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Total Results: 28 records

Showing results for "codes".

1. Fiscal Support for Behavioral Health Services | The Academy
   integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan/secure-financial-support-behavioral-health-services
   August 01, 2025 - These codes are the fundamental language used to describe the services provided to patients. … Behavioral Health Services CPT Codes HCPCS Codes Counseling Risk Factor Reduction 99401-99404, 99411, … Payers use historical claims data, which is based on CPT and HCPCS codes, to establish benchmarks for … Understanding the typical services (and their associated codes) for a specific patient population or … The total payment for the bundle covers all the services identified by these codes within a specific

2. Optimal Vascular Care (pdf file)
   integrationacademy.ahrq.gov/sites/default/files/2020-07/Optimal_Vascular_Care.pdf
   January 01, 2020 - Visits with IVD ICD-9 codes are listed below. … • IVD is defined as any one of the following ICD-9 diagnosis codes, in any position, not just primary … Codes are stated to the minimum specificity required. … Where there is a range of codes, we have listed them in an effort to be clearer. … From the HEDIS manual: Unless otherwise noted, codes are stated to the minimum specificity required

3. Optimal Diabetes Care (pdf file)
   integrationacademy.ahrq.gov/sites/default/files/2020-07/Optimal_Diabetes_Care.pdf
   January 01, 2020 - Diabetes mellitus ICD‐9 codes: 250—250.93 Allowable  Patient was a permanent nursing home resident …  Patient was pregnant during measurement period (Diabetes mellitus complicating pregnancy, ICD‐9 codes … From the HEDIS manual: Unless otherwise noted, codes are stated to the minimum specificity required … Patient’s problem list,  Documentation in patient’s record (progress notes, etc.), and  ICD‐9 codes

4. Payment and Reimbursement | The Academy
   integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment/payment-and-reimbursement
   January 01, 2025 - Be sure to identify codes for screening and initial assessment, starting medication, maintenance visits … Billing codes may differ based on whether the patient is new or established and the level of service … Some State Medicaid programs also limit which diagnosis codes are reimbursable for primary care providers … . 1 Once you identify relevant billing codes, train staff how to use them. … This quick guide summarizes the codes that can be used to bill for these services.

5. Payment and Reimbursement | The Academy
   integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/implement-mat-for-oud/payment-and-reimbursement
   January 01, 2018 - Bill for Services The implementation planning team should identify all diagnostic and treatment codes … across Medicaid, Medicare, managed care organizations, and local commercial payers, such as billing codes … Billing codes to be used may differ based on whether it is a new or established patient and the level … Different State Medicaid programs may also limit the diagnosis codes for which primary care providers … can receive reimbursement. 1  After identifying relevant billing codes, the implementation planning

6. Integrated Behavioral Health--The Journey To Becoming The Standard Of Care (doc file)
   integrationacademy.ahrq.gov/sites/default/files/2024-09/Integrated%20Behavioral%20Health--The%20Journey%20to%20Becoming%20the%20Standard%20of%20Care.docx
   January 01, 2024 - I'm not going to get in the weeds on these codes, but broadly, there are two buckets of them. … One bucket is collaborative care model billing codes. … These billing codes provide pretty modest reimbursement. … These codes are a step in the right direction. They exist in Medicare. … So I'll stop babbling on about billing codes. That was number one.

7. Comments Due September 9 for New CMS Proposed Rule | The Academy
   integrationacademy.ahrq.gov/news-and-events/news/comments-due-september-9-new-cms-proposed-rule
   July 31, 2024 - The proposed rule establishes new codes for Advanced Primary Care Management (APCM) designed to capture

8. Collect and Use Data for Quality Improvement | The Academy
   integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan/collect-and-use-data-quality-improvement
   August 01, 2025 - Financial and Utilization Data: Behavioral Health Billing Codes Utilized : Tracking the frequency and … type of integration-specific CPT codes billed.

