Psychiatric Collaborative Care Management
Revolutionize psychiatric care by fostering seamless collaboration among healthcare providers, enhancing patient engagement and overall mental health outcomes.
Tap into the Psychiatric CoCM Services to achieve your clinical goals profitably.
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“According to the Centers for Disease Control and Prevention, 22.8% of the U.S. adults experienced mental illness in 2021 (57.8 million people).”
Medicare Psychiatric CoCM Program
CoCM enables a holistic team-based approach to treating common mental health conditions by integrating behavioral health professionals into the care team, while simultaneously increasing the confidence and competence of physical health providers in treating these disorders.
- The program typically is provided by a primary care team consisting of a primary care physician and a care manager who work in collaboration with a psychiatric consultant, such as a psychiatrist.
- Care is directed by the primary care team and includes structured care management with regular assessments of clinical status using validated tools and modification of treatment as appropriate.
- The psychiatric consultant provides regular consultations with the primary care team to review the clinical status and care of patients and to make recommendations.
How Psychiatric CoCM Works:
Medicare CoCM Services for behavioral health conditions include
- The primary care provider determines whether the patient should be enrolled in collaborative care based on behavioral health symptoms, medication needs, or the patient’s level of support.
- The PCP then introduces the patient to the BHCM who will conduct regular, brief interventions with the patients. These interventions include conducting validated assessments like the PHQ-9 for depression or GAD-7 for anxiety as well as evidence-based therapies like cognitive-based therapy (CBT).
- In addition to communicating with the PCP and patient regularly, the BHCM also works with a psychiatric consultant to determine prescription needs and adjust the care plan based on patient outcomes.
- The care manager and psychiatric consult collaborate through a patient registry to effectively manage the patient caseload and monitor the population.
Care Team Members
- Treating (Billing) Practitioner – A physician and/or non-physician practitioner (physician assistant or nurse practitioner); typically primary care, but may be of another specialty (for example, cardiology, oncology)
- Behavioral Health Care Manager – A designated individual with formal education or specialized training in behavioral health (including social work, nursing, or psychology), working under the oversight and direction of the billing practitioner
- Psychiatric Consultant – A medical professional trained in psychiatry and qualified to prescribe the full range of medications
- Beneficiary – The beneficiary is a member of the care team
Why HealthViewX Psychiatric Collaborative Care Management
HealthViewX CoCM enables practices to seamlessly integrate and bill for Psychiatric CoCM program services, all while fostering a collaborative team dynamic focused on enhancing the care of behavioral health patients. We provide both the technological infrastructure and staffing solutions to enable healthcare providers to effectively implement CMS' Psychiatric CoCM on a large scale. This collaborative, team-based approach to care alleviates staff workload, ensures patients can receive care within clinical settings, and delivers demonstrable positive clinical results.
HealthViewX empowers care teams to deliver assessments and treatment remotely to a much larger population and personalize care plans based on patient engagement and scores. Psychiatric Collaborative Care made easy!
Key Features:
Our easy to use software helps provider organizations grow their revenues through Psychiatric Collaborative Care Model program and manage more patients through efficient workflow automation and staff utilization.
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Patient-centered Care Plan
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Screening Assessment & Monitoring
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Screening Assessment & Monitoring
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Smart Appointment Reminders
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Psychotherapy Progress Notes
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Telehealth / Telepsychiatry
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Automated Billing Reports
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Configurable Workflows
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Data Analysis and Reporting
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Integrated Health Ecosystem
Medicare Collaborative Care Management (CoCM) Billing Codes:
Treating (Billing) Practitioner – A physician or non-physician practitioner (PA, NP, CNS, CNM); typically primary care, but may be of another specialty (for example, cardiology, oncology, psychiatry).
- CPT Code 99492
- At least 70 minutes of behavioral health care manager time in the first calendar month
- In consultation with a psychiatric consultant, and directed by a Physician or other QHCP time
- CPT Code 99493
- At least 60 minutes of behavioral health care manager time in the subsequent calendar month
- In consultation with a psychiatric consultant, and directed by a Physician or other QHCP time
- CPT Code 99494
- Each additional 30 minutes of behavioral health care manager time in the calendar month. (Use 99494 in conjunction with 99492, 99493)
- In consultation with a psychiatric consultant, and directed by a Physician or other QHCP time
CMS has incorporated the payment for FQHCs and RHCs into two HCPCS codes. When billing for the general care management service: and care management for Behavioral Health conditions – use G0511 and when billing for Collaborative Care services use G0512.
Our easy-to-use software helps provider organizations grow their revenues through Psychiatric CoCM Services and manage more patients through efficient workflow automation and staff utilization.
Learn how our CoCM application can elevate your practice by scheduling a no-obligation demo.
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