
Episode #68
What Insurance Auditors Are Really Flagging Right Now with Beth Rontal
Insurance audits used to be rare. Now AI systems built into insurance company billing platforms are flagging patterns fast, and codes like 90837, multiple sessions per week, and long-term maintenance therapy are all under closer watch. For mental health professionals who rely on these codes regularly, that shift can raise real questions about what actually holds up under review. 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/ ______________ Join the Berries Community - A dedicated space for mental health clinicians to connect, share insights, and grow together. Look for Berries AI Official Community on Facebook at www.heyberries.com/community Brought to You By Berries: Ready to stop dreading your notes? Berries is your AI assistant for mental health professionals. Save time, stay compliant, and get back to the work you love. Learn more at heyberries.com .






