Behavioral Health Integration delivered as a complete turnkey managed service — monthly behavioral health touchpoints, depression screening, coordination with primary care, and documentation handled entirely by our clinical operations team.
Behavioral Health Integration (BHI) is a Medicare-recognized program that allows primary care practices to deliver integrated, whole-person care for patients with behavioral health conditions — including depression, anxiety, and related mental health needs.
Our fully managed BHI service means your practice earns monthly reimbursement without adding behavioral health staff. AuriaMedical's clinical team conducts every touchpoint, screens patients, coordinates with your providers, and handles all documentation and billing support.
Our clinical staff contacts each enrolled patient monthly to conduct behavioral health assessments, track symptom progression, and provide supportive engagement — all on behalf of your practice.
Every BHI interaction is coordinated with the patient's primary care team. Escalation pathways ensure the treating physician is informed of any changes in behavioral status or clinical concern.
Our platform captures time-stamped records of all BHI interactions and generates billing-ready reports with the correct CPT code (99484) for your billing department.
BHI is designed for patients receiving primary care who present with behavioral health conditions — including those identified through routine screening. Any patient with a documented behavioral or mental health condition may be eligible.
From the first patient contact to the final billing report — your practice simply confirms enrollment, and our team handles everything else.
We identify eligible patients in your panel with behavioral health conditions and conduct professional, clinic-branded outreach to enroll and consent them into the BHI program.
Every enrolled patient receives a monthly behavioral health interaction — including PHQ-9 screening, mood tracking, symptom follow-up, and supportive engagement calls.
Standardized screening tools (PHQ-2, PHQ-9, GAD-7) are administered and documented. Follow-up actions are coordinated with the clinical team based on screening results.
Longitudinal behavioral health data is tracked month-over-month, giving your physicians insight into patient trajectory and treatment response over time.
If a patient screens positive for moderate-to-severe symptoms, crisis indicators, or significant decline, our team immediately escalates to the treating physician per established protocols.
All BHI activities are coordinated with and documented for the primary care team, supporting whole-person care delivery and enabling informed clinical decision-making.
Our team follows up on behavioral health medication adherence, side effects, and any barriers to treatment — helping close the loop between prescriptions and patient outcomes.
Every interaction is time-stamped and stored in a secure audit trail. The platform automatically captures staff time toward the monthly CPT threshold for billing.
Monthly billing files are generated automatically with accurate CPT codes, service descriptions, and patient-level documentation — ready for your billing department to submit claims.
Our clinical operations team runs a consistent, documented monthly workflow for every enrolled BHI patient — ensuring quality, compliance, and continuous improvement.
Our team identifies eligible patients with documented behavioral health conditions and conducts professional outreach to obtain verbal consent. Patients are educated on the program benefits and Medicare coverage so they understand exactly what to expect.
Each patient undergoes an initial behavioral health assessment including validated screening tools. Baseline scores are established, care goals are set, and the patient's behavioral health profile is documented in our platform.
Every month, our clinical staff conducts a behavioral health touchpoint call. Symptom changes, medication adherence, quality of life, and functional status are assessed. Results are documented and shared with the primary care team.
If a patient demonstrates worsening symptoms, expresses crisis indicators, or misses interactions, our team escalates per established protocols. The treating physician is notified immediately and a coordinated response plan is initiated.
At end of month, the platform generates a complete billing file with CPT code 99484, patient-level service documentation, time captured, and all supporting audit trail records — ready for your billing department to submit claims without additional effort.
AuriaMedical's platform captures all qualifying time, generates the monthly billing file, and sends it to your team — so your billing department can submit claims without any manual time-tracking.
BHI reimbursement is driven by the time your clinical staff — or our managed team — spends on behavioral health integration activities each month. CMS recognizes this as a distinct service from CCM, PCM, and E&M visits, enabling additive monthly revenue for practices with behavioral health patient populations.
| CPT Code | Service Description | Est. Rate |
|---|---|---|
| 99484 | Behavioral health integration care management services — at least 20 minutes of clinical staff time per calendar month directed by a physician or qualified non-physician practitioner | ~$49–$58 |
AuriaMedical's "Get Paid First" model means if your practice is unable to collect on any CPT code in a given month, you are not charged our management fee. You only pay when you get paid.
BHI can be billed alongside:
Untreated behavioral health conditions drive significant healthcare costs, hospitalizations, and worse chronic disease outcomes. Integrating behavioral health into primary care improves everything.
Integrating behavioral health care into primary care is not just a clinical imperative — it's a financial and quality opportunity. Practices that add BHI see measurably better patient outcomes, stronger engagement scores, and new monthly reimbursement without adding headcount.
AuriaMedical handles enrollment, outreach, clinical touchpoints, documentation, and billing support. Your practice needs two hours of setup time to begin earning monthly BHI reimbursement.