Collaborative Care Model (CoCM) by Nsight Health
Nsight helps practices operationalize Collaborative Care Management (CoCM) by combining structured behavioral health workflows, patient outreach, and care coordination—so your team can expand access and improve outcomes with minimal operational lift.
Collaborative Care Management (CoCM) Solution
What is the Collaborative Care Model (CoCM)?
The Collaborative Care Model is an integrated care approach that embeds behavioral health support directly into medical care. Unlike traditional referral models, CoCM ensures that patients receive coordinated, team-based treatment that is guided by measurement, evidence, and shared decision-making.
In a Collaborative Care Management framework:
- Primary care providers continue to serve as the medical home.
- Behavioral Health Care Managers (BHCMs) provide structured follow-up and coordination.
- Psychiatric Consultants advise on treatment plans and caseloads.
- Treatment progress is monitored routinely with validated tools.
This model is backed by a strong evidence base. According to the Collaborative Care Research Network, CoCM has demonstrated improved clinical outcomes, better access, and higher patient satisfaction across diverse populations and settings.
Why Collaborative Care Matters
Behavioral health conditions like depression, anxiety, and substance use disorders are common among patients with chronic medical problems. Yet many patients do not receive the care they need due to fragmented systems and lack of coordinated support.
The Collaborative Care Model (CoCM) tackles these barriers by:
- Delivering team-based care that centers on the patient’s goals and needs
- Tracking defined populations through registries to ensure no one is overlooked
- Using measurement-based treatment to target clinical outcomes
- Applying evidence-based interventions suited to each patient’s progress
- Ensuring accountability through data-driven quality improvement
This is why CoCM is recognized as the most extensively studied and effective integrated behavioral health care model in the U.S. (Source: Rural Health Info)
services
How Nsight Health’s Collaborative Care Solution Works
At Nsight Health, we operationalize the Collaborative Care Model in a way that is practical, scalable, and aligned with real-world clinical workflows. Our approach combines clinical expertise, remote care technology, and practice support to help your team deliver high-quality care.
1. Collaborative Care Management Team
Our Collaborative Care team includes: Primary Care Providers (PCPs), Behavioral Health Care Managers (BHCMs), and Psychiatric Consultants. This interdisciplinary approach enhances access to mental health expertise without requiring each practice to hire full-time behavioral health specialists.
2. Proactive Patient Identification
Using validated screening tools and electronic health data, we help you identify eligible patients for collaborative care. Patients who screen positive for conditions like depression or anxiety, or who are already on behavioral medications (e.g., SSRIs), can benefit from structured CoCM services. Our pre-enrollment eligibility checks ensure that patients meet appropriate clinical criteria, and we support practices with the workflows needed to integrate this seamlessly.
3. Measurement-Based Care
Progress is tracked using standardized, validated tools such as the PHQ-9 for depression and the GAD-7 for anxiety. These measurements guide treatment adjustments and ensure care is driven by outcomes rather than episodic visits.
4. Systematic Caseload Review
Regular, systematic case reviews with psychiatric consultants ensure that patients who are not improving receive expert input and treatment optimization. This drives better engagement and helps achieve measurable clinical goals.
Reimbursement & Billing for CoCM
Financial sustainability is a critical part of any care model. The Collaborative Care Model includes defined billing codes that support reimbursement for key activities in the model.
- CPT® codes 99492, 99493, and 99494, which cover the initial and ongoing collaborative care services
- HCPCS code G2214, which refines psychiatric collaborative care
These codes allow practices to be compensated for care management time, psychiatric consultation, and other elements essential to the CoCM approach. While reimbursement varies by payer and setting, many Medicare, Medicaid, and commercial plans now support Collaborative Care reimbursement. For more details on behavioral health integration billing, visit our Behavioral Health Integration (BHI) page.
Note: Nsight Health supports documentation workflows and compliance alignment to ensure your practice can optimize billing while meeting regulatory requirements.
