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 />
3 3BHKS 3BHK1 C2F3S1 0.9732 0 to 5 $ 2,195.00 $ 14.12 $ 2,209.12<br />
3 3BHKT 3BHK2 C2F3S1 0.9732 0 to 5 $ 2,195.00 $ 51.00 $ 2,246.00<br />
3 3BHKU 3BHK3 C2F3S1 0.9732 0 to 5 $ 2,195.00 $ 139.84 $ 2,334.84<br />
3 3BHKV 3BHK4 C2F3S1 0.9732 0 to 5 $ 2,195.00 $ 207.76 $ 2,402.76<br />
3 3BHKW 3BHK5 C2F3S1 0.9732 0 to 5 $ 2,195.00 $ 320.37 $ 2,515.37<br />
3 3BHKX 3BHK6 C2F3S1 0.9732 0 to 5 $ 2,195.00 $ 551.00 $ 2,746.00<br />
3 3BHLS 3BHL1 C2F3S2 1.3230 6 $ 2,983.95 $ 14.12 $ 2,998.07<br />
3 3BHLT 3BHL2 C2F3S2 1.3230 6 $ 2,983.95 $ 51.00 $ 3,034.95<br />
3 3BHLU 3BHL3 C2F3S2 1.3230 6 $ 2,983.95 $ 139.84 $ 3,123.79<br />
3 3BHLV 3BHL4 C2F3S2 1.3230 6 $ 2,983.95 $ 207.76 $ 3,191.71<br />
3 3BHLW 3BHL5 C2F3S2 1.3230 6 $ 2,983.95 $ 320.37 $ 3,304.32<br />
3 3BHLX 3BHL6 C2F3S2 1.3230 6 $ 2,983.95 $ 551.00 $ 3,534.95<br />
3 3BHMS 3BHM1 C2F3S3 1.5255 7 to 9 $ 3,440.68 $ 14.12 $ 3,454.80<br />
3 3BHMT 3BHM2 C2F3S3 1.5255 7 to 9 $ 3,440.68 $ 51.00 $ 3,491.68<br />
3 3BHMU 3BHM3 C2F3S3 1.5255 7 to 9 $ 3,440.68 $ 139.84 $ 3,580.52<br />
3 3BHMV 3BHM4 C2F3S3 1.5255 7 to 9 $ 3,440.68 $ 207.76 $ 3,648.44<br />
3 3BHMW 3BHM5 C2F3S3 1.5255 7 to 9 $ 3,440.68 $ 320.37 $ 3,761.05<br />
3 3BHMX 3BHM6 C2F3S3 1.5255 7 to 9 $ 3,440.68 $ 551.00 $ 3,991.68<br />
3 3BHNS 3BHN1 C2F3S4 1.7467 10 $ 3,939.59 $ 14.12 $ 3,953.71<br />
3 3BHNT 3BHN2 C2F3S4 1.7467 10 $ 3,939.59 $ 51.00 $ 3,990.59<br />
3 3BHNU 3BHN3 C2F3S4 1.7467 10 $ 3,939.59 $ 139.84 $ 4,079.43<br />
3 3BHNV 3BHN4 C2F3S4 1.7467 10 $ 3,939.59 $ 207.76 $ 4,147.35<br />
3 3BHNW 3BHN5 C2F3S4 1.7467 10 $ 3,939.59 $ 320.37 $ 4,259.96<br />
3 3BHNX 3BHN6 C2F3S4 1.7467 10 $ 3,939.59 $ 551.00 $ 4,490.59<br />
3 3BHPS 3BHP1 C2F3S5 1.9213 11 to 13 $ 4,333.39 $ 14.12 $ 4,347.51<br />
3 3BHPT 3BHP2 C2F3S5 1.9213 11 to 13 $ 4,333.39 $ 51.00 $ 4,384.39<br />
3 3BHPU 3BHP3 C2F3S5 1.9213 11 to 13 $ 4,333.39 $ 139.84 $ 4,473.23<br />
3 3BHPV 3BHP4 C2F3S5 1.9213 11 to 13 $ 4,333.39 $ 207.76 $ 4,541.15<br />
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