Financial Modeling Workbook
In an effort to help organizations understand the financial feasibility of implementing Collaborative Care, the AIMS Center created the Financial Modeling Workbook, with help from the Institute for Family Health and the American Psychiatric Association. The Workbook helps organizations model and estimate revenue and expenses for providing integrated behavioral health services by:
- Modeling how much time staff engage in key integrated care tasks;
- Estimating visit volume, provider capacity, and potential caseload size; and
- Estimating fee-for-service and BHI/CoCM potential revenues
The Workbook also allows you to evaluate practice parameters to better understand their financial impact. For example, you can vary the length of appointment times, the amount of time staff spend on the different components of Collaborative Care work, and many other factors to better understand how to build or revise clinical workflows.
The Workbook, updated in 2021, is free to download. It is available in 2 versions (see below) and comes with instructions. Download either version by clicking the Register link below.
- Financial Modeling Workbook
This version is for practices that plan to bill via psychotherapy codes only, or a combination of that and BHI/CoCM billing. Changes from the previous version include clarifying language around which activities are billable by each set of codes, simplification of how work activities are allocated (by hours rather than percentages), and by making mixed billing calculations more accurate (previously time could be double-counted, which is not allowable).
- Financial Modeling Workbook for FQHC and RHC practices
Same as above except figuring average reimbursement for BHI/CoCM codes is done with the G codes rather than the CPT codes because the rules are different.
Using the Workbook
The resource below will guide you through gathering data for and using the Workbook. Refer to this document as you're getting started.
Join our Financing Office Hours!
The AIMS Center and American Psychiatric Association use this time to answer general questions about the Modeling Workbook as well as all other billing code and financial sustainability matters.
- First Wednesday of every month from 9:00 - 10:00 am Pacific Time / 12:00 - 1:00 pm ET.
- See calendar of all call dates.
How to Join
If you notice errors in the Workbook, please contact firstname.lastname@example.org.