Medicaid Service & Billing Log

$1.00

Clean, consistent service documentation, ready whenever billing or an audit asks.

What’s inside

  • 4 pages: a cover, a how-to page and two logs
  • Service & Billing Log: date, student, service or code, minutes, location, notes and a billed check box
  • Monthly Service Summary: sessions provided, total minutes and notes to roll up your month for reporting and reconciliation
  • Type-on (fillable) and print-and-write versions both included

Skills it builds

  • — (hidden for grown-up guides)

How to use

Log every session the same day while it is fresh: date, student, service and minutes. Keep codes and wording consistent from row to row. At month’s end, total the log into the summary page and keep both together for reconciliation.

You’ll need

A PDF reader to type (fillable version) or a printer (print version).

From a pediatric OT

Made by Ms. Aviv, a licensed pediatric occupational therapist, and used with real kids before it reaches you. Print-ready PDF on US Letter (prints on A4 with “fit to page”).

Clean, consistent service documentation, ready whenever billing or an audit asks.

What’s inside

  • 4 pages: a cover, a how-to page and two logs
  • Service & Billing Log: date, student, service or code, minutes, location, notes and a billed check box
  • Monthly Service Summary: sessions provided, total minutes and notes to roll up your month for reporting and reconciliation
  • Type-on (fillable) and print-and-write versions both included

Skills it builds

  • — (hidden for grown-up guides)

How to use

Log every session the same day while it is fresh: date, student, service and minutes. Keep codes and wording consistent from row to row. At month’s end, total the log into the summary page and keep both together for reconciliation.

You’ll need

A PDF reader to type (fillable version) or a printer (print version).

From a pediatric OT

Made by Ms. Aviv, a licensed pediatric occupational therapist, and used with real kids before it reaches you. Print-ready PDF on US Letter (prints on A4 with “fit to page”).