Forms to Track / Home Health Certification and Plan of Care
assigned the form for review
Exported to HAS
LIMIT to 200 Records max. Please delete as needed.
RFA:
Form Date Patient Episode OASIS Status Match Frequency Primary Physician (HHRG) Primary Physician (CPC) Upload
07/02/2025 DUMMY, ADVANTAGE
MRN:
07/02/25 - 08/30/25
SOC (Billable)
SOC (Deleted)
Missing PCP - please coordinate with (Arnold)
10/14/2025 EVERHART, JANET
MRN: 14944
10/14/25 - 12/12/25
REC (Billable)
REC (Reviewed) RUSSON, ADAM
NPI: 1922560648
10/14/2025 MENDEZ, MARIA
MRN: 900010628
10/14/25 - 12/12/25
SOC (Billable)
SOC (Deleted) HEDGER, RONALD
NPI: 1447576632
HEDGER, RONALD
NPI: 1447576632
10/16/2025 OWENS, EVETTE
MRN: 900010632
10/16/25 - 12/14/25
SOC (Billable)
SOC (Reviewed) PALUAY, ROBERT
NPI: 1609588433
PALUAY, ROBERT
NPI: 1609588433
10/17/2025 COOKE, JOHN
MRN: 900010633
10/17/25 - 12/15/25
SOC (Billable)
SOC (Under Review) KIDIAVAYI, STANLEY
NPI: 1902290968
KIDIAVAYI, STANLEY
NPI: 1902290968
10/17/2025 MENJIVAR DE COR, MARTA
MRN: 900010636
10/17/25 - 12/15/25
SOC (Billable)
SOC (Under Review) KIDIAVAYI, STANLEY
NPI: 1902290968
KIDIAVAYI, STANLEY
NPI: 1902290968
10/17/2025 JAMES-DONALD, SHERRIA
MRN: 900010634
10/17/25 - 12/15/25
SOC (Billable)
SOC (Under Review) ACHIN, ROWENA
NPI: 1366467888
ACHIN, ROWENA
NPI: 1366467888
10/18/2025 PEREZ, MARIA
MRN: 900010482
10/18/25 - 12/16/25
REC (Billable)
ROC (Pending) ROC (Deleted) KIDIAVAYI, STANLEY
NPI: 1902290968
10/18/2025 JEAN, RODNEY
MRN: 900002941
10/18/25 - 12/16/25
REC (Billable)
REC (Reviewed) TERRY, JUSTIN
NPI: 1235453093
10/18/2025 MANGONE, KATHERINE
MRN: 900004902
10/18/25 - 12/16/25
SOC (Billable)
SOC (Under Review) SMITH, RACHEL
NPI: 1336663970
SMITH, RACHEL
NPI: 1336663970
10/21/2025 BOWMAN, STEPHEN
MRN: 900010635
10/21/25 - 12/19/25
SOC (Billable)
SOC (Under Review) MCSWAIN, CHARLES
NPI: 1235100801
MCSWAIN, CHARLES
NPI: 1235100801
10/22/2025 MARTINEZ TORRES, MARIA
MRN: 900010640
10/22/25 - 12/20/25
SOC (Billable)
SOC (Under Review) KIDIAVAYI, STANLEY
NPI: 1902290968
KIDIAVAYI, STANLEY
NPI: 1902290968
10/22/2025 PICKETT, CARY
MRN: 900010638
10/22/25 - 12/20/25
SOC (Billable)
SOC (Under Review) KIDIAVAYI, STANLEY
NPI: 1902290968
KIDIAVAYI, STANLEY
NPI: 1902290968
10/25/2025 JOHNSON JR, CLAUDE
MRN: 900010646
10/25/25 - 12/23/25
SOC (Billable)
SOC (Under Review) CEJKA, PAIGE
NPI: 1205586104
CEJKA, PAIGE
NPI: 1205586104
Ron 10/27/25 03:30 PM
changed the form date
10/25/2025 LEWIS, JAMES
MRN: 900009895
10/25/25 - 12/23/25
SOC (Billable)
SOC (Under Review) KIDIAVAYI, STANLEY
NPI: 1902290968
KIDIAVAYI, STANLEY
NPI: 1902290968
10/25/2025 MILLARE, LEONOR
MRN: 900010619
10/25/25 - 12/23/25
SOC (Billable)
SOC (Under Review) LORENZANA, GERARDO
NPI: 1740292630
LORENZANA, GERARDO
NPI: 1740292630
10/27/2025 WALTERS, SUE
MRN: 900001191
10/27/25 - 12/25/25
SOC (Billable)
