Submitted

	Form Date	Patient	Episode	Assessor	Packet Status (for payroll)	Days to Submit	ICD	IQIES Due Date
	01/29/2026 Medicare	LIPAT, WILLY MRN: 900010852	01/29/26- 03/29/26 Billable	Joan L.	Completed	6 02/04/26		02/27/2026 Fri	Delete
	01/29/2026 Medicare	MACK, LAURENCE MRN: 900010849	01/29/26- 03/29/26 Billable	Soline L.	Completed	2 01/31/26	11	02/27/2026 Fri	Delete
	01/29/2026 Medicare	FIGUEROA RIVERA, ERASMO MRN: 900010850	01/29/26- 03/29/26 Billable	Jonai P.	Completed	0 01/29/26	4	02/27/2026 Fri	Delete
	01/30/2026 Medicare	PINEDA, ELEUTERIO MRN: 900010855	01/30/26- 03/30/26 Billable	Rea S.	Completed	3 02/02/26	15	02/28/2026 Sat	Delete
	01/30/2026 Medicare	MCGOWAN, MIKE MRN: 900010832	01/30/26- 03/30/26 Billable	Joan L.	Completed	6 02/05/26		02/28/2026 Sat	Delete
	01/30/2026 Medicare	PARASCANDO, ELIZABETH MRN: 900010851	01/30/26- 03/30/26 Billable	Iwona A.	Completed	2 02/01/26	10	02/28/2026 Sat	Delete
	01/31/2026 Medicare	HICKS JR, JOHNNY MRN: 900010862	01/31/26- 03/31/26 Billable	Josh C.	Completed	1 02/01/26	13	03/01/2026 Sun	Delete
	02/01/2026 Medicare	MENELEY, JEAN MRN: 900010856	02/01/26- 04/01/26 Billable	Albert Christian S.	Completed	1 02/02/26	9	03/02/2026 Mon	Delete
	02/01/2026 Medicare	CROWE, DEBORAH MRN: 900010858	02/01/26- 04/01/26 Billable	Albert Christian S.	Completed	1 02/02/26	14	03/02/2026 Mon	Delete
	02/04/2026 Medicare	HAYES, ATHENA MRN: 900010838	02/04/26- 04/04/26 Billable	Rea S.	Completed	1 02/05/26		03/05/2026 Thu	Delete
	02/05/2026 Medicare	VOELCKER, SUSAN MRN: 900010869	02/05/26- 04/05/26 Billable	Diane G.	Pending	0 02/05/26		03/06/2026 Fri	Delete
	02/05/2026 Medicare	DOWNEY, LAURIE MRN: 15391	02/05/26- 04/05/26 Billable	Alexis B.	Pending	0 02/05/26		03/06/2026 Fri	Delete

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