Primary care with depression follow-up
General BHI may support measured symptoms, care planning, and treatment coordination.
Contact us FOR YOUR PRACTICE
Practices integrating behavioral health
Coordinate behavioral-health needs within treating care and choose the model that matches the team you actually have.
RELEVANT PATHWAYS
Should we consider general BHI or psychiatric CoCM?
General BHI and CoCM are distinct models. CoCM requires a psychiatric consultant, behavioral-health care manager, registry, and caseload-review process. Those resources must be established before offering it.
BHI · Behavioral Health Integration
General BHI or a separately established CoCM model for eligible patients.
Patient example, requirements, and billingAPCM · Advanced Primary Care Management
For qualifying primary-care practices, review the bundle and behavioral-health add-on requirements.
Patient example, requirements, and billingCheck this before choosing a programFront-desk automation does not perform clinical assessment, crisis care, or psychiatric consultation. Define qualified clinical response and access arrangements before launch.
EXAMPLES FOR YOUR SETTING
Start with a real need in your practice.
These scenarios show what to evaluate, rather than automatically assign a program or approve reimbursement.
Formal collaborative-care team
Consider CoCM only when all consultant, care-manager, registry, and clinical governance components are present.
ONE ILLUSTRATIVE BHI JOURNEY
See the patient, practitioner, and support roles.
Meet Sam: his primary-care clinician identifies depression and wants coordinated follow-up on symptoms and access to treatment.
Choose the model
Before enrollment- Patient / caregiver
- Discusses consent, costs, and information sharing.
- Treating practice
- Assesses the condition and establishes the initiating relationship.
- PrimeVital’s agreed role
- Helps evaluate general-BHI operations and the required team.
- What gets recorded
- Condition, initiating visit, consent, and general BHI versus CoCM selection.
The sample goal
Follow Sam’s response to the agreed plan and close gaps in treatment access.
YOUR INVOLVEMENT
Agree on responsibilities before the first patient starts.
Your organization
The treating practitioner directs care and clinical decisions. The formal CoCM team must have the required clinical roles and review process.
PrimeVital’s agreed support
We can scope general-BHI care-management workflows and records support. A CoCM engagement needs separately confirmed psychiatric consultation and the full operating model.
Service hours, professional qualifications, technology, integrations, records access, and fees are confirmed in the engagement. Front-desk automation handles agreed administrative tasks; clinical judgment and claims remain with the responsible qualified professionals.
WHAT YOU NEED TO DO
A practical launch checklist.
- Assess the patient, initiating relationship, consent, and care plan.
- Choose the actual model and confirm the eligible biller and personnel.
- Define symptom measures, clinical escalation, and follow-up.
- Track qualifying time and interventions.
- Check behavioral-health network rules, carve-outs, and APCM combinations.
PAYMENT & FINANCIAL PICTURE
Who gets paid, and what does the practice spend?
The eligible practitioner bills the service matching the team and actual work. Do not substitute general-BHI codes, CoCM codes, and APCM add-ons for one another. PrimeVital’s costs are contractual.
Illustrative BHI model
These starting figures are hypothetical. They are not Medicare rates, a PrimeVital quote, or a payment forecast. Replace them with your verified contract, service mix, and cost assumptions.
Service, device, and practice costs
Illustrative agreement: fees apply to enrolled patients, even if a service does not qualify for payment.
Leave at zero if already included in the service fee. Avoid counting it twice.
Shown separately from recurring operating costs.
35 of 50 patients meet the assumed service requirements.
Collections
$3,500
Operating costs
$2,150
Contribution
$1,350
$1,750 service fees + $0 additional device costs + $400 practice costs.
Contribution is before other overhead and taxes. Actual billing uses service-level evidence and rules; this simplified model does not select codes, approve eligibility, or guarantee outcomes. Patient cost sharing and QMB protections must be checked separately.
BENEFITS TO TRACK
Choose a baseline and a review date.
Agree on the measures that matter to your patients and team.
- Validated symptom trends
- Treatment access and referral completion
- Clinical handoffs
- Patient experience and team workload
Sources and scope
Reviewed October 7, 2026. Practice type alone does not establish clinical eligibility or payment. Detailed program pages maintain the code references; use the patient’s actual payer, professional, setting, and date of service.
YOUR PRACTICE, YOUR PATIENTS
Bring us the workflow you want to improve.
Share your practice type, patient group, payer mix, and current team. We can map the care pathway, available support, launch gaps, and assumptions to verify.
DESIGN A PRACTICAL STARTING POINT
Tell us where the workflow is breaking. We’ll show you where to begin.
Send us a message
Continue on your phoneScan to open a pre-addressed email draft.Email contact@theprimevital.com