Remote Therapeutic Monitoring (RTM) is no longer “the next big thing” — it’s here, it’s evolving fast, and in 2026, it’s becoming one of the most powerful levers for revenue growth, patient engagement, and long-term practice sustainability.

But with opportunity comes responsibility.

In this episode of the Private Practice Owners Podcast, host Adam Robin sits down with Daniel Hirsch, CEO of Risk & Compliance Analytics and one of the most trusted voices in compliance, to break down what RTM actually looks like in 2026 — and what compliance will demand from practice owners who want to do it right and keep the money they earn.

Daniel pulls back the curtain on why RTM struggled early on, how recent rule changes have made it far more flexible (and forgiving), and why the practices winning with RTM are the ones that treat it as a system — not a billing hack. Together, they reframe RTM as a tool for controlling time, improving outcomes, and increasing touchpoints with patients, not just another CPT code to chase.

They dive into:

• Why RTM adoption stalled early — and what changed heading into 2026
• How new payment rules reduce risk and reward consistency over perfection
• What compliance actually requires when billing RTM (and where practices slip up)
• Why documentation, timing, and patient communication still matter
• How RTM fits into an active plan of care — and where owners get in trouble
• The real financial upside of RTM when enrollment reaches scale
• How to think about staffing, vendors, and workflows without burning out your team
• Why Medicare’s continued investment in RTM signals where the industry is headed

This is a practical, no-hype conversation for practice owners who want to grow smarter — not riskier. If you’ve been sitting on the sidelines with RTM, worried about complexity, compliance, or whether it’s “worth it,” this episode delivers clarity, confidence, and a roadmap forward.

🎯 Takeaway: RTM in 2026 isn’t about being perfect — it’s about being intentional, compliant, and consistent.

Want to talk about how we can help you implement RTM the right way, strengthen compliance, and protect your revenue?

👉 Book a call with Nathan: https://calendly.com/ptoclub/discoverycall

Love the show? Subscribe, rate, review, and share: https://ptoclub.com/

Struggling to hire clinicians? Learn the recruiting system top practices use at the Clinician Magnet Intensive on April 17. Register Now

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 most important rule when billing time-based codes

Daniel also explains why auditors aren’t trying to “catch” you — they’re simply looking for consistency, progression, and clinical reasoning that supports skilled care.

If you want to protect your clinic, defend your billing, and build documentation that survives scrutiny — without overwhelming your team — this episode is essential listening.

🎯 Takeaway: CPT codes aren’t about listing tasks. They’re about telling the story of why your clinical brain was necessary.

👉 Want help strengthening operations, leadership, and growth strategy?

Book a call with Nathan — https://calendly.com/ptoclub/discoverycall

💡 Love the show? Subscribe, rate, review, and share! https://ptoclub.com/.

99.5% of successful owners interviewed on this podcast have leveraged a business coach at some point in their journey. Private Practice Owners Club is the coach you need — ppoclub.com

Explore upcoming workshops, free resources, and tools to help you scale revenue without burning out your team: https://linktr.ee/ppoclub

undefined

Annual Strategic Planning will ensure that your next year keeps you focused on on-target to complete your growth and expansion goals. Go to ppoclub.com to talk with Adam about how we can help you.

Most practice owners think culture problems start with people. But what if culture actually starts with numbers? In this episode of the Private Practice Owners Club podcast, Nathan Shields and Adam Robin have a candid conversation about what really happens when production slips, urgency fades, and leadership loses clarity around business metrics. Adam shares transparently how taking his eye off the numbers last year led to cultural drift, reduced urgency, and low-level anxiety across his clinics. But once he rebuilt his proforma, clarified expectations, and defined hard production targets, everything changed. This episode is about ownership, accountability, and the invisible connection between financial metrics and morale.

They dig into:

• The four types of practice owners when it comes to knowing their numbers
• Why “production is the basis of morale”
• How lack of clarity creates cultural erosion
• The power of defining a weekly visit target per provider
• Why metrics must be red or green — never gray
• How to create urgency without being emotional
• Why every KPI needs a clear owner and battle plan
• How daily scorecards create behavior change
• The difference between knowing your numbers and knowing what to do about them
• Why EOD deadlines force prioritization and eliminate distraction

If you’ve ever felt low-level anxiety about your finances…

If your schedules aren’t as full as they should be…

If you’ve struggled to get buy-in from your team…

This conversation will give you clarity and a tactical reset. Because when you get clear on the numbers, you lead with conviction. And when you lead with conviction, your culture follows.

🎯 Takeaway: If your schedules aren’t full, that’s not a staffing problem. It’s a clarity problem.

Want help identifying the right metrics for your practice?

Book a call with Nathan:

https://calendly.com/ptoclub/discoverycall

Love the show?

Subscribe, rate, review, and share:

https://ptoclub.com/

Free 6P Practice Capacity & Profit Audit

See where your practice is leaking time, money, and owner capacity — and what to fix first.

👉 Click AUDIT to book your free call.

undefined

Annual Strategic Planning will ensure that your next year keeps you focused on on-target to complete your growth and expansion goals. Go to ppoclub.com to talk with Adam about how we can help you.