PRIMARY CARE TEAM TOOLKITS
Sustainability
SUSTAINABILITY TOOLKITS
Primary care team toolkits designed to help you sustain behavioral health care in a primary care practice.
Billing and Coding
The Practice and Billing Toolkit: Tools for Successful Implementation of CoCM Model
American Psychiatric Association
This toolkit is a compilation of sample tools and resources from pioneer practices who have implemented the Collaborative Care Model (CoCM) and are billing for services delivered in the model.
Behavioral Health Integration Compendium, Chapter 11: Financial Sustainability, Billing and Coding
AMA BHI Collaborative
This Compendium has been developed by the Behavioral Health Integration (BHI) Collaborative, led by several of the nation’s leading physician organizations, as a tool for physicians and their practices to learn about and implement behavioral health integration (BHI) in order to achieve the goal of optimal, whole-person care.
Basic Coding for Integrated Behavioral Health
AIMS Center
Fact sheet listing all the basic codes for BHI/Collaborative Care Model billed under the Treating Medical Provider, CPT psychotherapy codes for clinically licensed BH Providers, CPT codes for the Psychiatric providers, and more.
Zero Suicide Coding Tip Sheet
Educational Development Center, SPRC
Tip sheet describing behavioral health screening codes with details and conditions for each.
Practical Billing Strategies for the Collaborative Care Model
AMA, BHI Collaborative
This webinar shows a deeper dive into effective billing and coding strategies specific to the Collaborative Care Model (CoCM). Coding experts detail the requirements for the CoCM codes and discuss how to ensure practices can use them as well as other fee-for-service codes efficiently and effectively through the use of clinical case examples.
Behavioral Health Billing and Coding 101: How to Get Paid
AMA, BHI Collaborative
In this webinar, physician experts discuss how to bill and get paid for behavioral health care services. This webinar highlights how the provision of these services is a valuable use of physician time and effort and will provide a broad introduction to behavioral health billing and coding. Physicians are provided with both accurate and actionable information and real-world examples.
Planning for Sustainability
Financial Modeling Workbook
AIMS Center
The Workbook helps organizations model and estimate revenue and expenses for providing integrated behavioral health services by modeling how much time staff engage in key integrated care tasks, estimating visit volume, provider capacity, and potential caseload size; and estimating fee-for-service and BHI/CoCM potential revenues.
How to Sustain Behavioral Health Care in Primary Care Practice
AMA BHI Collaborative
This article shares key strategies for projecting initial financial investments, along with ways practices can review, report and track the overall financial value that behavioral health integration can bring.
Working Toward Financial Sustainability of Integrated Behavioral Health Services in a Public Health Care System
NIH
This article describes a process by which a pilot demonstration project is being implemented to demonstrate programmatic outcomes with a focus on the following: 1) clinician efficiency, 2) improved health outcomes, and 3) direct revenue generation associated with the inclusion of integrated primary care in a public health care system.
Fostering Effective Health Plan-Physician Partnerships
AMA, BHI Collaborative
In this pre-recorded Overcoming Obstacles BHI webinar, experts from Blue Cross Blue Shield of Michigan and IHA, a member of Trinity Health, share their experience working together to launch and maintain a successful BHI program. Hear about the key operational factors that make a payer-partner relationship advantageous for both parties and how they could be potentially duplicated in other markets across the country.
Billing, Workflow, and Administrative Tools for Successful Implementation of the Collaborative Care Model
American Psychiatric Society
This webinar provides practical information on how to overcome common barriers to practice transformation and sustainability including: Collaborative Care Model billing requirements, Documentation, and Clinical workflow challenges.
Integrated Care Sustainability: National Trends and Best Practices
National Council for Behavioral Health
This presentation talks about the state of mental health today, co-morbidity of mental disorders and other chronic conditions, as well as the economic impact of integrated care and cost vs revenues comparison.
Financing and Sustainability Strategies for Behavioral Health Integration
AIMS Center
A resource sharing multiple strategies for financing and sustaining behavioral health care in a primary care setting.
Demonstrating Value and ROI
ROI and Business Evidence for Integrating Behavioral Health Into Primary Care Settings
ABHIN, Roger Kathol and Steve Melek
Virtual Presentation by Roger Kathol of Cartesian Solutions & Steve Melek of Milliman describing ROI and business evidence for integrating behavioral health into primary care settings.
Measuring the Financial Impact of BHI
AMA, BHI Collaborative
This webinar explored how practices can both financially plan for and sustain the integration of behavioral health care in both fee-for-service and value-based care arrangements.
The Value of Integrated Behavioral Health
National Council for Mental Wellbeing
This resource provides organizations with baseline information to help build and strengthen buy-in and to engage key stakeholders including providers, clinical teams, administrators, leadership, public health officials, payers, and others. Organizations can customize this resource to begin to make the business case for integration.
Building the Business Case for Team-Based Integrated Care
AIMS Center
This resource shows how numerous trials and studies have demonstrated that the collaborative care model and other proven integration strategies are cost-effective and can lead to significant savings in healthcare costs.
