What is Collaborative Care?
Collaborative Care (CoCM), is an evidence-based model to identify and treat patients with behavioral health conditions, like depression and anxiety, in primary care, women’s health and pediatric settings.
Collaborative Care is an evidence-based model, developed at the AIMS Center at the University of Washington, and it is proven to improve clinical outcomes more effectively compared to traditional treatment methods.
Under the Collaborative Care Model, patients are treated by a care team that includes their primary care provider, a collaborative care clinician and a psychiatric consultant, all working together to deliver measurement-based treatment.
Concert’s clinical care team
Collaborative Care clinician
Collaborative Care clinicians are masters-level clinicians who provide high-touch evidence-based behavioral health interventions. These clinicians assess patients, develop care plans, monitor patient progress and document in the referring physician’s electronic medical records.
Psychiatric consultants are board-certified psychiatrists and psychiatric nurse practitioners, licensed in your state with a collaborating physician where needed. The psychiatric consultants meet weekly with collaborative care clinicians.
Concert Health psychiatric consultants do not prescribe medication; rather, they make diagnoses and treatment recommendations in the provider's EMR.
Clinical care provider
Clinical care providers oversee all aspects of the patient’s behavioral health care including encouraging the patient’s participation, prescribing medications and making referrals.
The Collaborative Care registry
Concert Health uses a registry to continuously manage patient improvement and care and meet the CMS requirements for billing. This registry can also be used to produce caseload reports and identify trends in care.
The registry is a systematic approach to behavioral healthcare for your entire population of patients experiencing symptoms of anxiety and depression.
- Tracks responses to treatment using evidence-based tools, such as the PHQ or GAD
- Change or adjust treatment based on a patient's response to reported symptoms
Collaborative Care outcomes
The Collaborative Care Model has been tested in more than 100 randomized controlled trials in the United States. Results include enhanced medication adherence, increased care satisfaction and symptom improvement.
Concert patients see a 50% reduction in their depression and anxiety symptoms (PHQ, GAD) within 90 days of beginning treatment.
Collaborative Care reimbursement
There are four CPT codes that can be used to bill for the Collaborative Care Model.
- 99492 is used to bill the first 70 minutes in the first initial month of collaborative care
- 99493 is used to bill the first 60 minutes in any subsequent months of collaborative care
- 99494 is used to bill each additional 30 minutes in any month. It can be used in conjunction with 99492 or 99493
- G2214 is used to bill for the first 30 minutes in the first month of care or any subsequent month