Making It to Sustainability: Evaluating Billing Strategies for Collaborative Care

Psychiatr Serv. 2023 Nov 1;74(11):1192-1195. doi: 10.1176/appi.ps.20220596. Epub 2023 Mar 20.

Abstract

The collaborative care model (CoCM) is an effective strategy to manage common mental disorders in primary care. Despite the growing adoption of newer CoCM billing codes to support these programs, few studies have investigated the use of these codes. This column evaluated the implementation of CoCM billing codes by comparing clinics using different billing strategies and assessed the impact of CoCM code implementation on revenue and on clinical and process-of-care outcomes. Qualitative data were obtained to understand provider perspectives. The results indicate that CoCM billing code implementation is operationally feasible, does not adversely affect the delivery of patient care or revenue, and is acceptable to providers.

Keywords: Administration and management; Collaborative care model; Primary care; Quality improvement; Reimbursement; Service delivery systems.