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
09/19/2025 FLEETWOOD, JOHN
MRN: 900009967 		09/19/25 - 09/18/26
REC (Billable) 		REC (Exported to State) MARGALLO, ROY MARIE
NPI: 1538314950 		Daniel 08/27/25 01:47 PM
reviewed the form
06/23/2026 SCRIVEN, GARY
MRN: 900010273 		06/23/26 - 07/23/27
REC (Billable) 		ROC (Submitted) REC (Exported to State) REC (Submitted) CALDERON, BENITO
NPI: 1396799904 		Daniel 05/29/26 06:04 PM
reviewed the form