Forms to Track / Home Health Certification and Plan of Care
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RFA:
Form Date Patient Episode OASIS Status Match Frequency Primary Physician (HHRG) Primary Physician (CPC) Upload
06/09/2025 SCRIVEN, GARY
MRN: 900010273
06/23/25 - 06/22/26
SOC (Billable)
SOC (Exported to HAS) CALDERON, BENITO
NPI: 1396799904
Arnold 07/16/25 11:45 AM
reviewed the form
07/24/2025 MONSIVAIS, BETH
MRN: 900009169
07/24/25 - 09/21/25
REC (Billable)
REC (Exported to State) CHURCH, REBECCA
NPI: 1952653123
Juliet 08/14/25 02:11 PM
reviewed the form
08/15/2025 RICKMAN, LINDA
MRN: 900008572
08/15/25 - 10/13/25
REC (Billable)
REC (Exported to State) MCCOMBS, ERNESTO
NPI: 1013974112
Juliet 09/05/25 03:43 PM
reviewed the form
08/21/2025 OLIVER, DENISE
MRN: 900004545
08/21/25 - 10/19/25
REC (Billable)
REC (Exported to State) HANSEN, LINDSAY
NPI: 1942238860
Juliet 09/10/25 01:28 PM
reviewed the form
09/19/2025 FLEETWOOD, JOHN
MRN: 900009967
09/19/25 - 09/18/26
REC (Billable)
MARGALLO, ROY MARIE
NPI: 1538314950
Daniel 08/27/25 01:47 PM
reviewed the form