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Questionnaire for Behavioral Health Integration Program Practice Assistance for Business Operations

Please complete the survey below.

Once completed, we will reach out to you with next steps. If you have questions, please contact Allyson Gottsman at Allyson.Gottsman@cuanschutz.edu.

Thank you!

Name of practice:

* must provide value

Practice type:

* must provide value

Explain other practice type:

* must provide value

Practice Address

Street Address
City
ZIP Code

Contact Name

* must provide value

Contact Email

* must provide value

Best Time to Reach You

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EHR Used for Clinical and Practice Management

* must provide value

Provider Types in Your Practice (select all that apply)

* must provide value

LPC

LCSW

CAC

PsyD

PhD

Other (explain below)

Other Provider Types Your Practice Has

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Services Provided at Your Practice (select all that apply)

* must provide value

Primary Care

Behavioral Health

Dental

Other (explain below)

Other Services Your Practice Offers

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What type of Behavioral Health services do you offer?
For example: SUD support, Family counseling, Group sessions, etc.

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Payer Mix
Provide an estimate of your practice's payer mix (round to the nearest whole number, please input 0 if you don't have that payer).

Medicaid
CHIP
Medicare
Dual Eligible
Commercial
Self-Pay
Other

Total Payer Mix

* must provide value

View equation

Which of the following services are you requesting?

Scope of Assistance
1. My practice could benefit from a chart audit to ensure my billing E&M codes and documentation support the level of care I am delivering. This would include provider education post audit .
2. I need assistance in coding other than E&M codes, such as BH codes, what services can I bill? Who do I bill? What modifiers do I need?
3. I need assistance understanding my commercial contracts, what BH services are covered, including how I might add such services to commercial contracts.
4. I need to understand my insurance claim denials, how to locate them on my practice management system and how to manage them.
5. My practice has a good handle on billing, coding, and E&M visits however, we need to learn how to be "lean" manage waste in our practice. Value vs non-value add steps.
6. My practice would like guidance in conducting a practice value-based revenue cycle assessment to discover gaps, in our revenue cycle management.
7. If demand for these services exceeds our capacity to address all of your requests, which two services are your top two priorities?

Do you have a specific question or comment? (optional)

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