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
08/16/25 - 06/22/26
SOC (Billable)
SOC (Exported to State) CALDERON, BENITO
NPI: 1396799904
Daniel 10/14/25 02:16 PM
changed the provider name
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
03/19/2026 DE LA ROSA, MARTHA
MRN: 900010972
03/19/26 - 04/02/26
SOC (Billable)
SOC (Exported to State) CHINTA, SUNEETHA
NPI: 1720038185
CHINTA, SUNEETHA
NPI: 1720038185
JM 04/28/26 04:23 PM
reviewed the form automatically marking the POC Uploaded
03/31/2026 SPRINGGATE, TRUDY
MRN: 900007630
03/31/26 - 05/29/26
SOC (Billable)
SOC (Exported to State) DE GUZMAN-DELALUZ, EVANGELINE
NPI: 1750150215
DE GUZMAN-DELALUZ, EVANGELINE
NPI: 1750150215
JM 04/30/26 02:40 PM
reviewed the form automatically marking the POC Uploaded
04/04/2026 WILLIAMS, HOWARD
MRN: 900009585
04/04/26 - 06/02/26
SOC (Billable)
SOC (Exported to State) DE GUZMAN-DELALUZ, EVANGELINE
NPI: 1750150215
DE GUZMAN-DELALUZ, EVANGELINE
NPI: 1750150215
JM 05/05/26 02:45 PM
reviewed the form automatically marking the POC Uploaded
04/24/2026 THROWER, NICOLE
MRN: 900011061
04/24/26 - 06/22/26
SOC (Billable)
SOC (Exported to State) HEDGER, RONALD
NPI: 1447576632
HEDGER, RONALD
NPI: 1447576632
JM 05/06/26 03:16 PM
reviewed the form automatically marking the POC Uploaded