Question 1

What are the new 2026 BHI add-on codes for depression and anxiety?

Accepted Answer

The 2026 CMS updates introduce G0568, G0569, and G0570. These are behavioral health integration (BHI) add-on codes that allow practices to bill for the additional time and intensity required to manage patients with depression and anxiety within an Advanced Primary Care Management (APCM) framework.

Question 2

How does AI automation help in meeting APCM requirements?

Accepted Answer

APCM requires systematic assessment and continuous monitoring. Tile’s AI automates the monthly outreach calls required to maintain enrollment, ensuring that every patient is contacted, their symptoms are logged, and the necessary clinical time is documented for audit-proof billing.

Question 3

Can BHI add-ons be billed alongside standard chronic care management?

Accepted Answer

Yes, when specific criteria are met under the new APCM guidelines. Our system helps identify patients eligible for both APCM and the BHI add-ons by flagging those with documented MDD or GAD diagnoses who require frequent PHQ-9 or GAD-7 monitoring and medication adjustments.

Question 4

How does Tile track the time required for G0568-G0570 reimbursement?

Accepted Answer

The platform automatically logs every minute the AI spends interacting with the patient, as well as the time spent by clinical staff reviewing the AI-generated summaries. This granular data is aggregated into monthly reports that align directly with CMS billing increments.

Question 5

Does the AI handle enrollment for behavioral health integration?

Accepted Answer

The AI can initiate the enrollment conversation by explaining the benefits of the BHI program to eligible patients, obtaining verbal consent, and scheduling the initial clinical assessment with a provider to formalize the care plan.

Question 6

How are PHQ-9 and GAD-7 screenings automated?

Accepted Answer

The AI conducts voice-based assessments where it reads the screening questions to the patient and records their verbal responses. The system then calculates the total score and compares it against previous results to identify clinical trends or worsening symptoms.

Question 7

What happens if a patient indicates a high suicide risk during an AI call?

Accepted Answer

Tile uses advanced sentiment analysis and keyword detection. If a patient’s responses on the PHQ-9 (Question 9) or during conversation indicate self-harm risk, the AI immediately triggers an emergency protocol, alerting your on-call clinical team and providing the patient with crisis resources.

Question 8

How does the system handle antidepressant medication management?

Accepted Answer

The AI performs routine medication reconciliation and adherence checks. It asks patients about side effects, such as insomnia or weight changes, and identifies those who have stopped taking their SSRIs or SNRIs, allowing for immediate provider intervention.

Question 9

Can the AI coordinate psychotherapy referrals or follow-ups?

Accepted Answer

Yes. If a care plan includes psychotherapy, the AI can check in with the patient to ensure they are attending their sessions and help schedule follow-up appointments with your practice to discuss their progress or treatment-resistant cases.

Question 10

How are screening scores documented in the EHR?

Accepted Answer

Tile integrates with your EHR to push structured data, including the individual item scores and total PHQ-9/GAD-7 results, directly into the patient's chart. This ensures your MIPS behavioral health quality measures are always up to date.

Question 11

How do patients with severe anxiety react to AI-driven calls?

Accepted Answer

Patients often find the AI less judgmental and more consistent than human callers. The AI uses a calm, empathetic tone and allows patients to respond at their own pace, which can be particularly helpful for those experiencing social anxiety or cognitive slowing from depression.

Question 12

Can the AI handle refill requests for anxiolytics?

Accepted Answer

The AI can collect refill requests for controlled and non-controlled substances, verify the pharmacy on file, and route the request to the provider for approval, ensuring patients never face a gap in their medication regimen.

Question 13

How does automation improve outcomes for treatment-resistant depression?

Accepted Answer

For treatment-resistant cases, frequency of contact is key. Automation allows for weekly or bi-weekly check-ins that would be cost-prohibitive with manual labor, enabling faster identification of when a current treatment modality has failed.

Question 14

Does the AI provide resources for co-occurring conditions like chronic pain?

Accepted Answer

Yes. Since depression often co-occurs with chronic pain or heart disease, the AI can be programmed to follow a holistic care plan that monitors both mental health and physical symptoms, providing a comprehensive APCM experience.

Question 15

Is the system HIPAA compliant for sensitive mental health data?

Accepted Answer

Absolutely. All voice interactions and data transmissions are fully encrypted and HIPAA compliant. We sign Business Associate Agreements (BAAs) with every practice to ensure that sensitive behavioral health information is protected to the highest standards.

Depression & Anxiety APCM Automation FAQ Guide

Billing and APCM Compliance

Clinical Workflows and Screening

Patient Experience and Special Cases

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