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
10/03/2025 SHIPMAN, LINDA
MRN: 900010600
10/03/25 - 12/01/25
SOC (Billable)
SOC (Exported to State) LIN, CHARLIE
NPI: 1659314763
LIN, CHARLIE
NPI: 1659314763
Lala 12/02/25 02:23 PM
reviewed the form automatically marking the POC Uploaded
10/04/2025 RAYA, CARLOS
MRN: 900009204
10/04/25 - 11/09/25
SOC (Billable)
SOC (Exported to State) LEE, BRIAN
NPI: 1881768596
LEE, BRIAN
NPI: 1881768596
Lala 12/02/25 02:23 PM
reviewed the form automatically marking the POC Uploaded
10/08/2025 PATEL, JIVIBEN
MRN: 900010622
10/08/25 - 12/06/25
SOC (Billable)
SOC (Exported to State) DAULAT, GIRISH
NPI: 1235226770
DAULAT, GIRISH
NPI: 1235226770
Lala 12/02/25 02:23 PM
reviewed the form
10/17/2025 JAMES-DONALD, SHERRIA
MRN: 900010634
10/17/25 - 12/15/25
SOC (Billable)
SOC (Exported to State) ACHIN, ROWENA
NPI: 1366467888
ACHIN, ROWENA
NPI: 1366467888
Lala 12/02/25 02:23 PM
reviewed the form
10/17/2025 JAMES-DONALD, SHERRIA
MRN: 900010634
10/17/25 - 12/15/25
SOC (Billable)
SOC (Exported to State) ACHIN, ROWENA
NPI: 1366467888
ACHIN, ROWENA
NPI: 1366467888
Lala 11/10/25 02:37 PM
reviewed the form automatically marking the POC Uploaded
12/20/2025 WALKER, BLANCHE
MRN: 900010253
12/20/25 - 12/19/26
REC (Billable)
TAM, STEPHEN
NPI: 1689738478
Daniel 11/06/25 04:13 PM
reviewed the form