Resources for Integrated Behavioral Health Billing in Oregon

Resources for Integrated Behavioral Health Billing in Oregon

Comagine Health (formerly HealthInsight) is the regional Medicare Quality Innovation Network-Quality Improvement Organization (QIN-QIO) for Oregon, among multiple other states. Under the previous Medicare contract, Comagine Health worked to share important information and resources as a part of their Improving Behavioral Health Screenings for Older Adults in Oregon initiative. This initative focused primarily on depression and alcohol misuse, as these are common in the Medicare population, impacting the well-being of many older adults in Oregon. Both put individuals at greater risk for hospitalization and complicate the treatment of other chronic conditions. Yet behavioral health problems are often under-identified in primary care, where most treatment for depression begins for this age group. As a result, roughly two-thirds of older people with a behavioral health disorder do not receive treatment. 

In Oregon, the Comagine Health team also partnered more broadly with stakeholders across Oregon, and other states, to produce beneficial resources and information for successfully and sustainably integrating behavioral health in primary care settings to help address this population. This work led to a series of important webinars that we would like to continue to share, despite the Improving Behavioral Health Screenings for Older Adults in Oregon initiative work ending.

If you have questions, please feel free to reach out to ORBH@comagine.org.

     

    RESOURCES

    Integrated Behavioral Health Coding Guidelines -  behavioral health leaders, including providers and billing experts, worked to produce a Coding Guidelines tool to share optimal billing practices for Medicaid and Medicare. This was created in 2017, and updated in March 2020 to reflect coding changes.

    Integrated Behavioral Health: Primary Care Coding Guidelines Webinar - behavioral health leaders, including providers and billing experts, 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 in the recorded webinar, Billing for Integrated Behavioral Health: Primary Care Coding Guidelines - from Wednesday, June 6, 2018. 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; and provide feedback on the tool, which will inform future versions.

    Integrated Behavioral Health Billing: Practice Perspectives Webinar - HealthInsight joined members of the Integrated Primary Care Leadership Collaborative to host a webinar to learn from professionals working in different integrated behavioral health settings who have adopted successful strategies for sustaining these integrated models. Watch this recorded webinar to hear from panelists representing a rural clinic, a large health system, a network of FQHCs, and a community mental health clinic about how they have implemented billing and other approaches for integrated behavioral health, and their reasons for implementing certain aspects over others.

    Medicare Billing for Behavioral Health Screenings - This webinar, hosted by HealthInsight on November 8, 2017, focused on Medicare Part B billing for behavioral health screenings conducted by a billing auditor from Noridian and other experts in the field. The purpose of this webinar was to: prepare staff to proactively recognize what services are covered, when and by whom for Part B billing to Medicare – with an emphasis on behavioral health screening, and to select the billing codes that will produce a reimbursement by Medicare for depression and alcohol screening. This webinar is best suited for outpatient clinician/physician office billing and front office staff, administrators, other QIN/QIOs, and any other stakeholders that are interested in billing Medicare successfully for behavioral health screenings.