|
Form Date |
Patient |
OTHER Rec Date |
D/C Date |
Assessor |
Packet Status (for payroll) |
Plan of Care |
IQIES Due Date |
|
|
03/12/2025
|
DUMMY,
PATIENT
MRN:
900000185
|
|
|
Nurse2 N.
Skilled Nurses
|
Pending
|
Deleted |
Past Due! |
|
|
06/17/2025
|
aaa,
bbb
MRN:
7776
|
|
|
Nurse2 N.
Skilled Nurses
|
Pending
|
Exported to HAS |
Past Due! |
|
|
08/11/2025
|
WOOD,
NANCY
MRN:
900008215
|
08/18/25 (Exported to State)
The other record was already exported to iQIES. This record may no longer be needed.
|
|
Angel D.
Skilled Nurses
|
|
Uploaded |
Past Due! |
|
|
08/14/2025
|
EVANS,
VARITA
MRN:
900010322
|
|
08/18/2025
|
Joan L.
Skilled Nurses
|
|
|
Past Due! |
|
|
08/18/2025
|
aaa,
bbb
MRN:
7776
|
|
|
Nurse2 N.
Skilled Nurses
|
Pending
|
Exported to HAS |
09/16/2025 Tue |
|
|
08/22/2025
|
GARCIA JR,
RALPH
MRN:
900010012
|
|
|
Jeanne J.
Skilled Nurses
|
Pending
|
Exported to HAS |
09/20/2025 Sat |
|
|
08/26/2025
|
BIJOLD,
URSULA
MRN:
900008010
|
|
|
Jeanne J.
Skilled Nurses
|
Pending
|
Exported to HAS |
09/24/2025 Wed |
|
|
08/28/2025
|
CHISM-SWEET,
JACKIE
MRN:
900001950
|
|
|
Jeanne J.
Skilled Nurses
|
Pending
|
Exported to HAS |
09/26/2025 Fri |
|
|
08/28/2025
|
HOPPER,
DARLENE
MRN:
900003547
|
|
|
Jeanne J.
Skilled Nurses
|
Pending
|
Exported to HAS |
09/26/2025 Fri |
|
|
09/06/2025
|
COPPICK,
GLENDA
MRN:
900008569
|
|
|
Angel D.
Skilled Nurses
|
Pending
|
Exported to HAS |
10/05/2025 Sun |
|
|
09/07/2025
|
PALMER,
JUDYE
MRN:
900010092
|
|
|
Franchesca D.
Skilled Nurses
|
Pending
|
Exported to HAS |
10/06/2025 Mon |
|
|
09/08/2025
|
WIRSHING,
DAVID
MRN:
900006286
|
|
|
Josh C.
Skilled Nurses
|
Pending
|
Exported to HAS |
10/07/2025 Tue |
|
|
09/10/2025
|
DE LEON,
ROSARIO
MRN:
900009958
|
|
|
Mary G.
Skilled Nurses
|
Pending
|
Exported to HAS |
10/09/2025 Thu |
|
|
09/11/2025
|
HAMRIC,
LARRY
MRN:
900008484
|
|
|
Josh C.
Skilled Nurses
|
Pending
|
Exported to HAS |
10/10/2025 Fri |
|
|
09/12/2025
|
FIFE,
BETTY
MRN:
900010413
|
|
|
Josh C.
Skilled Nurses
|
Pending
|
|
10/11/2025 Sat |
