Forms to Track / Home Health Certification and Plan of Care
Status
73 Exported to HAS Under Review Reviewed
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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 		06/09/25 - 06/22/26
SOC (Billable) 		SOC (Exported to State) CALDERON, BENITO
NPI: 1396799904 		Daniel 10/14/25 02:16 PM
changed the provider name
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) 		REC (Exported to State) MARGALLO, ROY MARIE
NPI: 1538314950 		Daniel 08/27/25 01:47 PM
reviewed the form
12/20/2025 WALKER, BLANCHE
MRN: 900010253 		12/20/25 - 12/19/26
REC (Billable) 		TAM, STEPHEN
NPI: 1689738478 		Arnold 10/09/25 04:22 PM
reviewed the form