|
Form Date |
Patient |
Episode |
Assessor |
Packet Status (for payroll) |
Days to Submit |
ICD |
IQIES Due Date |
|
08/28/2025
Private Pay
|
JIMENEZ,
JAMES
MRN:
900010514
|
08/28/25-
10/26/25
Billable |
Joan L.
|
Completed
|
7
09/04/25
|
21
|
09/26/2025 Fri |
Delete
|
|
08/29/2025
Medicare
|
VALENCIC JR,
JOHN
MRN:
900010511
|
08/29/25-
10/27/25
Billable |
Soline L.
|
Completed
|
2
08/31/25
|
38
|
09/27/2025 Sat |
Delete
|
|
08/29/2025
Medicare
|
DVIR,
SUSANA
MRN:
900010517
|
08/29/25-
09/08/25
Billable |
Yani C.
|
Pending
|
1
08/30/25
|
17
|
09/27/2025 Sat |
Delete
|
|
08/29/2025
Medicare
|
SPRINGGATE,
TRUDY
MRN:
900007630
|
08/29/25-
10/27/25
Billable |
Josh C.
|
Completed
|
1
08/30/25
|
12
|
09/27/2025 Sat |
Delete
|
|
08/29/2025
Medicare
|
RUNGAITIS,
ROBERT
MRN:
900001025
|
08/29/25-
10/27/25
Billable |
Joan L.
|
Completed
|
5
09/03/25
|
20
|
09/27/2025 Sat |
Delete
|
|
08/30/2025
Medicare
|
HAYASHI,
LORETA
MRN:
900010520
|
08/30/25-
10/28/25
Billable |
Yani C.
|
Pending
|
2
09/01/25
|
22
|
09/28/2025 Sun |
Delete
|
|
08/31/2025
Medicare
|
SEIDENBERG,
RICHARD
MRN:
900010526
|
08/31/25-
10/29/25
Billable |
MJ O.
|
Completed
|
1
09/01/25
|
17
|
09/29/2025 Mon |
Delete
|
|
09/01/2025
Medicare
|
GROVEN,
MARILYN
MRN:
900010524
|
09/01/25-
10/30/25
Billable |
Joan L.
|
Completed
|
5
09/06/25
|
17
|
09/30/2025 Tue |
Delete
|
|
09/02/2025
Medicare
|
VOZZOLA,
JERRY
MRN:
900010523
|
09/02/25-
10/31/25
Billable |
Yani C.
|
Pending
|
0
09/02/25
|
10
|
10/01/2025 Wed |
Delete
|
|
09/02/2025
Private Pay
|
GOMES,
JASON
MRN:
900010527
|
09/02/25-
10/31/25
Billable |
MJ O.
|
Completed
|
0
09/02/25
|
10
|
10/01/2025 Wed |
Delete
|
|
09/03/2025
Medi-care Advantage
|
MCPHERSON,
MICHAEL
MRN:
900010512
|
09/03/25-
11/01/25
Billable |
Deylis H.
|
Completed
|
4
09/07/25
|
26
|
10/02/2025 Thu |
Delete
|
|
09/04/2025
Medicare
|
WARD,
FREDDIE
MRN:
900004328
|
09/04/25-
11/02/25
Billable |
Soline L.
|
Completed
|
2
09/06/25
|
5
|
10/03/2025 Fri |
Delete
|
|
09/05/2025
Medicare
|
BOSLEY SR,
VICTOR
MRN:
900010525
|
09/05/25-
11/03/25
Billable |
Deylis H.
|
Completed
|
3
09/08/25
|
24
|
10/04/2025 Sat |
Delete
|
|
09/05/2025
Medicare
|
GUDEWICZ,
LINDA
MRN:
900010534
|
09/05/25-
11/03/25
Billable |
Jonai P.
|
Pending
|
3
09/08/25
|
12
|
10/04/2025 Sat |
Delete
|
|
09/05/2025
Medicare
|
SCOTT,
JOHNNIE
MRN:
900009876
|
09/05/25-
11/03/25
Billable |
Soline L.
|
Completed
|
2
09/07/25
|
14
|
10/04/2025 Sat |
Delete
|
|
09/06/2025
Medicare
|
NGUYEN,
MATHEW
MRN:
900010535
|
09/06/25-
11/04/25
Billable |
MJ O.
|
Completed
|
1
09/07/25
|
23
|
10/05/2025 Sun |
Delete
|
|
09/06/2025
Medicare
|
MIKHAIL,
NADIA
MRN:
900010536
|
09/06/25-
09/07/25
Billable |
Deylis H.
|
Pending
|
3
09/09/25
|
18
|
10/05/2025 Sun |
Delete
|
|
09/08/2025
Medicare
|
TOMA,
MARY
MRN:
900010538
|
09/08/25-
11/06/25
Billable |
Joan L.
|
Completed
|
0
09/08/25
|
1
|
10/07/2025 Tue |
Delete
|
|
09/09/2025
Medicare
|
MORIN,
CHARLES
MRN:
900010230
|
09/09/25-
11/07/25
Billable |
Obinna I.
|
Completed
|
2
09/11/25
|
22
|
10/08/2025 Wed |
Delete
|
|
09/11/2025
Private Pay
|
ORNELAS,
JOSE
MRN:
900010539
|
09/11/25-
11/09/25
Billable |
Deylis H.
|
Pending
|
0
09/11/25
|
|
10/10/2025 Fri |
Delete
|