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Tag: SOAP Notes

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Therapist writing medical necessity in therapy notes at a desk
Post
March 15, 2026April 19, 2026Blog, Therapist Resources

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

by Rindie Eagle

Medical necessity in therapy notes is an insurance concept, not a clinical one, and auditors are checking for four specific elements in every claim. Most of us were trained to document care. This post covers what it takes to document it in a way that holds up under review.

Insurance audit for therapists - The $630,000 Clawback Demand
Post
March 15, 2026March 31, 2026Blog, Therapist Resources

We Failed an Insurance Audit. This Is What Actually Happened.

by Rindie Eagle

A $630,000 demand. Forty-five days to respond. This is the inside account of what an insurance audit for therapists actually looks like when documentation gaps accumulate across a multi-clinician practice. The clinical work was happening. The records didn't prove it.

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Recent Posts

  • How to Write Progress Notes That Pass Utilization Review
  • Medical Necessity in Therapy: The Four Criteria Every Note Has to Meet
  • How to Prove Medical Necessity in Your Progress Notes (Every Session)
  • Functional Impairment Language: How to Write It So It Holds Up
  • Reasonable Expectation of Benefit: The Medical Necessity Criterion That Gets Misread

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