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 />
1 1AFPU 1AFP3 C1F1S5 1.4506 11 to 13 $ 3,271.75 $ 139.84 $ 3,411.59<br />
1 1AFPV 1AFP4 C1F1S5 1.4506 11 to 13 $ 3,271.75 $ 207.76 $ 3,479.51<br />
1 1AFPW 1AFP5 C1F1S5 1.4506 11 to 13 $ 3,271.75 $ 320.37 $ 3,592.12<br />
1 1AFPX 1AFP6 C1F1S5 1.4506 11 to 13 $ 3,271.75 $ 551.00 $ 3,822.75<br />
1 1AGKS 1AGK1 C1F2S1 0.6713 0 to 5 $ 1,514.08 $ 14.12 $ 1,528.20<br />
1 1AGKT 1AGK2 C1F2S1 0.6713 0 to 5 $ 1,514.08 $ 51.00 $ 1,565.08<br />
1 1AGKU 1AGK3 C1F2S1 0.6713 0 to 5 $ 1,514.08 $ 139.84 $ 1,653.92<br />
1 1AGKV 1AGK4 C1F2S1 0.6713 0 to 5 $ 1,514.08 $ 207.76 $ 1,721.84<br />
1 1AGKW 1AGK5 C1F2S1 0.6713 0 to 5 $ 1,514.08 $ 320.37 $ 1,834.45<br />
1 1AGKX 1AGK6 C1F2S1 0.6713 0 to 5 $ 1,514.08 $ 551.00 $ 2,065.08<br />
1 1AGLS 1AGL1 C1F2S2 0.9393 6 $ 2,118.54 $ 14.12 $ 2,132.66<br />
1 1AGLT 1AGL2 C1F2S2 0.9393 6 $ 2,118.54 $ 51.00 $ 2,169.54<br />
1 1AGLU 1AGL3 C1F2S2 0.9393 6 $ 2,118.54 $ 139.84 $ 2,258.38<br />
1 1AGLV 1AGL4 C1F2S2 0.9393 6 $ 2,118.54 $ 207.76 $ 2,326.30<br />
1 1AGLW 1AGL5 C1F2S2 0.9393 6 $ 2,118.54 $ 320.37 $ 2,438.91<br />
1 1AGLX 1AGL6 C1F2S2 0.9393 6 $ 2,118.54 $ 551.00 $ 2,669.54<br />
1 1AGMS 1AGM1 C1F2S3 1.1485 7 to 9 $ 2,590.38 $ 14.12 $ 2,604.50<br />
1 1AGMT 1AGM2 C1F2S3 1.1485 7 to 9 $ 2,590.38 $ 51.00 $ 2,641.38<br />
1 1AGMU 1AGM3 C1F2S3 1.1485 7 to 9 $ 2,590.38 $ 139.84 $ 2,730.22<br />
1 1AGMV 1AGM4 C1F2S3 1.1485 7 to 9 $ 2,590.38 $ 207.76 $ 2,798.14<br />
1 1AGMW 1AGM5 C1F2S3 1.1485 7 to 9 $ 2,590.38 $ 320.37 $ 2,910.75<br />
1 1AGMX 1AGM6 C1F2S3 1.1485 7 to 9 $ 2,590.38 $ 551.00 $ 3,141.38<br />
1 1AGNS 1AGN1 C1F2S4 1.3630 10 $ 3,074.17 $ 14.12 $ 3,088.29<br />
1 1AGNT 1AGN2 C1F2S4 1.3630 10 $ 3,074.17 $ 51.00 $ 3,125.17<br />
1 1AGNU 1AGN3 C1F2S4 1.3630 10 $ 3,074.17 $ 139.84 $ 3,214.01<br />
1 1AGNV 1AGN4 C1F2S4 1.3630 10 $ 3,074.17 $ 207.76 $ 3,281.93<br />
1 1AGNW 1AGN5 C1F2S4 1.3630 10 $ 3,074.17 $ 320.37 $ 3,394.54<br />
1 1AGNX 1AGN6 C1F2S4 1.3630 10 $ 3,074.17 $ 551.00 $ 3,625.17<br />
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