Question 1

What are the new 2026 BHI add-on codes (G0568-G0570)?

Accepted Answer

The 2026 PFS introduced G0568, G0569, and G0570 as add-on codes to the Advanced Primary Care Management (APCM) base codes. These represent tiered levels of behavioral health integration services provided in addition to standard chronic care management.

Question 2

How much additional revenue do BHI add-ons generate?

Accepted Answer

BHI add-on codes are designed to add approximately $20 to $40+ per patient per month on top of your base APCM reimbursement, depending on the complexity level and the specific G-code billed for the encounter.

Question 3

Can G0568 be billed alongside base APCM codes?

Accepted Answer

Yes, G0568 is specifically designed as an add-on code. It cannot be billed as a standalone service; it must be paired with an appropriate base APCM code representing the patient's primary care management level.

Question 4

What distinguishes G0569 from G0570 in clinical practice?

Accepted Answer

The distinction typically lies in the intensity of the behavioral health intervention and the risk level of the patient. G0570 often represents higher-intensity integration or more complex psychiatric collaborative care requirements compared to G0569.

Question 5

How does AI automate PHQ-9 and GAD-7 screenings?

Accepted Answer

Our AI call handling system proactively reaches out to patients to conduct standardized screenings like the PHQ-9 and GAD-7. The AI records responses, scores the tools instantly, and flags high-risk results for immediate provider intervention.

Question 6

Can AI identify patients eligible for BHI add-on billing?

Accepted Answer

Yes, the AI analyzes patient records and screening scores in real-time. If a patient meets the clinical threshold for behavioral health integration, the system prompts the workflow for G0568-G0570 documentation and billing.

Question 7

How does phone automation improve BHI documentation?

Accepted Answer

AI captures every interaction, transcribing the behavioral health check-in and automatically extracting the necessary data points required by CMS for BHI add-on billing, ensuring audit-proof documentation without manual entry.

Question 8

Does the AI integrate with existing EHR systems?

Accepted Answer

Our solution is designed to sync directly with your EHR, pushing screening scores and BHI encounter summaries into the patient chart to satisfy the 2026 APCM documentation requirements for integrated care.

Question 9

What are the documentation requirements for BHI add-ons?

Accepted Answer

Practices must document the use of validated screening tools, the involvement of a behavioral health care manager, and regular systematic reviews of the treatment plan. Our AI automates the logging of these specific service minutes.

Question 10

How does BHI revenue stacking work with APCM?

Accepted Answer

Revenue stacking allows a practice to bill the base APCM code for chronic care and 'stack' the BHI add-on (e.g., G0568) for patients receiving integrated mental health support, significantly increasing the total PMPM rate.

Question 11

Does AI help with Mental Health Parity compliance?

Accepted Answer

By standardizing the delivery of behavioral health screenings and ensuring every eligible patient is assessed, AI automation helps practices demonstrate that mental health services are provided at parity with physical health services.

Question 12

What is the largest revenue opportunity in 2026 APCM?

Accepted Answer

Behavioral Health Integration represents the single largest new revenue opportunity within the 2026 APCM framework, as the add-on codes provide high-margin reimbursement for services that were previously underfunded.

BHI Automation & APCM Add-on Code FAQ Guide

2026 BHI Add-on Codes & Billing

AI Automation for BHI Workflows

Compliance & Revenue Modeling

Ready to transform your behavioral health integration (bhi) practice?