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 />
4 4AHLW 4AHL5 C1F3S2 2.1690 16 to 17 $ 4,892.06 $ 320.37 $ 5,212.43<br />
4 4AHLX 4AHL6 C1F3S2 2.1690 16 to 17 $ 4,892.06 $ 551.00 $ 5,443.06<br />
4 4AHMS 4AHM1 C1F3S3 2.3252 18 to 19 $ 5,244.36 $ 14.12 $ 5,258.48<br />
4 4AHMT 4AHM2 C1F3S3 2.3252 18 to 19 $ 5,244.36 $ 51.00 $ 5,295.36<br />
4 4AHMU 4AHM3 C1F3S3 2.3252 18 to 19 $ 5,244.36 $ 139.84 $ 5,384.20<br />
4 4AHMV 4AHM4 C1F3S3 2.3252 18 to 19 $ 5,244.36 $ 207.76 $ 5,452.12<br />
4 4AHMW 4AHM5 C1F3S3 2.3252 18 to 19 $ 5,244.36 $ 320.37 $ 5,564.73<br />
4 4AHMX 4AHM6 C1F3S3 2.3252 18 to 19 $ 5,244.36 $ 551.00 $ 5,795.36<br />
4 4BFKS 4BFK1 C2F1S1 2.0276 14 to 15 $ 4,573.14 $ 14.12 $ 4,587.26<br />
4 4BFKT 4BFK2 C2F1S1 2.0276 14 to 15 $ 4,573.14 $ 51.00 $ 4,624.14<br />
4 4BFKU 4BFK3 C2F1S1 2.0276 14 to 15 $ 4,573.14 $ 139.84 $ 4,712.98<br />
4 4BFKV 4BFK4 C2F1S1 2.0276 14 to 15 $ 4,573.14 $ 207.76 $ 4,780.90<br />
4 4BFKW 4BFK5 C2F1S1 2.0276 14 to 15 $ 4,573.14 $ 320.37 $ 4,893.51<br />
4 4BFKX 4BFK6 C2F1S1 2.0276 14 to 15 $ 4,573.14 $ 551.00 $ 5,124.14<br />
4 4BFLS 4BFL1 C2F1S2 2.1435 16 to 17 $ 4,834.55 $ 14.12 $ 4,848.67<br />
4 4BFLT 4BFL2 C2F1S2 2.1435 16 to 17 $ 4,834.55 $ 51.00 $ 4,885.55<br />
4 4BFLU 4BFL3 C2F1S2 2.1435 16 to 17 $ 4,834.55 $ 139.84 $ 4,974.39<br />
4 4BFLV 4BFL4 C2F1S2 2.1435 16 to 17 $ 4,834.55 $ 207.76 $ 5,042.31<br />
4 4BFLW 4BFL5 C2F1S2 2.1435 16 to 17 $ 4,834.55 $ 320.37 $ 5,154.92<br />
4 4BFLX 4BFL6 C2F1S2 2.1435 16 to 17 $ 4,834.55 $ 551.00 $ 5,385.55<br />
4 4BFMS 4BFM1 C2F1S3 2.2998 18 to 19 $ 5,187.07 $ 14.12 $ 5,201.19<br />
4 4BFMT 4BFM2 C2F1S3 2.2998 18 to 19 $ 5,187.07 $ 51.00 $ 5,238.07<br />
4 4BFMU 4BFM3 C2F1S3 2.2998 18 to 19 $ 5,187.07 $ 139.84 $ 5,326.91<br />
4 4BFMV 4BFM4 C2F1S3 2.2998 18 to 19 $ 5,187.07 $ 207.76 $ 5,394.83<br />
4 4BFMW 4BFM5 C2F1S3 2.2998 18 to 19 $ 5,187.07 $ 320.37 $ 5,507.44<br />
4 4BFMX 4BFM6 C2F1S3 2.2998 18 to 19 $ 5,187.07 $ 551.00 $ 5,738.07<br />
4 4BGKS 4BGK1 C2F2S1 2.1585 14 to 15 $ 4,868.38 $ 14.12 $ 4,882.50<br />
4 4BGKT 4BGK2 C2F2S1 2.1585 14 to 15 $ 4,868.38 $ 51.00 $ 4,919.38<br />
28 of 34
Change language