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 2CHKU 2CHK3 C3F3S1 2.3415 14 to 15 $ 5,281.12 $ 139.84 $ 5,420.96<br />
2 2CHKV 2CHK4 C3F3S1 2.3415 14 to 15 $ 5,281.12 $ 207.76 $ 5,488.88<br />
2 2CHKW 2CHK5 C3F3S1 2.3415 14 to 15 $ 5,281.12 $ 320.37 $ 5,601.49<br />
2 2CHKX 2CHK6 C3F3S1 2.3415 14 to 15 $ 5,281.12 $ 551.00 $ 5,832.12<br />
2 2CHLS 2CHL1 C3F3S2 2.4972 16 to 17 $ 5,632.30 $ 14.12 $ 5,646.42<br />
2 2CHLT 2CHL2 C3F3S2 2.4972 16 to 17 $ 5,632.30 $ 51.00 $ 5,683.30<br />
2 2CHLU 2CHL3 C3F3S2 2.4972 16 to 17 $ 5,632.30 $ 139.84 $ 5,772.14<br />
2 2CHLV 2CHL4 C3F3S2 2.4972 16 to 17 $ 5,632.30 $ 207.76 $ 5,840.06<br />
2 2CHLW 2CHL5 C3F3S2 2.4972 16 to 17 $ 5,632.30 $ 320.37 $ 5,952.67<br />
2 2CHLX 2CHL6 C3F3S2 2.4972 16 to 17 $ 5,632.30 $ 551.00 $ 6,183.30<br />
2 2CHMS 2CHM1 C3F3S3 2.6342 18 to 19 $ 5,941.29 $ 14.12 $ 5,955.41<br />
2 2CHMT 2CHM2 C3F3S3 2.6342 18 to 19 $ 5,941.29 $ 51.00 $ 5,992.29<br />
2 2CHMU 2CHM3 C3F3S3 2.6342 18 to 19 $ 5,941.29 $ 139.84 $ 6,081.13<br />
2 2CHMV 2CHM4 C3F3S3 2.6342 18 to 19 $ 5,941.29 $ 207.76 $ 6,149.05<br />
2 2CHMW 2CHM5 C3F3S3 2.6342 18 to 19 $ 5,941.29 $ 320.37 $ 6,261.66<br />
2 2CHMX 2CHM6 C3F3S3 2.6342 18 to 19 $ 5,941.29 $ 551.00 $ 6,492.29<br />
Late (3 rd +) Episodes With 0 to 13 Therapy Visits<br />
3 3AFKS 3AFK1 C1F1S1 0.6543 0 to 5 $ 1,475.74 $ 14.12 $ 1,489.86<br />
3 3AFKT 3AFK2 C1F1S1 0.6543 0 to 5 $ 1,475.74 $ 51.00 $ 1,526.74<br />
3 3AFKU 3AFK3 C1F1S1 0.6543 0 to 5 $ 1,475.74 $ 139.84 $ 1,615.58<br />
3 3AFKV 3AFK4 C1F1S1 0.6543 0 to 5 $ 1,475.74 $ 207.76 $ 1,683.50<br />
3 3AFKW 3AFK5 C1F1S1 0.6543 0 to 5 $ 1,475.74 $ 320.37 $ 1,796.11<br />
3 3AFKX 3AFK6 C1F1S1 0.6543 0 to 5 $ 1,475.74 $ 551.00 $ 2,026.74<br />
3 3AFLS 3AFL1 C1F1S2 1.0041 6 $ 2,264.69 $ 14.12 $ 2,278.81<br />
3 3AFLT 3AFL2 C1F1S2 1.0041 6 $ 2,264.69 $ 51.00 $ 2,315.69<br />
3 3AFLU 3AFL3 C1F1S2 1.0041 6 $ 2,264.69 $ 139.84 $ 2,404.53<br />
3 3AFLV 3AFL4 C1F1S2 1.0041 6 $ 2,264.69 $ 207.76 $ 2,472.45<br />
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