2026 APCM BHI Compliance & Audit Checklist | Tile Healthcare
Ensure audit readiness for 2026 APCM BHI add-on codes G0568-G0570. Learn documentation requirements for Behavioral Health Integration and screening workflows.
As primary care practices adopt the 2026 Advanced Primary Care Management (APCM) model, the Behavioral Health Integration (BHI) add-on codes G0568, G0569, and G0570 offer significant revenue growth. However, compliance hinges on precise documentation and screening. This checklist ensures your practice meets CMS requirements for BHI stacking while maintaining audit readiness.
Work through each item below to audit your practice. Check off completed items to track where you stand.
Code Selection and Eligibility (G0568-G0570)
Properly identifying which BHI add-on code applies to your patient population under the 2026 PFS final rule.
Screening and Assessment Documentation
Standardized screening is the backbone of BHI audit readiness and clinical efficacy.
Workflow Integration and Care Planning
Bridging the gap between general chronic care and specialized behavioral health management.
Frequently Asked Questions
No, G0568 is an add-on code specific to patients receiving behavioral health integration services. You must have a documented behavioral health diagnosis and evidence of BHI-specific care management.
You must show evidence of a psychiatric consultant's involvement, including their regular review of the patient's progress and documented recommendations provided to the primary care team.
AI agents can automate the collection of PHQ-9 and GAD-7 scores via phone, ensuring that the documentation required for BHI add-on billing is consistently captured without increasing staff workload.
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