare manager
  • Psychiatric consultant
  • Nurse practitioners
  • Using registries to track patient outcomes
  • BHI & CoCM supervision
  • Initial visit

Who should attend?

  • Primary Care Providers
  • Office Managers
  • Office Administrators
  • Coders and Billers

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About Our Speaker

Jill M. Young - Pulmonology Guidelines Expert

Jill Young, CPC, CEDC, CIMC, is the Principal of Young Medical Consulting, LLC, A company founded 11 years ago to meet the education and compliance needs of physicians and their staff. Jill has over 30 years of medical experience working in all areas of the medical practice including clinical, billing and rounding with physicians. Her comments and opinions can be seen in several publications and also...   More Info
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