Required service elements for the general BHI service:
- Chronic Care Management (CCM)
- Principal Care Management (Specialty Care) (PCM)
- Behavioral Health Integration (BHI)
- Wellness Visits / Health Risk Assessments (AWV, IPPE, HRA)
- Transitional Care Management (TCM)
- Remote Patient Monitoring (RPM)
- General Care Management (GCM)
- Utilize CareVitality’s platform and care team
- Utilize CareVitality’s platform and your care team as well as ours
- Utilize your own platform & CareVitality’s care team
- License CareVitality’s platform
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What Are the Behavioral Health Integration CPT Codes?
- Initial assessment or follow-up monitoring, including the use of applicable validated rating scales;
- Behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes;
- Facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation.
Provides patients with a psychiatric or behavioral health condition(s) the following services:
- Behavioral Health Care Assessment
- Behavioral Health Care Planning
- Provision of Interventions
BHI Code cover:
CPT 99484 covers 20 minutes of “care management services for behavioral health conditions” per month. The care management services under CPT 99484 can be performed under general supervision by clinical staff off-site.
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Benefits of Behavioral Health Integration
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Additional FAQs for Integrated Behavioral Health Services
What are the goals of integrated behavioral healthcare?
There are several goals of integrative behavioral healthcare:
- Shorten time to comprehensively care for the patient
- Provide additional support for patients to improve their health outcomes
- Provide care to behavioral issues that will impact their physical health outcomes
- Decrease the cost for patients to help obtain improved health outcomes
- Help address the mental health provider shortage by expanding access to care
- Address social determinants of health that can effect your health outcomes
What does integrated mean in mental health?
Integrated mental health means an attempt to combine behavioral health services when needed with primary care and/ or specialty care services to comprehensively help the patient in an ambulatory or inpatient setting.
Why is integrated behavioral health important?
Integrated behavioral health addresses the patients well being since a healthy mind as well as a body are important to achieving positive health outcomes since your behavioral health can effect your physical health.
Integrated behavioral health expands access to care, cuts the cost for care, shortens the time someone needs to receive care, helps address the mental health shortage and helps and most importantly improves the overall health outcomes since behavioral health can impact physical health which provides comprehensive care for the patient.
What is the difference between mental health and behavioral health?
Behavioral health includes mental health. Behavioral health relates to how your mind, body and spirit effects your behavior which in turn affects your physical and mental health.
What are examples of behavioral health conditions?
Behavioral health conditions include eating disorders, ADHD, Autism, Asperger’s syndrome and a wide array of addictions such as: sex, gambling, shopping, drugs and alcohol. These conditions stem from a pattern of destructive behavior that can last several months or longer.
Behavioral health services may help a patient overcome these behaviors.
What are mental health conditions?
Mental health conditions are disorders that affect how a person handles stress, relates to others, thinks or acts.
Why are mental health issues not all behavioral health conditions?
A behavioral health condition is affected by the outside world or sociological factors. Whereas, a mental illness has internal physiological or psychological factors as the dominant reason for these issues.
What are essential elements of integrated care?
Key elements for providing successful integrated care is to have the health care entities commitment with a designated leadership team and team members with processes put in place to achieve successful team based outcomes.
What are the advantages of integrating mental health care into primary care settings?
Integrating mental health care into primary care allows a patient to be treated as the whole patient when needed.
What is the difference between integrative and integrated health?
Integrative care combines treatments between medical and behavioral health providers and care teams in a team based approach to help the whole patient.
Which is the most important reason that mental health care services should be integrated?
Integrating behavioral health care with primary care allows for better overall health outcomes in a shorter period of time.
How will the integration of primary care and behavioral health services improve outcomes for mentally health patients?
Allowing a primary care provider to have the support of a psychiatrist to consult with and behavioral health therapists to help improve the patients mental health helps improve care at the time it is discovered with the primary care provider and allows them to better help their patients and the care management team to support them to bill for behavioral health integration services gives the patient the additional support/ coaching they need to help them stay on track and help improve their mental health. Therefore, patients do not have to wait weeks or months to start receiving support with their mental health issues and can start receiving care at the time this illness presents. This can effectively improve the outcomes for the patient in a much shorter time than since there is a mental health professional shortage, too.
What are other names for integrated behavioral health?
Integrated behavioral health care is commonly referred to as “behavioral health integration,” “BHI”, “collaborative care,” “integrated care” or “primary care behavioral health.”