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 3CHNW 3CHN5 C3F3S4 1.9742 10 $ 4,452.70 $ 320.37 $ 4,773.07<br />
3 3CHNX 3CHN6 C3F3S4 1.9742 10 $ 4,452.70 $ 551.00 $ 5,003.70<br />
3 3CHPS 3CHP1 C3F3S5 2.1489 11 to 13 $ 4,846.73 $ 14.12 $ 4,860.85<br />
3 3CHPT 3CHP2 C3F3S5 2.1489 11 to 13 $ 4,846.73 $ 51.00 $ 4,897.73<br />
3 3CHPU 3CHP3 C3F3S5 2.1489 11 to 13 $ 4,846.73 $ 139.84 $ 4,986.57<br />
3 3CHPV 3CHP4 C3F3S5 2.1489 11 to 13 $ 4,846.73 $ 207.76 $ 5,054.49<br />
3 3CHPW 3CHP5 C3F3S5 2.1489 11 to 13 $ 4,846.73 $ 320.37 $ 5,167.10<br />
3 3CHPX 3CHP6 C3F3S5 2.1489 11 to 13 $ 4,846.73 $ 551.00 $ 5,397.73<br />
Late (3 rd +) Episodes With 14 to 19 Therapy Visits<br />
4 4AFKS 4AFK1 C1F1S1 1.7530 14 to 15 $ 3,953.79 $ 14.12 $ 3,967.91<br />
4 4AFKT 4AFK2 C1F1S1 1.7530 14 to 15 $ 3,953.79 $ 51.00 $ 4,004.79<br />
4 4AFKU 4AFK3 C1F1S1 1.7530 14 to 15 $ 3,953.79 $ 139.84 $ 4,093.63<br />
4 4AFKV 4AFK4 C1F1S1 1.7530 14 to 15 $ 3,953.79 $ 207.76 $ 4,161.55<br />
4 4AFKW 4AFK5 C1F1S1 1.7530 14 to 15 $ 3,953.79 $ 320.37 $ 4,274.16<br />
4 4AFKX 4AFK6 C1F1S1 1.7530 14 to 15 $ 3,953.79 $ 551.00 $ 4,504.79<br />
4 4AFLS 4AFL1 C1F1S2 1.8689 16 to 17 $ 4,215.20 $ 14.12 $ 4,229.32<br />
4 4AFLT 4AFL2 C1F1S2 1.8689 16 to 17 $ 4,215.20 $ 51.00 $ 4,266.20<br />
4 4AFLU 4AFL3 C1F1S2 1.8689 16 to 17 $ 4,215.20 $ 139.84 $ 4,355.04<br />
4 4AFLV 4AFL4 C1F1S2 1.8689 16 to 17 $ 4,215.20 $ 207.76 $ 4,422.96<br />
4 4AFLW 4AFL5 C1F1S2 1.8689 16 to 17 $ 4,215.20 $ 320.37 $ 4,535.57<br />
4 4AFLX 4AFL6 C1F1S2 1.8689 16 to 17 $ 4,215.20 $ 551.00 $ 4,766.20<br />
4 4AFMS 4AFM1 C1F1S3 2.0252 18 to 19 $ 4,567.73 $ 14.12 $ 4,581.85<br />
4 4AFMT 4AFM2 C1F1S3 2.0252 18 to 19 $ 4,567.73 $ 51.00 $ 4,618.73<br />
4 4AFMU 4AFM3 C1F1S3 2.0252 18 to 19 $ 4,567.73 $ 139.84 $ 4,707.57<br />
4 4AFMV 4AFM4 C1F1S3 2.0252 18 to 19 $ 4,567.73 $ 207.76 $ 4,775.49<br />
4 4AFMW 4AFM5 C1F1S3 2.0252 18 to 19 $ 4,567.73 $ 320.37 $ 4,888.10<br />
4 4AFMX 4AFM6 C1F1S3 2.0252 18 to 19 $ 4,567.73 $ 551.00 $ 5,118.73<br />
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