One Program. Two Revenue Streams. Zero New Hires.
CMS now lets you bill Behavioral Health Integration alongside Advanced Primary Care Management — without tracking a single extra minute. RPM Logix already runs the infrastructure both programs require.
CMS Just Removed the Biggest Barrier to Behavioral Health Integration
Until the CY2026 Physician Fee Schedule, most practices skipped BHI — the reimbursement was lower than CCM, and the time-tracking burden didn't justify a separate workflow. That changed.
CMS finalized new behavioral health add-on coding that lets you bill eligible BHI services in the same month as APCM, with no additional time documentation. If you're already running APCM — or thinking about it — this is the highest-leverage addition available in 2026.
Everything Required to Bill Compliantly — Already Built
APCM requires 13 service elements to be available to every enrolled patient. Most practices don't have the population health and care-gap reporting infrastructure to prove it. RPM Logix does — it's the same system already supporting your RPM and CCM programs.
Access & Continuity
- 24/7 access to a care team member
- Continuity with a designated practitioner
- Alternative access (phone, portal, secure messaging)
Care Planning
- Patient-centered, comprehensive care plan
- Care transitions coordination
- Medication reconciliation and management
Population Health
- Population data analysis
- Risk stratification
- Performance measurement / MIPS Value Pathway reporting
Patient Engagement
- Documented consent
- Health risk assessment (annual)
- Community resource identification
- Ongoing patient/caregiver communication and education
Our credentialed Care Team provides documentable BHI program engagement. No new hires.
Estimate Your Program's Revenue
Enter your Medicare panel size and complexity mix to see a monthly and annual estimate for APCM + BHI, with the option to layer in RPM.
2026 Revenue Estimate
APCM + BHI Revenue Calculator
Estimate monthly and annual revenue for an APCM program with behavioral health integration layered on top — using 2026 CMS national average reimbursement rates.
We Already Run This Infrastructure — For RPM and CCM
No new staff.
Our credentialed Care Team provides documentable BHI program engagement. No new hires.
No new platform.
Population Health Module and Care Gap reporting are already live. APCM's hardest requirement to prove is one you're already meeting.
No new billing complexity.
We handle enrollment, consent documentation, monthly attestation, and claims-ready reporting — the same workflow as your existing RPM/CCM program, extended to cover APCM and BHI.
APCM + BHI Frequently Asked Questions
Can I bill APCM and CCM for the same patient?
Can I bill APCM alongside RPM?
Do I need a new EHR integration?
How fast can we add BHI to an existing APCM program?
Add Behavioral Health to Your Program This Month
If you're already running APCM with RPM Logix, BHI is an extension of infrastructure you already have. If you're not yet running APCM, we'll show you exactly where it fits alongside your current RPM/CCM program.