Choosing The Right CPT Codes: How To Stay Compliant And Audit-Ready With Daniel Hirsch

About this episode

This episode discusses the importance of proper CPT coding and compliance in private practice with expert Daniel Hirsch.

CPT coding isn’t what therapists went to school for. But it is one of the most common — and costly — areas of compliance risk in private practice. In this episode of the Compliance Series, Adam Robin sits down with compliance expert Daniel Hirsch from Risk & Compliance Analytics to break down how CPT codes should actually be used — and why most audit problems aren’t caused by fraud… but by bad habits, unclear documentation, and misunderstood workflows. This is a fast-paced, practical conversation about how to stay audit-ready without drowning your therapists in unnecessary documentation. They unpack: Why CPT coding is one of the highest-risk audit triggers The three questions auditors always ask Why “medically necessary” and “skilled” must be clearly documented hy total treatment time doesn’t automatically equal billable time The biggest mistakes with time-based CPT codes How lumping treatment together creates audit exposure Why cloning notes and identical documentation raise red flags The power of one strong assessment sentence Why therapists often underbill — not overbill How AI tools may improve justification clarity Why chasing higher-paying codes can backfire The single…

People in this episode

Guest: Daniel Hirsch

Topics covered

• CPT coding
• compliance
• audit readiness
• private practice
• documentation

Keywords

• audit triggers
• medically necessary
• skilled documentation
• treatment time
• billing

Mentioned in this episode

Books & works: the Compliance Series

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