In this episode, Kym sits down with Beth Rontal, LICSW, founder of The Documentation Wizard and a nationally recognized expert in clinical documentation. Beth breaks down what's driving the rise in AI-assisted audits, the specific language that supports medical necessity, and how the "golden thread" connects diagnosis, treatment plan, and progress notes into documentation that stands up to scrutiny.

In This Episode, We Cover:

• Why AI is accelerating insurance audits and which billing patterns it's trained to flag.

• The exact language that helps justify medically necessary 90837 sessions.

• How to document session start and stop times so notes hold up under review.

• What Z codes are and why they matter for supporting a diagnosis.

• The golden thread that ties diagnosis, treatment plan, and progress notes together.

• When and how to justify billing for multiple sessions per week.

• Where rating scales fit into an audit-ready chart, and when they're optional.

Connect with Beth Rontal:
90827 Documentation Made Simple: https://bit.ly/dw-berries
Website: https://documentationwizard.com/
Instagram: https://www.instagram.com/documentationwizard
TikTok: https://www.tiktok.com/@documentationwizard
Facebook: https://www.facebook.com/DocumentationWizard
LinkedIn: https://www.linkedin.com/company/documentation-wizard/ 

Brought to You By Berries:
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