Six Best Practices for Pediatric Therapy Documentation 

Documentation is an essential element of providing therapy services. Effective, accurate documentation demonstrates compliance and justifies medical and rehab necessity. To justify reimbursement, compliant documentation must describe the services and procedures your practice delivers and tell the story of each patient’s progress and the quality of the care provided.

With so many requirements, creating compliant documentation can be a time-consuming challenge. That's why clinical consultants Virginia Littlepage, CCC-SLP and Shawn Hewitt OTR/L developed this helpful guide with six best practices to help you balance compliance, protect revenue, and promote efficiency so you can focus on patient care. 

Read to learn how to: 

  • Minimize paperwork and maximize time spent with patients 
  • Show your expertise and value through documentation
  • Create documentation families can understand 

Download the tip sheet for six best practices to help you balance compliance, protect revenue and promote efficiency so you can focus on patient care. 

About the Authors:

Virginia Littlepage.jpg

Virginia Littlepage, M.S., CCC-SLP has been a Clinical Consultant at Mediware for the past eleven years. Before Mediware, she spent more than 16 years working in inpatient rehabilitation facilities, skilled nursing units, long-term acute care facilities and outpatient hospital settings, in clinical, supervisory and management roles. She received her Master of Science in Communication Disorders from the University of Oklahoma.


Shawn Hewitt, OTR/L has been a member of the Mediware team since 2005. His primary role at Mediware is the product manager of the rehabilitation products. His focus is to ensure that the solutions provided to the market are solving the specific needs of rehabilitation services with special focus on product usability, user experience, and workflow for compliance and efficiency. Shawn has more than 15 years of clinical and management experience as an occupational therapist in the rehabilitation industry. His experience includes analysis of process and workflow to determine the best integration of care delivery for products in the acute and post-acute rehab markets. Prior to joining Mediware, Shawn began his career as an occupational therapist with the University of Pittsburgh Medical Center. He is a graduate of Gannon University.

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About Aaron LeBauer

Aaron LeBauer PT, DPT, LMBT started a 100% cash based physical therapy practice right after graduation. He enjoys sharing his experiences in private practice and helping other therapists find freedom in practice.