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Billing for Integrated Behavioral Health: Primary Care Coding Guidelines

behavioral health

Webinar for Oregon medical practices, June 6, 11:30 a.m. - 1 p.m. PT.

Does your primary care clinic struggle with billing for integrated behavioral health services? Integrated behavioral health is part of many programs and models for robust primary care, including Comprehensive Primary Care Plus (CPC+), Oregon's Patient-Centered Primary Care Home (PCPCH) program, national medical home models and more. Resources to support implementation of these integrated models are becoming more abundant, but less common is information on how to financially sustain them.

To address this need, behavioral health leaders, including providers and billing experts, have worked to produce a Coding Guidelines tool to share optimal billing practices for Medicaid and Medicare. Join these experts to review the tool and discuss how practices in Oregon have developed processes to bill for these services.

Attendees of the webinar will:

  • Understand the benefits and challenges of billing for integrated behavioral health services
  • Review comprehensive, vetted Coding Guidelines for billing Medicare and Medicaid for integrated behavioral health services in Oregon
  • Discuss barriers to billing for these services, including stories of how clinics have successfully addressed challenges within their organizations
  • Provide feedback on the tool, which will inform future versions and additional webinars

Intended Audience: This webinar is primarily for operational and billing staff, but applicable for administrators and leadership, behavioral health clinicians, and anyone in Oregon who wants to better understand billing for behavioral health services. Attendees should be knowledgeable of their clinic’s payer mix and most common behavioral health billing codes and issues so that these may be addressed.

Questions? Email ORBH@healthinsight.org

The Integrated Behavioral Health Coding Guidelines was drafted by the Integrated Primary Care Leadership Collaborative, a group of self-convened primary care behavioral health leaders in Oregon whose mission is to support behavioral health clinicians and their leaders in primary care practice, and does not guarantee coverage or payment. Please verify the information provided with health plans, CCOs and other payers.

 

 

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