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= Updated July 23, 2026 I recently traveled to Washington state to meet Susan Frager from PsychBillingCoach.com. I have turned to Susan for years, whenever I don’t know an answer (I know, you thought I had all the answers, but I don’t). But I had never met her in...
Well… it seems many of you had some strong reactions to my previous article on 45 minute sessions. That article was actually the second of two. The first article looked at Aetna’s decision to reimburse 60-minute sessions (CPT 90837) at the same rate as 45-minute...
For many therapists, the 60-minute session is standard. This is particularly true if you provide time-sensitive techniques like EMDR or Somatic Therapy, or if you work with complex cases, trauma, families, and couples. But many clinicians have begun to wonder whether...
You may feel confident that you've assessed – and documented – your client's risk of harm to themselves or others. But it is likely that your session notes fall short in one of three common (and potentially serious) ways: PROBLEM #1: You screened for risk...
Insurance plans are great at denying claims, but not so great at explaining why. However, did you know that a Claim File Helper, can quickly generate a letter to send to any health plan to request a claim file. Maya Miller of ProPublica reports that more than 1,000...
One of the biggest concerns I hear from therapists surrounds audits and the use of the CPT code 90837. This billing code is used for individual therapy sessions 53 minutes and above. So, what’s the concern? As documentation expert Beth Rontal of in her blog, "the...
I frequently hear from therapists who feel they were never taught to keep good client records. What do the plans expect? I'm going to tell you. But don't panic if your records are a tad less detailed -- I'd wager few of us meet these requirements. However,...
I get it. Writing session notes isn't your favorite part of your job. But what if you could learn to do them quickly and with confidence? Maybe you can – with a little practice. Many people who took my recorded progress note training are asking me to offer more...
One question that I often get is, "how detailed should session notes be?" Great question. And while we should keep in mind there is no "right" answer, it's an important topic to explore. First, let's look at: Why are we tempted to get vague? Many lawyers will tell you...
According to their November newsletter emailed to providers, Blue Cross Blue Shield of Michigan announced that as of November they will deny claims from behavioral health providers for adjustment disorder services beyond six months from the initial diagnosis (we'll...