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Behavioral Health Integration in Primary Care: The Value & Revenue Opportunities

Primary care providers are inundated with patients who need behavioral health care – find out how you can efficiently integrate behavioral health into your practice and create an additional revenue stream in the process.

eBook: Behavioral Health Integration in Primary Care: The Value & Revenue Opportunities

Primary care providers are on the front lines of recognizing and treating the behavioral health crisis in our country. In fact, one study found that approximately 58% of office visits for mental health concerns occur in a primary care office.  

“Behavioral Health Integration” (BHI) is a medical billing term that refers to a specific program that reimburses practitioners who provide services associated with delivering integrated behavioral health care. Medicare began reimbursing BHI codes in 2018 and some private insurers also cover BHI. In 2023, CMS further expanded access to care with a CPT code for BHI services billed by practitioners who are not primary care providers.   

Delivery of integrated behavioral health services can be a significant boon to revenue for a primary care practice while also supporting the move to value-based care. 

Integrated care also holds many benefits for patients, including earlier screening and identification of behavioral health conditions and enhanced patient care coordination among providers – to name just a few. 

But there’s a lot to sort out. 

Whether deciphering CMS requirements or understanding billing requirements for CPT code 99484 or HCPCS code G0323, you’ll need a firm grasp on BHI billing codes to realize the revenue benefits and prepare for the practical considerations for the time and tools required for day-to-day execution of addressing behavioral issues effectively. 

That’s why we’ve created this guide. We help you understand the broader context of integrated behavioral health to inform your delivery, along with specifics on BHI billing codes and advice for using tools for tracking and informing the treatment plans for behavioral health conditions. 

Learn more about how to start a BHI program – which patients qualify, requirements for care, BHI billing guidelines and more. We answer these critical questions:   

  • What are the goals of integrated behavioral health care?   

  • How can PCPs effectively implement the integrated primary care behavioral health model? 

  • How do integrated behavioral health services support the transition to value-based care? 

  • What is the difference between integrated care and collaborative care?  

  • What are the opportunities for reimbursement? 

  • What are the requirements for CPT Codes for Behavioral Health Integration?   

  • What does the new collaborative care billing code for shorter consultations entail?  

  • What does the CPT Code 99484 mean for your bottom line? 

  • How can technology support BHI delivery? 

Download our e-Book to understand the benefits of BHI and get concrete steps for smooth implementation.   

Download the eBook