Psychiatric Collaborative Care Management
Tap into the Psychiatric CoCM Services to achieve your clinical goals profitably.
Revolutionize psychiatric care by fostering seamless collaboration among healthcare providers, enhancing patient engagement and overall mental health outcomes.
1 in 5 adults
“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
How Psychiatric CoCM Works:
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:
Patient-centered Care Plan Screening Assessment & Monitoring Screening Assessment & Monitoring Smart Appointment Reminders Psychotherapy Progress Notes Telehealth / Telepsychiatry Automated Billing Reports Configurable Workflows Data Analysis and Reporting Integrated Health EcosystemMedicare 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 | Set-up, patient instructions, and education regarding the use of RPM equipment | Must be ordered by physician or qualified health care professional (QHCP) | Billed 1x per episode of care, minimum 16 days of monitoring | $18.77 (both non-facility and facility) |
| CPT Code 99493 | Devices supply with daily recordings or programmed alerts transmission | Must be ordered by physician or QHCP | Billed for a calendar month, minimum 16 day of monitoring | $64.44 (both non-facility and facility) |
| CPT Code 99494 | RPM treatment management services, requiring interactive communication with the patient/caregiver | Performed by physician, other QHCP or clinical staff under general supervision | Billed for a minimum of 20 minutes in a calendar month | $51.61 (Non-facility rate)
$32.84 (Facility rate) |