Behavioral Health Integration
Deliver whole-person care with behavioral health support
Drive better patient outcomes and stronger reimbursement by embedding evidence-based behavioral health screening, care management, and follow-up into every primary care visit.Request a Demo
$88 B
industry and still growing
8.5%
annual growth
+$25K
per physician / year
16%
lower healthcare spend
Care Coordination for Value-Based Care Success
Software to effectively implement BHI, streamline mental health assessments, and maximize Medicare incentive payments.
- Live dashboards track and manage clinical and operational activities in real-time
- Log BHI time live with audit trail generation for billing and claims accuracy
- Automatically assign CPT code and conditions to claims based upon the time spent with the patient
Strengthen care-plan creation with accurate clinical insights.
Identify behavioral health needs using trusted assessments—including PHQ-9, GAD-7, CAGE, DAST-10, and MDQ.
Evaluate patient risk factors and produce evidence-based clinical recommendations.
We are geared to disrupt the industry and alter the ways healthcare is provided
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Patients That We Enroll
Eligibility Criteria for the BHI Patient
Behavioral Condition
Condition that lasts more than a year
Ongoing Care Needs
No overlapping programs
- Has a diagnosed behavioral health condition (e.g., depression, anxiety, substance use).
- Is under the care of a participating primary-care practitioner.
- Agrees to participate in an integrated care plan.
- Has behavioral-health needs that benefit from coordinated, whole-person care
How does BHI work?
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CPT Billing Codes and Reimbursement for BHI
CPT-99484
20-minutes per month
RVU 1.35
$53.05
Medicare National Payment Amount (2025)
CPT-G0511
20-minutes per month (RHC and FQHC)**
RVU 2.30
$71.68
Medicare National Payment Amount (2025)
*Reimbursement rates are based on a national average and may vary depending on your location.
Check https://www.cms.gov/medicare/physician-fee-schedule/search/ for the latest information.
Profitable BHI Reimbursements from Medicare
$53.05
CPT Code 99484 monthly reimbursement rate.
250
Clinical staff provide non-complex services to 250 patients per month.
$13,263
Monthly reimbursement.
Frequently Asked Questions
What is Behavioral Health Integration (BHI)?
Behavioral Health Integration is a care-management model where primary care practices provide ongoing support for patients with behavioral or mental health conditions. It includes monthly check-ins, symptom tracking, care-plan updates, and coordination between the primary care provider, care manager, and behavioral health specialist.
How often can BHI be billed?
BHI can be billed once per calendar month when the required elements are completed, including at least 20 minutes of clinical staff time and a documented care plan.
Does BHI require a psychiatric consultant?
A psychiatric consultant is recommended but not required for the 99484 general BHI code. Collaborative Care (CoCM) codes 99492–99494, however, do require psychiatric review each month.
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