SOC (Under Review) MORTEL, AGNES
NPI: 1861595399
MORTEL, AGNES
NPI: 1861595399
10/27/2025 WOOD, ROGER
MRN: 900009278
10/27/25 - 12/25/25
REC (Billable)
REC (Reviewed) KIDIAVAYI, STANLEY
NPI: 1902290968
10/27/2025 MESSMAN , JEFFREY
MRN: 900010644
10/27/25 - 10/31/25
SOC (Billable)
SOC (Under Review) HEDGER, RONALD
NPI: 1447576632
HEDGER, RONALD
NPI: 1447576632
10/28/2025 RUNGAITIS, ROBERT
MRN: 900001025
10/28/25 - 12/26/25
REC (Billable)
REC (Reviewed) CHIA, JENNY
NPI: 1871564435
10/28/2025 HERMAN, ROGER
MRN: 900010650
10/28/25 - 12/26/25
SOC (Billable)
SOC (Submitted) HIXSON, PAIGE
NPI: 1053593327
HIXSON, PAIGE
NPI: 1053593327
10/28/2025 HOPPER, DARLENE
MRN: 900003547
10/28/25 - 12/26/25
REC (Billable)
REC (Pending) WIERMAN, ANN
NPI: 1447270087
10/28/2025 HARBIN, CHARLES
MRN: 900002644
10/28/25 - 12/26/25
REC (Billable)
REC (Reviewed) SCHROEDER, HILARY
NPI: 1770963001
10/30/2025 BIJOLD, URSULA
MRN: 900008010
10/30/25 - 12/28/25
REC (Billable)
REC (Reviewed) KIDIAVAYI, STANLEY
NPI: 1902290968
10/31/2025 SAKMAR, MADELINE
MRN: 900010654
10/31/25 - 12/29/25
SOC (Billable)
SOC (Submitted) BIRCH, ROBERT
NPI: 1750885091
BIRCH, ROBERT
NPI: 1750885091
10/31/2025 NEYMAN JR, JOSEPH
MRN: 900010655
10/31/25 - 12/29/25
SOC (Billable)
SOC (Submitted) PARK, HIROMICHI
NPI: 1700313053
11/01/2025 LOVE, DARREN
MRN: 900010657
11/01/25 - 12/30/25
SOC (Billable)
SOC (Submitted) HOANG, MAI VI
NPI: 1760745988
HOANG, MAI VI
NPI: 1760745988
11/01/2025 ADRAGNA, ROBERTA
MRN: 900009449
11/01/25 - 12/30/25
SOC (Billable)
SOC (Submitted) KIDIAVAYI, STANLEY
NPI: 1902290968
KIDIAVAYI, STANLEY
NPI: 1902290968
11/01/2025 ZOLLER, NORMA
MRN: 900010653
11/01/25 - 12/30/25
SOC (Billable)
SOC (Submitted) RUCH, SHARON
NPI: 1619174307
RUCH, SHARON
NPI: 1619174307
11/02/2025 MCPHERSON, MICHAEL
MRN: 900010512
11/02/25 - 12/31/25
REC (Billable)
REC (Pending) KATENDE, BURTSON
NPI: 1336722214
11/02/2025 KANESHIRO, EDWARD
MRN: 900010659
11/02/25 - 12/31/25
SOC (Billable)
SOC (Deleted) CHU, WILLIAM
NPI: 1528018587
CHU, WILLIAM
NPI: 1528018587
11/03/2025 WARD, FREDDIE
MRN: 900004328
11/03/25 - 01/01/26
REC (Billable)
REC (Pending) KATENDE, BURTSON
NPI: 1336722214
11/04/2025 GUDEWICZ, LINDA
MRN: 900010534
11/04/25 - 01/02/26
REC (Billable)
REC (Pending) NOLASCO, BENJAMIN
NPI: 1568049997
11/04/2025 CUISON, LOURDES
MRN: 900010661
11/04/25 - 01/02/26
SOC (Billable)
SOC (Pending) ARAGON, ROMUALDO
NPI: 1043276249
ARAGON, ROMUALDO
NPI: 1043276249
11/05/2025 ROBBINS, JANET
MRN: 900004236
11/05/25 - 01/03/26
SOC (Billable)
SOC (Submitted) LAMBERT, THOMAS
NPI: 1649222167
LAMBERT, THOMAS
NPI: 1649222167
11/07/2025 PALMER, JUDYE
MRN: 900010092
11/07/25 - 01/05/26
REC (Billable)
REC (Submitted) SMITH, JOSHUA
NPI: 1104122746
11/07/2025 GOMEZ, ALEJANDRO
MRN: 900010658
11/07/25 - 01/05/26
SOC (Billable)
SOC (Pending) KIDIAVAYI, STANLEY
NPI: 1902290968