2008 TX - Dallas PPS Payment Rates - Home Care Information ...
2008 TX - Dallas PPS Payment Rates - Home Care Information ...
2008 TX - Dallas PPS Payment Rates - Home Care Information ...
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Medicare <strong>Home</strong> Health <strong>PPS</strong> <strong>Payment</strong> <strong>Rates</strong><br />
Effective for Episodes Beginning and Ending in <strong>2008</strong><br />
CBSA<br />
Code<br />
19124 <strong>Dallas</strong>, Texas CBSA<br />
Service Area<br />
Urban or Rural Area<br />
<strong>Payment</strong> <strong>Rates</strong><br />
HI<strong>PPS</strong> Code<br />
<strong>Payment</strong><br />
No Case- Total<br />
<strong>Payment</strong> Supplies Supplies HHRG Mix Therapy HHRG NRS Total<br />
Grouping Billed Billed Code Weight Visits Portion Portion Episode<br />
2 2BHKS 2BHK1 C2F3S1 2.0518 14 to 15 $ 4,627.72 $ 14.12 $ 4,641.84<br />
2 2BHKT 2BHK2 C2F3S1 2.0518 14 to 15 $ 4,627.72 $ 51.00 $ 4,678.72<br />
2 2BHKU 2BHK3 C2F3S1 2.0518 14 to 15 $ 4,627.72 $ 139.84 $ 4,767.56<br />
2 2BHKV 2BHK4 C2F3S1 2.0518 14 to 15 $ 4,627.72 $ 207.76 $ 4,835.48<br />
2 2BHKW 2BHK5 C2F3S1 2.0518 14 to 15 $ 4,627.72 $ 320.37 $ 4,948.09<br />
2 2BHKX 2BHK6 C2F3S1 2.0518 14 to 15 $ 4,627.72 $ 551.00 $ 5,178.72<br />
2 2BHLS 2BHL1 C2F3S2 2.2074 16 to 17 $ 4,978.67 $ 14.12 $ 4,992.79<br />
2 2BHLT 2BHL2 C2F3S2 2.2074 16 to 17 $ 4,978.67 $ 51.00 $ 5,029.67<br />
2 2BHLU 2BHL3 C2F3S2 2.2074 16 to 17 $ 4,978.67 $ 139.84 $ 5,118.51<br />
2 2BHLV 2BHL4 C2F3S2 2.2074 16 to 17 $ 4,978.67 $ 207.76 $ 5,186.43<br />
2 2BHLW 2BHL5 C2F3S2 2.2074 16 to 17 $ 4,978.67 $ 320.37 $ 5,299.04<br />
2 2BHLX 2BHL6 C2F3S2 2.2074 16 to 17 $ 4,978.67 $ 551.00 $ 5,529.67<br />
2 2BHMS 2BHM1 C2F3S3 2.3445 18 to 19 $ 5,287.89 $ 14.12 $ 5,302.01<br />
2 2BHMT 2BHM2 C2F3S3 2.3445 18 to 19 $ 5,287.89 $ 51.00 $ 5,338.89<br />
2 2BHMU 2BHM3 C2F3S3 2.3445 18 to 19 $ 5,287.89 $ 139.84 $ 5,427.73<br />
2 2BHMV 2BHM4 C2F3S3 2.3445 18 to 19 $ 5,287.89 $ 207.76 $ 5,495.65<br />
2 2BHMW 2BHM5 C2F3S3 2.3445 18 to 19 $ 5,287.89 $ 320.37 $ 5,608.26<br />
2 2BHMX 2BHM6 C2F3S3 2.3445 18 to 19 $ 5,287.89 $ 551.00 $ 5,838.89<br />
2 2CFKS 2CFK1 C3F1S1 2.1524 14 to 15 $ 4,854.62 $ 14.12 $ 4,868.74<br />
2 2CFKT 2CFK2 C3F1S1 2.1524 14 to 15 $ 4,854.62 $ 51.00 $ 4,905.62<br />
2 2CFKU 2CFK3 C3F1S1 2.1524 14 to 15 $ 4,854.62 $ 139.84 $ 4,994.46<br />
2 2CFKV 2CFK4 C3F1S1 2.1524 14 to 15 $ 4,854.62 $ 207.76 $ 5,062.38<br />
2 2CFKW 2CFK5 C3F1S1 2.1524 14 to 15 $ 4,854.62 $ 320.37 $ 5,174.99<br />
2 2CFKX 2CFK6 C3F1S1 2.1524 14 to 15 $ 4,854.62 $ 551.00 $ 5,405.62<br />
2 2CFLS 2CFL1 C3F1S2 2.3081 16 to 17 $ 5,205.79 $ 14.12 $ 5,219.91<br />
2 2CFLT 2CFL2 C3F1S2 2.3081 16 to 17 $ 5,205.79 $ 51.00 $ 5,256.79<br />
2 2CFLU 2CFL3 C3F1S2 2.3081 16 to 17 $ 5,205.79 $ 139.84 $ 5,345.63<br />
2 2CFLV 2CFL4 C3F1S2 2.3081 16 to 17 $ 5,205.79 $ 207.76 $ 5,413.55<br />
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