FAQBehavioral Health & Psychiatry

Behavioral Health APCM & CCM Automation FAQ | Tile Healthcare

Learn how AI-powered automation optimizes APCM billing (G0568-G0570) and BHI for Behavioral Health & Psychiatry practices to improve revenue and patient care.

Managing chronic mental health conditions like depression, anxiety, and bipolar disorder requires constant patient engagement. Our AI-powered automation helps behavioral health practices capture revenue from new 2026 APCM codes (G0568-G0570) while ensuring compliance with 42 CFR Part 2 and HIPAA. Streamline your BHI integration and medication monitoring with intelligent outreach.

APCM & BHI Billing for Psychiatry

4 questions

The new Advanced Primary Care Management (APCM) codes G0568, G0569, and G0570 allow behavioral health practices to bill for longitudinal care management. These codes are tiered based on patient complexity and social determinants of health, providing a more robust reimbursement structure for psychiatric nurse practitioners and psychiatrists managing chronic mental health conditions.

Yes, BHI add-on codes can often be stacked with APCM codes to multiply per-patient revenue. This is particularly effective for practices using a collaborative care model where psychiatric consultants work alongside primary care. Our AI automation ensures all interactions are logged to meet the specific time-based requirements for both BHI and APCM billing codes.

Qualifying conditions include major depressive disorder, generalized anxiety disorder, bipolar disorder, schizophrenia, and substance use disorders. Any condition expected to last at least 12 months that places the patient at significant risk of functional decline or hospitalization qualifies for the APCM service framework under the new CMS guidelines.

CMS requires specific documentation of time spent on care coordination. Our AI call center automatically tracks every minute spent on patient outreach, medication reminders, and follow-up calls. This data is structured and pushed directly into your EHR, providing a clear audit trail for G0568-G0570 billing without manual data entry by your clinical staff.

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Behavioral Health APCM & CCM Automation FAQ | Tile Healthcare | Tile Health