Complete BHI Solution
Behavioral Health Integration (BHI) Software & Medicare Billing Platform
Synergy's BHI platform automates patient identification, care documentation, and Medicare billing — so your practice captures every eligible dollar without adding administrative burden.
2/3
Medicare patients eligible
for BHI services
$0 cost
To start with the
Premium package
100%
Audit-proof billing
on every claim
BHI Monthly Billing Summary
Auto-generated
March 2026 — 94 BHI encounters
CPT 99484
General BHI care management — 20 min
$4,230
47 claims billed
CPT 99492
Initial psych collab care, 70 min
$2,156
12 claims billed
CPT 99493
Subsequent psych collab care, 60 min
$1,890
21 claims billed
CPT 99494
Add-on collab care, each 30 min
$868
14 claims billed
Total monthly BHI revenue
$9,144
What is BHI
Behavioral health in primary care — and Medicare pays for it
Behavioral Health Integration (BHI) is a CMS-recognized model that embeds mental and behavioral health care into your primary care practice. It's widely considered one of the most effective strategies for improving patient outcomes — and Medicare reimburses it monthly through dedicated CPT codes.
Different from CCM
BHI specifically targets patients with behavioral or mental health conditions. CCM covers patients with two or more chronic physical conditions. Many practices bill both simultaneously.
Who qualifies
Medicare patients receiving primary care who also have a behavioral health condition — including depression, anxiety, PTSD, and substance use disorders — are eligible.
Monthly reimbursement
CMS pays monthly for BHI services via CPT codes 99484, 99492, 99493, and 99494 — creating a consistent revenue stream for eligible patient care.
Platform features
Everything built in — from eligibility to billing
Synergy handles the full BHI workflow so your care team can focus on patients, not paperwork.
Automated patient eligibility
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Auto-classification from patient diagnosis list
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Enrollment directly during the appointment
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Ongoing eligibility monitoring as conditions change
Validated rating scale administration
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CMS-required validated scale tracking
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Systematic monitoring over time
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Results linked directly to care plans
Audit-proof billing documentation
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Automated CPT code assignment per encounter
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Weekly and monthly billing reports generated
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Zero manual billing report preparation
Patient portal & secure messaging
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Secure 24/7 access to medical records
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Bi-directional patient-provider messaging
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Care plan review and follow-up tracking
Choose what you need
Self-service suite
Your team manages BHI services. Synergy provides the software, workflows, and automated billing.
Automated BHI patient identification
Care plan management per Medicare requirements
Built-in behavioral health rating scales
Weekly and monthly patient summaries
Weekly and monthly billing reports
Patient portal with secure messaging
Care team performance monitoring
Fully managed suite
Everything in Premium, plus a certified Synergy care team handles all BHI service delivery on your behalf.
Everything in the Premium package
Cost-effective, qualified clinical staff
Certified health personnel assigned to your practice
BHI service provision — phone calls, outreach
Full BHI service documentation handled for you
Patient data integration assistance
Join with confidence — we carry the operational load
Independent practices often hesitate to join an ACO due to administrative complexity. Synergy's model is designed to remove that barrier entirely.
No upfront cost to join
Access ACO benefits and Synergy's platform without any initial investment.
No changes to how you practice
Your clinical workflow stays the same. We work around your existing systems.
Fully managed data & compliance
Our staff handles MIPS, AWV, BHI, and CCM reporting — with or without your involvement.