documentation tips Archives – Therapy Insights

Writing Meaningful Documentation That Reflects Skilled Therapy

July 31, 2025 by Ashley Zhinin.

This resource helps you document in a way that clearly reflects clinical reasoning, adaptability, and person-centered care, without drowning in jargon. It includes examples, rewrite tips, and reflective tools to support skilled, meaningful therapy notes.

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Defensible Documentation & Medical Necessity for Speech Therapists

December 31, 2023 by Ashley Zhinin.

This document helps prepare speech therapists with documenting medical necessity. It provides documentation tips and examples for skilled documentation. It will help reduce the incidence of denials.

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Tips for Effective and Efficient Documentation

January 10, 2022 by Megan Berg.

This resource provides tips to make documentation more efficient but still effective, provides a checklist of what should be included in the documentation of skilled services, and provides a link to access an extensive list of action verbs to use in documentation of rehabilitation services.

This content is only available to members.