BHI + Internal Medicine
Behavioral Health Integration for Internal Medicine — athenahealth + CCN Health
Specialized BHI protocols for Internal Medicine — integrated with athenahealth, powered by CCN Health. Evidence-based workflows, automated documentation, and Medicare billing.
CCN Health provides a certified Behavioral Health Integration (BHI) integration with athenahealth optimized for internal medicine practices. The platform automates clinical documentation, enables real-time monitoring, and generates Medicare billing records for compliant reimbursement.
Behavioral Health Integration for Internal Medicine with athenahealth
CCN Health's BHI program integrates with athenahealth to provide internal medicine-specific clinical protocols, screening workflows, and automated Medicare billing for internal medicine patient populations.
Internal Medicine Conditions Managed
- Hypertension
- Diabetes
- Heart failure
- COPD
- Chronic kidney disease
- Metabolic syndrome
Clinical Protocols
- Multi-condition monitoring with condition-specific thresholds
- Preventive care integration with annual wellness visits
- Medication titration based on objective trending data
- Chronic disease management across multiple organ systems
Key Monitoring Metrics
| Metric | Clinical Significance |
|---|---|
| Blood pressure | Tracked and trended for internal medicine management |
| Blood glucose | Tracked and trended for internal medicine management |
| Weight | Tracked and trended for internal medicine management |
| SpO2 | Tracked and trended for internal medicine management |
| Heart rate | Tracked and trended for internal medicine management |
| Temperature | Tracked and trended for internal medicine management |
Screening Instruments
| Instrument | Use Case | Details |
|---|---|---|
| PHQ-9 | Depression screening | 9-item questionnaire, scored 0-27, tracks severity and treatment response |
| GAD-7 | Anxiety screening | 7-item questionnaire, scored 0-21, identifies generalized anxiety disorder |
| PHQ-2 | Depression pre-screen | 2-item rapid screen, gateway to full PHQ-9 if positive |
| Columbia Suicide Severity Rating Scale | Suicide risk assessment | Structured interview for suicide ideation and behavior |
| Montreal Cognitive Assessment (MoCA) | Cognitive screening | 30-point test for mild cognitive impairment detection |
Relevant ICD-10 Codes
- I10 (Essential hypertension)
- E11.x (Type 2 diabetes)
- I50.x (Heart failure)
- J44.x (COPD)
- N18.x (CKD)
Clinical Evidence
Internal medicine practices implementing RPM programs see 15-25% improvements in chronic disease management quality metrics and patient satisfaction scores.
Billing & Reimbursement
| CPT Code | Reimbursement | Requirements |
|---|---|---|
| 99484 | ~$48/mo | 20+ minutes of clinical staff time per month |
| 99492 | ~$163 | Initial psychiatric collaborative care (70+ min first month) |
| 99493 | ~$130/mo | Subsequent psychiatric collaborative care (60+ min) |
Monthly potential per patient: $48+
Frequently Asked Questions
How does BHI support internal medicine practices?
CCN Health's BHI integration provides internal medicine-specific monitoring protocols, automated documentation in athenahealth, and compliant Medicare billing for hypertension and related conditions.
What devices are recommended for internal medicine BHI?
For internal medicine patients, CCN Health recommends blood pressure monitor, weight scale, blood glucose meter based on the specific conditions being managed.
Can BHI data integrate with specialist workflows?
Yes. All BHI data flows into athenahealth and is available for specialist review, care plan updates, and cross-program coordination.
Internal Medicine
Internal Medicine Protocols — clinical workflows configured to evidence-based guidelines and risk thresholds.
Specialist Coordination — automated alerts and reporting to referring specialists and primary care teams.
Outcome Tracking — longitudinal vitals data mapped to Internal Medicine-specific quality measures.
Clinical Documentation — automated notes that satisfy specialist coding and audit requirements.
Purpose-built for Internal Medicine workflows — integrated with the EHR your facility already uses.
Book a Discovery CallAI-Powered Alerts
Pattern recognition catches changes early
Smart Workflows
Automated routing and documentation
Automated Compliance
Real-time audit trail and billing validation
Advanced intelligence working behind the scenes — faster processing, smarter alerts, effortless documentation.


Technology that stays in the background — so care stays in the foreground.
Why CCN Health
Why Internal Medicine Programs Choose CCN Health
Purpose-built technology that fits your clinical workflows and drives measurable outcomes.
Seamless EHR Integration
How CCN Health Works Inside athenahealth
Your program data flows directly into athenahealth — no exports, no manual entry, no disruption to your clinical workflow.
BH Assessments
PHQ-9, GAD-7, Screenings
AI-Powered Platform
Intelligent data routing, anomaly detection, and automated documentation — working behind the scenes.
athenahealth
Charts & Care Plans
What Flows Between Systems
Patient Demographics
Behavioral health diagnoses, medications, and history from your EHR
Screening Scores
PHQ-9, GAD-7, and assessment results posted to patient charts
Intervention Notes
Behavioral health interventions documented and time-stamped
Care Coordination
Psychiatric consult notes and referral tracking
Time Tracking
BHI care management minutes tracked for 20-min threshold
Billing Documentation
CPT 99484/99492/99493 records generated automatically
“Every reading, every alert, every care plan update — available across all your programs. One integration, unlimited use cases.”
Infrastructure
Medicare Billing
Automated Medicare billing documentation — every qualifying encounter captured and coded.
Medicare Billing
Behavioral Health Integration (BHI)
1 billing codes
Care management for behavioral health conditions
~$48
Monthly
Common Questions
Frequently Asked Questions
Everything you need to know about Internal Medicine — implementation, billing, and clinical workflows.
Yes. CCN Health integrates with athenahealth so that RPM data flows directly into patient charts, reducing manual documentation and improving care coordination.
BHI enables billing for care management services for patients with behavioral health conditions, using CPT codes 99484, 99492, and 99493.
Most facilities are fully operational within 2–4 weeks. CCN Health handles device provisioning, EHR integration setup, staff training, and ongoing clinical support.
Still have questions? We're happy to walk you through anything.
Talk to Our Team