For CMS’s official guidance on Collaborative Care billing and related payment policies, see the CMS Physician Fee Schedule and Behavioral Health Integration updates.
Benefits of Nsight Health’s CoCM Solution
Choosing Nsight Health for your Collaborative Care Management program means your practice benefits from a comprehensive, managed solution that drives outcomes without adding internal administrative burden.
Clinical Outcomes
- Structured behavioral health follow-up
- Increased treatment adherence
- Reduced symptom severity over time (measurement-based adjustments)
Operational Efficiency
- Fully managed care team support
- Built-in screening and registry workflows
- Seamless integration with existing clinical systems
Financial Productivity
- Support for reimbursable CoCM codes
- Reduced no-show rates through proactive outreach
- Enhanced revenue capture aligned with quality care
Care Team Members
Primary Care Providers (PCPs) or treating clinicians
A physician or non-physician practitioner (PA, NP, CNS, CNM), typically primary care, may be of another specialty.
Behavioral Health Care Managers (BHCMs)
Behavioral Health Care Managers (BHCMs) who engage patients, monitor progress, and coordinate care
Certified Psychiatric Consultants & Psychiatrists
Psychiatric Consultants who review caseloads regularly and provide expert recommendations.
Who Collaborative Care Is For
Whether you’re looking to expand mental health support or optimize population health outcomes, CoCM offers a scalable, evidence-based path to meeting patient needs.
The Collaborative Care Model is versatile and works across a range of clinical settings, including:
Primary care physician practices
Specialty clinics (e.g., cardiology, nephrology)
Multi-specialty physician practices
Value-based care organizations
Health systems
and ACOs
Federally Qualified Health Centers (FQHCs)
Nsight Clinical Success
Remote Care For Your Practice
Real People. Provider Feedback. Clinical Results.
Their reliable RPM/CCM services, combined with outstanding customer support, make them a trusted and highly recommended partner in chronic disease management.
Practice Manager
Nsight has been a strong partner to our practice, and I would confidently recommend your services to other clinics looking for effective, clinician-friendly solutions.
MD
I deeply appreciate the great service Nsight has consistently provided to our patients. Your team’s dedication and professionalism have made a real difference, and it’s been a pleasure working with you.
Medical Biller and Coder
How We Help
Enrollment
Simplified onboarding ensures easy access to comprehensive, personalized healthcare solutions.
- Patient / Member Identification
- Rapid Eligibility Verification
- Breaking Barriers to Care
- High Conversion Enrollment Agents
Intake
Detailed assessments gather vital data to create tailored care plans for optimal health outcomes.
- Patient Assessments
- Device Procurement & Logistics
- Patient Onboarding
- Care Coordinator Scheduling
Adherence
Guided support fosters consistent follow-through on care plans for lasting health improvements.
- Patient-Centric Clinicians (W2 RNs, LVNs, MAs)
- Robust Clinical Pathways
- Quality Measures & Closing Care Gaps
- Personalized Intervention & Escalation
- Evidence of Care Documentation
Concierge Care
Dedicated, personalized assistance ensures seamless coordination and exceptional patient experiences.
- Data-Driven Insights
- Omnichannel Communication
- Ongoing Monitoring & Feedback
- Behavioral Change & Healthy Habits
- Troubleshooting & Support
50+ EMR Integrations
Ready to Bring Nsight's Collaborative Care Solution to Your Practice?
Nsight Health’s Collaborative Care Management solution makes it easier to integrate behavioral health into your workflow, expand access, and deliver measurable outcomes—all while improving financial performance and patient experience.
Turn-Key
Outsource identification, enrollment, onboarding, care coordination, and ongoing adherence.
Pay for Performance
Fee-for-service models include pay for performance to allow reimbursement prior to payment for services.
Care Coordination
Our 24/7 clinical team educates, monitors, assesses and escalates following evidence-based protocols.
White Label
Partner or white label us as an extension of your practice to ensure a seamless patient experience.
