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Therapist reviewing the golden thread in therapy notes with clinical documentation on desk

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March 15, 2026March 22, 2026Blog, Therapist Resources

Medical Necessity in SOAP Notes: How to Write It Section by Section

Knowing what the four elements of medical necessity in SOAP notes require is one thing. Writing them into a progress note consistently, at the end of a full caseload day, is another. This is Part 2 of the series. This is where the concept tends to stall. Part 1 of this series laid out the four elements...

Therapist writing medical necessity in therapy notes at a desk

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March 15, 2026March 15, 2026Blog, Therapist Resources

Medical Necessity in Therapy Notes: What Insurance Auditors Are Actually Checking

by Rindie Eagle

After Renee’s audit, the question I heard most often was a simple one: what does medical necessity in therapy notes actually mean, and how do you prove it? This is Part 1. Read Part 2: How to Write Medical Necessity Into Each SOAP Section. Most of us were trained to document clinical care. We learned...