Sentinel Health Advisory Group partners with post acute care providers and long-term care leadership to implement clinically excellent, financially sustainable, and CMS survey-ready behavioral health programs.
Our Services
We advise on program design, staffing models, regulatory alignment, and billing workflows — not clinical practice, but the strategy that makes clinical practice thrive.
Program Design & Launch
We build in-house behavioral health programs from the ground up — staffing models, credentialing, IDT integration, policy frameworks, and documentation workflows tailored to your needs.
Regulatory Compliance
Survey-ready preparation aligned with CMS F740, F741, F742, F758 and §483.40. We keep your facility ahead of AHCA, DCF, and JCAHO expectations so citations stay off your record.
Billing Optimization
Maximize legitimate Medicare Part B revenue from behavioral health CPT codes. We train your team on consolidated billing exclusions, modifiers, POS codes, and compliant claim submission.
Clinician Credentialing
Guidance on enrolling PMHNP’s, LCSWs, LMFTs, LMHCs as Medicare providers — including expanded billing eligibility effective January 1, 2024 under CAA 2023 §4121.
GDR & Antipsychotic Stewardship
We design and operationalize gradual dose reduction programs that satisfy F758, improve your CMS Five Star rating, and reduce census risk from antipsychotic quality measures.
PDPM & MDS Accuracy
Better behavioral health documentation in MDS Sections B, C, D, and E drives higher acuity classification and improved PDPM per diem. We train your team to capture what's already there.
By the Numbers
Why In-House
Contracted behavioral health clinicians visit 1–2 times per week. Crises don't keep that schedule. Neither do surveyors.
Daily crisis response on-site
An in-house licensed clinician can assess, document, and act before a behavioral escalation becomes a hospitalization.
Full IDT integration and care planning
Your clinician attends weekly interdisciplinary team meetings and contributes directly to resident care plans — contractors rarely do.
Part B revenue stays in-house
BH psychotherapy and psychological testing are excluded from consolidated billing. The revenue belongs to your clinician — not a contractor.
How the two models compare across what matters most
Billing Intelligence
Capture the revenue that's already yours.
Don't leave significant Medicare Part B behavioral health revenue on the table. We show your team what to bill, how to code it, and how to document it compliantly.
Psychotherapy CPT Codes
Psychotherapy and medication management services by psychiatrists, PMHNPs, psychologists, LCSWs, LMFTs, LMHCs, and more are explicitly excluded from consolidated billing and billed directly to Medicare Part B.
Assessment & Neuropsychological
Psychological and neuropsychological testing services are separately billable. Accurate coding of these assessments can significantly increase per-encounter revenue.
BH Telehealth Through 2027
No geographic restrictions on BH telehealth through December 31, 2027. Use POS 31 with modifier 95 (video) or 93 (audio-only). Codes 99441–99443 were retired January 1, 2025.
Why Sentinel?
We have personally developed in-house behavioral health programs in skilled nursing facilities — not adapted them from outpatient or inpatient psychiatric models, but built them specifically for the SNF environment, the PDPM reimbursement structure, and the IDT workflow.
Working knowledge of F740 through F758, §483.40, the Consolidated Appropriations Act of 2023 §4121, GDR requirements, antipsychotic stewardship expectations, and the documentation standards that survey teams are actually citing today.
Every recommendation we make accounts for staffing realities, MDS implications, IDT capacity, and the financial model the facility actually operates under.
Schedule a consultation to discuss your facility's behavioral health strategy.
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