DocuChart

Forms to Track / OASIS Transfer

Need to transmit a completed OASIS to iQIES by 5PM PDT

to avoid financial reimbursement penalty.

Status

OASIS Packet 4 Pending OASIS 24 Submitted OASIS Under Review OASIS to Process Export to HAS OASIS to Lock Export to State

Late OASIS Percentage

September 2025

27.54% as of 09/12/25 04:52 PM

9 SOC 1 Transfer 5 ROC 1 Recert 3 D/C

Submitted

Form Date	Patient	Episode	IQIES Due Date
02/18/2024 Medicare	RIGBY, LOUISE MRN: 900008421	01/07/24- 02/18/24 Billable	Past Due!	Delete
08/20/2024 Medicare	DAGUE, EVELYN MRN: 900008809	07/11/24- 08/20/24 Billable	Past Due!	Delete
09/09/2024 Medicare	LEE, MARY MRN: 900009597	09/07/24- 11/05/24 Non-Billable	Past Due!	Delete
10/01/2024 Private Insurance	SPEARS, WILLIAM MRN: 900009643	09/27/24- 10/01/24 Billable	Past Due!	Delete
10/18/2024 Medicare Submitted	JIJON OJEDA, GUSTAVO MRN: 900009636	09/21/24- 10/18/24 Billable	Past Due!	Delete
10/21/2024 Medicare	JIJON OJEDA, GUSTAVO MRN: 900009636	09/21/24- 10/18/24 Billable	Past Due!	Delete
12/04/2024 Workers Compensation	LOWE, RONALD MRN: 900009765	11/06/24- 12/29/24 Billable	Past Due!	Delete
12/31/2024 Medicare	BURNS, SHEILA MRN: 900009822	12/04/24- 12/19/24 Billable	Past Due!	Delete
02/03/2025 Medicare	JACKSON, ROBERT MRN: 900009957	01/20/25- 03/14/25 Billable	Past Due!	Delete
02/17/2025 Medicare	RIVERA, CHRISTOPHER MRN: 14123	01/26/25- 03/23/25 Billable	Past Due!	Delete
02/17/2025 Medicare	FASO, JAMES MRN: 900001172	02/15/25- 02/17/25 Non-Billable	Past Due!	Delete
03/05/2025 Private Pay	SAMPSON, GENEVIEVE MRN: 900010020	03/01/25- 03/05/25 Billable	Past Due!	Delete
03/14/2025 Private Pay	CASILLAS, RAUL MRN: 900010050	03/12/25- 03/14/25 Billable	Past Due!	Delete
03/18/2025 Medicare	MARTINEZ, JAMES MRN: 900010100	03/14/25- 03/18/25 Non-Billable	Past Due!	Delete
04/08/2025 Private Pay	SAMPSON, GENEVIEVE MRN: 900010020	03/13/25- 04/08/25 Billable	Past Due!	Delete
04/09/2025 Self-Pay	BUESCH, MARK MRN: 900010149	04/03/25- 04/09/25 Non-Billable	Past Due!	Delete
04/16/2025 Private Pay	OLIVARES- SOTO, DELFINA MRN: 900010157	04/06/25- 05/30/25 Billable	Past Due!	Delete
05/18/2025 Private Pay	VARDI, TOMER MRN: 900010221	05/01/25- 05/18/25 Billable	Past Due!	Delete
08/02/2025 Medicare Submitted	VELEZ, PAULA MRN: 900010279	07/27/25- 08/06/25 Billable	Past Due!	Delete
08/06/2025 Medicare	VELEZ, PAULA MRN: 900010279	07/27/25- 08/06/25 Billable	Past Due!	Delete
08/27/2025 Medicare	SUAZO, FRANCISCO MRN: 900010504	08/24/25- 08/27/25 Billable	09/25/2025 Thu	Delete
08/30/2025 Medicare	GARCIA JR, RALPH MRN: 900010012	08/25/25- 10/23/25 Billable	09/28/2025 Sun	Delete
09/05/2025 Medicare	KRASN, STEVEN MRN: 900010509	08/26/25- 10/24/25 Billable	10/04/2025 Sat	Delete
09/07/2025 Medicare	BURNS, MARY MRN: 900007182	08/27/25- 10/25/25 Billable	10/06/2025 Mon	Delete