01 Oct Behavioral Health Integration (BHI)

Improving Whole-Person Care While Unlocking New Revenue Streams

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Why Behavioral Health Integration Matters

Behavioral health is deeply tied to physical health. Patients with untreated mental health conditions often have poorer outcomes, higher hospitalization rates, and increased costs of care. For providers, failing to address behavioral health needs means missed opportunities to improve outcomes and access untapped reimbursement streams.

BHI programs not only enhance patient care but also help practices capture sustainable recurring revenue under CMS guidelines. By embedding behavioral health into primary care workflows, practices can deliver more comprehensive care while reducing fragmentation.

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Financial Benefits of BHI

• Reimbursable Codes: CMS allows recurring payments (up to $48 per patient per month) for ongoing BHI services.
• Increased Patient Engagement: Improved outcomes lead to stronger retention and reduced attrition.
• Value-Based Incentives: Integrating behavioral health boosts performance in MIPS/QPP and VBC contracts.
• Lower Emergency Costs: Early intervention reduces ER visits and hospitalizations, protecting both patients and practice revenue.

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The Risks of Not Implementing BHI

• Lost Reimbursements: Leaving thousands of dollars per year per provider on the table.
• Patient Attrition: Patients increasingly expect holistic care and may leave for providers who offer BHI.
• Worse Outcomes: Untreated behavioral health challenges drive higher chronic disease costs.
• Competitive Disadvantage: Practices without BHI fall behind in value-based performance scoring.

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The RPM Advantage

Remote Practice Managers (RPM) offers a turnkey BHI program that aligns with CMS requirements. We handle:

• Integration of behavioral health services into your EMR workflows.
• Staff training and scripting for behavioral health screenings.
• Coordination between PCPs, behavioral health providers, and care managers.
• Reporting dashboards to track reimbursements and patient outcomes.

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Project Details: Behavioral Health Integration (BHI)

• Project Type: Care Coordination & Reimbursement Program
• Project Requirements: Access to EMR, coordination with PCPs, and ability to document patient consent
• Step-by-Step Process:
  1. Identify eligible patients via EMR & CMS criteria
  2. Train staff on screening tools (PHQ-9, GAD-7, etc.)
  3. Set up workflows for monthly BHI service documentation
  4. Establish referral and care coordination loops
  5. Monitor billing and reimbursement with KPI dashboards
• Timeline: 6–8 weeks for full rollout
• Expected Result: 30–50% increase in AWV-linked behavioral health capture and $40–50 PMPM reimbursement
• Potential Setup Fee: $4,000–$6,000 depending on practice size
• Duration: Ongoing program
• Requires Access to EMR: Yes
• Deliverables: Yes – templates, workflows, dashboards, coding guides
• Requires Ongoing Subscription: Yes – for monitoring, staff support, and optimization

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Move From Reactive Care to Integrated Care

Don’t let behavioral health gaps reduce your patient outcomes or revenue. With RPM’s BHI program, you deliver whole-person care while capturing new recurring reimbursements.

👉 Purchase Behavioral Health Integration (BHI) Below

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