Deleted

	Form Date	Patient	Episode	Assessor	Packet Status (for payroll)	Days to Submit	ICD	IQIES Due Date
	01/14/2025 Medicare	BROTHERS, JOHN MRN: 900009943	01/14/25- 01/15/25 Non-Billable	Kay K.	Completed	1 01/15/25	Not yet reported	Past Due!	Delete
	02/08/2025 Medicare	RICHEY, PAULA MRN: 900007519	02/08/25- 02/10/25 Non-Billable	Angel D.	Completed		Not yet reported	Past Due!	Delete
	02/15/2025 Medicare	FASO, JAMES MRN: 900001172	02/15/25- 02/17/25 Non-Billable	Joan L.	Completed	5 02/20/25	Not yet reported	Past Due!	Delete
	03/07/2025 Pro Bono (Free)	CHATFIELD, SHINITA MRN: 900010066	03/07/25- 03/07/25 Non-Billable	Joan L.	Completed	5 03/12/25	Not yet reported	Past Due!	Delete
	03/13/2025 Private Pay	SAMPSON, GENEVIEVE MRN: 900010020	03/13/25- 04/08/25 Billable	MJ O.	Completed	1 03/14/25	12	Past Due!	Delete
	03/14/2025 Medicare	MARTINEZ, JAMES MRN: 900010100	03/14/25- 03/18/25 Non-Billable	Joan L.	Completed	6 03/20/25	Not yet reported	Past Due!	Delete
	04/03/2025 Self-Pay	BUESCH, MARK MRN: 900010149	04/03/25- 04/09/25 Non-Billable	Yani C.	Completed	0 04/03/25	Not yet reported	Past Due!	Delete
	04/10/2025 Medicare	CHRISTENSEN, DEBORAH MRN: 900010172	04/10/25- 06/08/25 Non-Billable	Joan L.	Completed	6 04/16/25	Not yet reported	Past Due!	Delete
	04/30/2025 Medicare	JACKSON, TERRANCE MRN: 900010215	04/30/25- 05/17/25 Billable	Christina Eliza S.	Completed	48 06/17/25	19	Past Due!	Delete
	04/30/2025 Medicare	JACKSON, TERRANCE MRN: 900010215	04/30/25- 05/17/25 Billable	Christina Eliza S.	Completed	43 06/12/25	19	Past Due!	Delete
	04/30/2025 Medicare	JACKSON, TERRANCE MRN: 900010215	04/30/25- 05/17/25 Billable	Christina Eliza S.	Completed	41 06/10/25	19	Past Due!	Delete
	04/30/2025 Medicare	JACKSON, TERRANCE MRN: 900010215	04/30/25- 05/17/25 Billable	Christina Eliza S.	Completed	41 06/10/25	19	Past Due!	Delete
	05/03/2025 Medicare	ERIKSON, CHARLES MRN: 900010225	05/03/25- 05/05/25 Non-Billable	Pam H.	Completed	2 05/05/25	Not yet reported	Past Due!	Delete
	06/08/2025 Medicare	MCDONOUGH, LINDA MRN: 15376	06/08/25- 06/09/25 Non-Billable	Jennifer N.	Completed	3 06/11/25	Not yet reported	Past Due!	Delete
	07/02/2025 Medicare	ANTEE, ALEXIS MRN: 900010339	07/02/25- 07/03/25 Non-Billable	Joan L.	Completed	4 07/06/25	Not yet reported	Past Due!	Delete
	07/02/2025 Medi-care Advantage	DUMMY, ADVANTAGE MRN:	07/02/25- 08/30/25 Billable	Nurse2 N.	Pending			Past Due!	Delete
	07/16/2025 Pro Bono (Free)	CERASE, ELIZABETH MRN: 900010404	07/16/25- 07/17/25 Non-Billable	Beverly C.	Completed	14 07/30/25	Not yet reported	Past Due!	Delete
	07/28/2025 Medicare	MITCHELL, JOSEPH MRN: 900005565	07/06/25- 08/27/25 Billable	Maricel E.	No Visit in the Calendar Admitted @ MOUNTAINVIEW HOSPITAL (08/27/25-09/16/25)	3 07/31/25	Not yet reported	Past Due!	Delete
	07/30/2025 Medicare	DIGIOVANNI, ROBERT MRN: 900010446	07/30/25- 09/27/25 Non-Billable	MJ O.	Completed	0 07/30/25	Not yet reported	Past Due!	Delete
	07/31/2025 Medicare	MITCHELL, JOSEPH MRN: 900005565	07/06/25- 08/27/25 Billable	Melissa P.	No Visit in the Calendar Admitted @ MOUNTAINVIEW HOSPITAL (08/27/25-09/16/25)	0 07/31/25	Not yet reported	Past Due!	Delete
	08/23/2025 Medicare	MARSEE, VICKY MRN: 900004118	08/23/25- 08/26/25 Non-Billable	MJ O.	Completed	1 08/24/25	Not yet reported	Past Due!	Delete
	09/06/2025 Medicare	MIKHAIL, NADIA MRN: 900010536	09/06/25- 09/07/25 Non-Billable	Deylis H.	Completed	3 09/09/25	Not yet reported	Past Due!	Delete
	10/14/2025 Pro Bono (Free)	MENDEZ, MARIA MRN: 900010628	10/14/25- 10/15/25 Non-Billable	Beverly C.			Not yet reported	Past Due!	Delete
	11/02/2025 Pro Bono (Free)	KANESHIRO, EDWARD MRN: 900010659	11/02/25- 11/03/25 Non-Billable	Josh C.			Not yet reported	Past Due!	Delete
	11/06/2025 Medicare	ROBBINS, JANET MRN: 900004236	11/05/25- 01/03/26 Billable	Diane G.	No Visit in the Calendar	25 12/01/25	Not yet reported	Past Due!	Delete
	11/07/2025 Medicare	SCINTA, FRANK MRN: 900010667	11/07/25- 01/05/26 Non-Billable	Diane G.	Completed	3 11/10/25	Not yet reported	Past Due!	Delete
	11/21/2025 Medicare	DIMINICH, LUCIA MRN: 900010698	11/21/25- 11/22/25 Non-Billable	Diane G.	Completed	3 11/24/25	Not yet reported	Past Due!	Delete
	01/15/2026 Medicare	KENNEDY, PAULETTE MRN: 900010814	01/15/26- 01/15/26 Non-Billable	Jonai P.	No Visit in the Calendar	5 01/20/26	Not yet reported	02/13/2026 Fri	Delete
	01/16/2026 Medicare	KENNEDY, PAULETTE MRN: 900010814	01/15/26- 01/15/26 Non-Billable	Jonai P.	No Visit in the Calendar	3 01/19/26	Not yet reported	02/14/2026 Sat	Delete
	01/22/2026 Medicare	SANDOVAL, PAULINE MRN: 900010830	01/22/26- 01/23/26 Non-Billable	Jonai P.	Completed	1 01/23/26	Not yet reported	02/20/2026 Fri	Delete
	02/20/2026 Medicare	ROSA, JOSEPH MRN: 900010824	01/20/26- 03/20/26 Billable	Joan L.	No Visit in the Calendar	26 01/25/26	Not yet reported	03/21/2026 Sat	Delete

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