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 ...
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
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 />
3 3AGLU 3AGL3 C1F2S2 1.1380 6 $ 2,566.70 $ 139.84 $ 2,706.54<br />
3 3AGLV 3AGL4 C1F2S2 1.1380 6 $ 2,566.70 $ 207.76 $ 2,774.46<br />
3 3AGLW 3AGL5 C1F2S2 1.1380 6 $ 2,566.70 $ 320.37 $ 2,887.07<br />
3 3AGLX 3AGL6 C1F2S2 1.1380 6 $ 2,566.70 $ 551.00 $ 3,117.70<br />
3 3AGMS 3AGM1 C1F2S3 1.3405 7 to 9 $ 3,023.42 $ 14.12 $ 3,037.54<br />
3 3AGMT 3AGM2 C1F2S3 1.3405 7 to 9 $ 3,023.42 $ 51.00 $ 3,074.42<br />
3 3AGMU 3AGM3 C1F2S3 1.3405 7 to 9 $ 3,023.42 $ 139.84 $ 3,163.26<br />
3 3AGMV 3AGM4 C1F2S3 1.3405 7 to 9 $ 3,023.42 $ 207.76 $ 3,231.18<br />
3 3AGMW 3AGM5 C1F2S3 1.3405 7 to 9 $ 3,023.42 $ 320.37 $ 3,343.79<br />
3 3AGMX 3AGM6 C1F2S3 1.3405 7 to 9 $ 3,023.42 $ 551.00 $ 3,574.42<br />
3 3AGNS 3AGN1 C1F2S4 1.5617 10 $ 3,522.33 $ 14.12 $ 3,536.45<br />
3 3AGNT 3AGN2 C1F2S4 1.5617 10 $ 3,522.33 $ 51.00 $ 3,573.33<br />
3 3AGNU 3AGN3 C1F2S4 1.5617 10 $ 3,522.33 $ 139.84 $ 3,662.17<br />
3 3AGNV 3AGN4 C1F2S4 1.5617 10 $ 3,522.33 $ 207.76 $ 3,730.09<br />
3 3AGNW 3AGN5 C1F2S4 1.5617 10 $ 3,522.33 $ 320.37 $ 3,842.70<br />
3 3AGNX 3AGN6 C1F2S4 1.5617 10 $ 3,522.33 $ 551.00 $ 4,073.33<br />
3 3AGPS 3AGP1 C1F2S5 1.7364 11 to 13 $ 3,916.35 $ 14.12 $ 3,930.47<br />
3 3AGPT 3AGP2 C1F2S5 1.7364 11 to 13 $ 3,916.35 $ 51.00 $ 3,967.35<br />
3 3AGPU 3AGP3 C1F2S5 1.7364 11 to 13 $ 3,916.35 $ 139.84 $ 4,056.19<br />
3 3AGPV 3AGP4 C1F2S5 1.7364 11 to 13 $ 3,916.35 $ 207.76 $ 4,124.11<br />
3 3AGPW 3AGP5 C1F2S5 1.7364 11 to 13 $ 3,916.35 $ 320.37 $ 4,236.72<br />
3 3AGPX 3AGP6 C1F2S5 1.7364 11 to 13 $ 3,916.35 $ 551.00 $ 4,467.35<br />
3 3AHKS 3AHK1 C1F3S1 0.9151 0 to 5 $ 2,063.96 $ 14.12 $ 2,078.08<br />
3 3AHKT 3AHK2 C1F3S1 0.9151 0 to 5 $ 2,063.96 $ 51.00 $ 2,114.96<br />
3 3AHKU 3AHK3 C1F3S1 0.9151 0 to 5 $ 2,063.96 $ 139.84 $ 2,203.80<br />
3 3AHKV 3AHK4 C1F3S1 0.9151 0 to 5 $ 2,063.96 $ 207.76 $ 2,271.72<br />
3 3AHKW 3AHK5 C1F3S1 0.9151 0 to 5 $ 2,063.96 $ 320.37 $ 2,384.33<br />
3 3AHKX 3AHK6 C1F3S1 0.9151 0 to 5 $ 2,063.96 $ 551.00 $ 2,614.96<br />
18 of 34
Change language