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 3CFPU 3CFP3 C3F1S5 1.8880 11 to 13 $ 4,258.28 $ 139.84 $ 4,398.12<br />
3 3CFPV 3CFP4 C3F1S5 1.8880 11 to 13 $ 4,258.28 $ 207.76 $ 4,466.04<br />
3 3CFPW 3CFP5 C3F1S5 1.8880 11 to 13 $ 4,258.28 $ 320.37 $ 4,578.65<br />
3 3CFPX 3CFP6 C3F1S5 1.8880 11 to 13 $ 4,258.28 $ 551.00 $ 4,809.28<br />
3 3CGKS 3CGK1 C3F2S1 1.0738 0 to 5 $ 2,421.90 $ 14.12 $ 2,436.02<br />
3 3CGKT 3CGK2 C3F2S1 1.0738 0 to 5 $ 2,421.90 $ 51.00 $ 2,472.90<br />
3 3CGKU 3CGK3 C3F2S1 1.0738 0 to 5 $ 2,421.90 $ 139.84 $ 2,561.74<br />
3 3CGKV 3CGK4 C3F2S1 1.0738 0 to 5 $ 2,421.90 $ 207.76 $ 2,629.66<br />
3 3CGKW 3CGK5 C3F2S1 1.0738 0 to 5 $ 2,421.90 $ 320.37 $ 2,742.27<br />
3 3CGKX 3CGK6 C3F2S1 1.0738 0 to 5 $ 2,421.90 $ 551.00 $ 2,972.90<br />
3 3CGLS 3CGL1 C3F2S2 1.4237 6 $ 3,211.08 $ 14.12 $ 3,225.20<br />
3 3CGLT 3CGL2 C3F2S2 1.4237 6 $ 3,211.08 $ 51.00 $ 3,262.08<br />
3 3CGLU 3CGL3 C3F2S2 1.4237 6 $ 3,211.08 $ 139.84 $ 3,350.92<br />
3 3CGLV 3CGL4 C3F2S2 1.4237 6 $ 3,211.08 $ 207.76 $ 3,418.84<br />
3 3CGLW 3CGL5 C3F2S2 1.4237 6 $ 3,211.08 $ 320.37 $ 3,531.45<br />
3 3CGLX 3CGL6 C3F2S2 1.4237 6 $ 3,211.08 $ 551.00 $ 3,762.08<br />
3 3CGMS 3CGM1 C3F2S3 1.6261 7 to 9 $ 3,667.58 $ 14.12 $ 3,681.70<br />
3 3CGMT 3CGM2 C3F2S3 1.6261 7 to 9 $ 3,667.58 $ 51.00 $ 3,718.58<br />
3 3CGMU 3CGM3 C3F2S3 1.6261 7 to 9 $ 3,667.58 $ 139.84 $ 3,807.42<br />
3 3CGMV 3CGM4 C3F2S3 1.6261 7 to 9 $ 3,667.58 $ 207.76 $ 3,875.34<br />
3 3CGMW 3CGM5 C3F2S3 1.6261 7 to 9 $ 3,667.58 $ 320.37 $ 3,987.95<br />
3 3CGMX 3CGM6 C3F2S3 1.6261 7 to 9 $ 3,667.58 $ 551.00 $ 4,218.58<br />
3 3CGNS 3CGN1 C3F2S4 1.8473 10 $ 4,166.48 $ 14.12 $ 4,180.60<br />
3 3CGNT 3CGN2 C3F2S4 1.8473 10 $ 4,166.48 $ 51.00 $ 4,217.48<br />
3 3CGNU 3CGN3 C3F2S4 1.8473 10 $ 4,166.48 $ 139.84 $ 4,306.32<br />
3 3CGNV 3CGN4 C3F2S4 1.8473 10 $ 4,166.48 $ 207.76 $ 4,374.24<br />
3 3CGNW 3CGN5 C3F2S4 1.8473 10 $ 4,166.48 $ 320.37 $ 4,486.85<br />
3 3CGNX 3CGN6 C3F2S4 1.8473 10 $ 4,166.48 $ 551.00 $ 4,717.48<br />
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