Submitted

	Form Date	Patient	Episode	Assessor	Packet Status (for payroll)	Days to Submit	ICD	IQIES Due Date
	06/13/2025 Private Pay	MEACHAM, OSHALYN MRN: 900010323	06/13/25- 08/11/25 Billable	Jeanne J.	Completed	13 06/26/25		07/12/2025 Sat	Delete
	06/13/2025 Medicare	DATTERO, NICHOLAS MRN: 900010325	06/13/25- 08/11/25 Billable	Deylis H.	Completed	1 06/14/25	1	07/12/2025 Sat	Delete
	06/14/2025 Medicare	SPRING, ELDA MRN: 900010326	06/14/25- 06/25/25 Billable	Soline L.	Completed	2 06/16/25		07/13/2025 Sun	Delete
	06/14/2025 Medicare	PALMQUIST, GARY MRN: 900010321	06/14/25- 08/12/25 Billable	Deylis H.	Completed	2 06/16/25		07/13/2025 Sun	Delete
	06/16/2025 Medicare	HORNER, PATRICIA MRN: 900010330	06/16/25- 08/14/25 Billable	Joan L.	Completed	9 06/25/25		07/15/2025 Tue	Delete
	06/16/2025 Medicare	CAPOBIANCO, ANTHONY MRN: 900010327	06/16/25- 08/14/25 Billable	Iwona A.	Completed	15 07/01/25		07/15/2025 Tue	Delete
	06/17/2025 Medicare	HAMBLETON JR, CARROLL MRN: 900010335	06/17/25- 08/15/25 Billable	Soline L.	Completed	8 06/25/25		07/16/2025 Wed	Delete
	06/17/2025 Medicare	ANDAR, FAROQ MRN: 900010333	06/17/25- 08/15/25 Billable	Deylis H.	Completed	1 06/18/25		07/16/2025 Wed	Delete
	06/18/2025 Medicare	BISPING, JOSEPH MRN: 900010332	06/18/25- 08/16/25 Billable	Jennifer N.	Completed	14 07/02/25		07/17/2025 Thu	Delete
	06/18/2025 Medicare	JOHNSON, CHARLES MRN: 900009849	06/18/25- 08/16/25 Billable	Iwona A.	Completed	14 07/02/25		07/17/2025 Thu	Delete
	06/18/2025 Medicare	LYND, URSULA MRN: 900010340	06/18/25- 08/16/25 Billable	Joan L.	Completed	12 06/30/25		07/17/2025 Thu	Delete
	06/18/2025 Medicare	BISPING, JOSEPH MRN: 900010332	06/18/25- 08/16/25 Billable	Jennifer N.	Completed	13 07/01/25		07/17/2025 Thu	Delete
	06/19/2025 Medicare	DEWEES, JOSEPH MRN: 900010342	06/19/25- 08/17/25 Billable	Nutrinee H.	Completed	1 06/20/25		07/18/2025 Fri	Delete
	06/20/2025 Medicare	EVANS, VARITA MRN: 900010322	06/20/25- 08/18/25 Billable	Nutrinee H.	Completed	3 06/23/25		07/19/2025 Sat	Delete
	06/20/2025 Medicare	HAM, JOHNNIE MRN: 900010337	06/20/25- 08/18/25 Billable	Joan L.	Completed	6 06/26/25		07/19/2025 Sat	Delete
	06/21/2025 Medicare	SCHUMAN, ANDREA MRN: 900010351	06/21/25- 08/19/25 Billable	Jennifer N.	Pending	10 07/01/25		07/20/2025 Sun	Delete
	06/21/2025 Medicare	WARNER, BARBARA MRN: 900010336	06/21/25- 08/19/25 Billable	Joan L.	Completed	9 06/30/25		07/20/2025 Sun	Delete
	06/21/2025 Medicare	MAISSA, MIREILLE MRN: 900010350	06/21/25- 08/19/25 Billable	Joan L.	Completed	9 06/30/25		07/20/2025 Sun	Delete
	06/23/2025 Medicare	WILLIAMS, ROCELIOUS MRN: 900009804	06/23/25- 08/21/25 Billable	Joan L.	Completed	7 06/30/25		07/22/2025 Tue	Delete
	06/24/2025 Medicare	LANGAN, ROBERT MRN: 900010353	06/24/25- 08/22/25 Billable	Jennifer N.	Pending	9 07/03/25		07/23/2025 Wed	Delete
	06/26/2025 Medicare	HIETBRINK, RICHARD MRN: 900010214	06/26/25- 08/24/25 Billable	MJ O.	Completed	1 06/27/25		07/25/2025 Fri	Delete
	06/26/2025 Medicare	BONDS, WILLIAM MRN: 900010362	06/26/25- 08/24/25 Billable	Cindy C.	Completed	3 06/29/25		07/25/2025 Fri	Delete
	06/26/2025 Medicare	GARCIA JR, RALPH MRN: 900010012	06/26/25- 08/24/25 Billable	Joan L.	Completed	7 07/03/25		07/25/2025 Fri	Delete
	06/26/2025 Medicare	MATZKIN, SUSAN MRN: 13253	06/26/25- 08/24/25 Billable	Joan L.	Completed	7 07/03/25		07/25/2025 Fri	Delete
	06/27/2025 Medicare	ANDERSON, JEFFREY MRN: 900010345	06/27/25- 08/25/25 Billable	MJ O.	Completed	3 06/30/25		07/26/2025 Sat	Delete
	06/27/2025 Private Pay	PERANICH, LYNNE MRN: 900010367	06/27/25- 07/01/25 Billable	Nutrinee H.	Completed	1 06/28/25		07/26/2025 Sat	Delete
	06/30/2025 Medicare	COOPER, SUSAN MRN: 900009565	06/30/25- 08/28/25 Billable	MJ O.	Completed	1 07/01/25		07/29/2025 Tue	Delete
	06/30/2025 Medicare	HARBIN, CHARLES MRN: 900002644	06/30/25- 08/28/25 Billable	Mary G.	Completed	3 07/03/25		07/29/2025 Tue	Delete
	06/30/2025 Workers Compensation	TILLAR, JOCELYN MRN: 900010343	06/28/25- 12/19/25 Billable	Jay F.	No Visit in the Calendar	2 07/02/25	Not yet reported	N/A	Delete
	07/01/2025 Medicare	BRAZIEL, MAUREEN MRN: 900010354	07/01/25- 08/29/25 Billable	Jay F.	Pending	2 07/03/25	1	07/30/2025 Wed	Delete

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