9. Create Operational System Support Integration | The Academy
   integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan/establish-operational-systems-support-integration
   January 01, 2022 - Furthermore, a billing and financial management system will need to accommodate integrated billing codes … A facilitator can help educate your staff on the appropriate billing codes and provide guidance on navigating … It includes a list of specific billing codes, service types, professional discipline coverage, documentation

10. General Operations | The Academy
    integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment/general-operations
    January 01, 2024 - insurer's coverage determinations for telehealth services before scheduling visits and confirm that billing codes

11. Unhealthy Alcohol Use Tools & Resources | The Academy
    integrationacademy.ahrq.gov/products/substance-use-resources/environmental-scan/unhealthy-alcohol-use
    January 01, 2023 - This publication offers guidance on updated descriptions from CMS of most commonly used reimbursement codes

12. General Operations | The Academy
    integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/implement-mat-for-oud/general-operations
    August 01, 2024 - An official website of the Department of Health & Human Services Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates The Academy Integrating Behavioral Health & Primary Care Expand Navi…

13. Medication-Assisted Treatment for Opioid Use Disorder Self-Assessment Checklist (pdf file)
    integrationacademy.ahrq.gov/sites/default/files/2021-02/self-assessment_508_compliant.pdf
    January 01, 2021 - We have identified all diagnostic and treatment codes relevant to MAT across payers.

14. Diaper Insecurity Toolkit (pdf file)
    integrationacademy.ahrq.gov/sites/default/files/2024-09/Diaper_Insecurity_Toolkit.pdf
    January 01, 2024 - What is diaper insecurity? Diaper need is a form of material hardship that negatively effects families with young children. Why is screening for diaper insecurity important? Diapers are a product fundamental to child health yet SNAP benefits, WIC nor Medicaid devote resources to diapers. Low-income families often …

15. Grantees | The Academy
    integrationacademy.ahrq.gov/about/initiatives/alcohol/grantees
    June 01, 2024 - An official website of the Department of Health & Human Services Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates The Academy Integrating Behavioral Health & Primary Care Expand Navi…

16. Why Define Integrated Behavioral Health (IBH)? | The Academy
    integrationacademy.ahrq.gov/products/ibh-lexicon
    February 01, 2025 - but is accountable to our leaders for teamwork, citizenship, scheduling, care processes, revenue for codes

17. EvidenceNOW Managing Unhealthy Alcohol Use: Practice Facilitation to Promote Evidence-based Screening and Management of Unhealthy Alcohol Use in Primary Care (pdf file)
    integrationacademy.ahrq.gov/sites/default/files/2020-12/Grantee%20Profile%20Virginia.pdf
    January 01, 2020 - EvidenceNOW Managing Unhealthy Alcohol Use: Practice Facilitation to Promote Evidence-based Screening and Management of Unhealthy Alcohol Use in Primary Care Virginia Program Name: Practice Facilitation to Promote Evidence-based Screening and Management of Unhealthy Alcohol Use in Primary Care Lead Organization:…

18. Delivering Medications for Opioid Use Disorder in Primary Care: Environmental Scan (pdf file)
    integrationacademy.ahrq.gov/sites/default/files/2025-07/MOUD_Playbook_Environmental_Scan_2025.pdf
    January 01, 2025 - coverage determinations for telehealth services before scheduling visits and confirming that billing codes … In 2017, Medicare introduced Behavioral Health Integration (BHI) Services codes to enhance the integration … The BHI codes allow healthcare providers to bill for services that involve a collaborative care model … health specialists to manage patients' mental health needs.48 Primary care providers can use these codes … As of 2025, nearly half of the states have included BHI codes in their Medicaid coverage.49 Medicare

19. Introduction to Medication-Assisted Treatment | The Academy
    integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/introduction-medication-assisted-treatment
    February 01, 2025 - An official website of the Department of Health & Human Services Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates The Academy Integrating Behavioral Health & Primary Care Expand Navi…

20. Provider- and Practice-Level Competencies for Integrated Behavioral Health in Primary Care: A Literature Review (pdf file)
    integrationacademy.ahrq.gov/sites/default/files/2020-06/AHRQ_AcadLitReview.pdf
    January 01, 2020 - Provider- and Practice-Level Competencies for Integrated Behavioral Health in Primary Care: A Literature Review Integrating Behavioral Health and Primary Care Provider- and Practice-Level Competencies for Integrated Behavioral Health in Primary Care A Literature Review Table of Contents Introduction Purpose…