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 />
4 4BHMS 4BHM1 C2F3S3 2.5998 18 to 19 $ 5,863.71 $ 14.12 $ 5,877.83<br />
4 4BHMT 4BHM2 C2F3S3 2.5998 18 to 19 $ 5,863.71 $ 51.00 $ 5,914.71<br />
4 4BHMU 4BHM3 C2F3S3 2.5998 18 to 19 $ 5,863.71 $ 139.84 $ 6,003.55<br />
4 4BHMV 4BHM4 C2F3S3 2.5998 18 to 19 $ 5,863.71 $ 207.76 $ 6,071.47<br />
4 4BHMW 4BHM5 C2F3S3 2.5998 18 to 19 $ 5,863.71 $ 320.37 $ 6,184.08<br />
4 4BHMX 4BHM6 C2F3S3 2.5998 18 to 19 $ 5,863.71 $ 551.00 $ 6,414.71<br />
4 4CFKS 4CFK1 C3F1S1 2.3479 14 to 15 $ 5,295.56 $ 14.12 $ 5,309.68<br />
4 4CFKT 4CFK2 C3F1S1 2.3479 14 to 15 $ 5,295.56 $ 51.00 $ 5,346.56<br />
4 4CFKU 4CFK3 C3F1S1 2.3479 14 to 15 $ 5,295.56 $ 139.84 $ 5,435.40<br />
4 4CFKV 4CFK4 C3F1S1 2.3479 14 to 15 $ 5,295.56 $ 207.76 $ 5,503.32<br />
4 4CFKW 4CFK5 C3F1S1 2.3479 14 to 15 $ 5,295.56 $ 320.37 $ 5,615.93<br />
4 4CFKX 4CFK6 C3F1S1 2.3479 14 to 15 $ 5,295.56 $ 551.00 $ 5,846.56<br />
4 4CFLS 4CFL1 C3F1S2 2.4637 16 to 17 $ 5,556.74 $ 14.12 $ 5,570.86<br />
4 4CFLT 4CFL2 C3F1S2 2.4637 16 to 17 $ 5,556.74 $ 51.00 $ 5,607.74<br />
4 4CFLU 4CFL3 C3F1S2 2.4637 16 to 17 $ 5,556.74 $ 139.84 $ 5,696.58<br />
4 4CFLV 4CFL4 C3F1S2 2.4637 16 to 17 $ 5,556.74 $ 207.76 $ 5,764.50<br />
4 4CFLW 4CFL5 C3F1S2 2.4637 16 to 17 $ 5,556.74 $ 320.37 $ 5,877.11<br />
4 4CFLX 4CFL6 C3F1S2 2.4637 16 to 17 $ 5,556.74 $ 551.00 $ 6,107.74<br />
4 4CFMS 4CFM1 C3F1S3 2.6200 18 to 19 $ 5,909.27 $ 14.12 $ 5,923.39<br />
4 4CFMT 4CFM2 C3F1S3 2.6200 18 to 19 $ 5,909.27 $ 51.00 $ 5,960.27<br />
4 4CFMU 4CFM3 C3F1S3 2.6200 18 to 19 $ 5,909.27 $ 139.84 $ 6,049.11<br />
4 4CFMV 4CFM4 C3F1S3 2.6200 18 to 19 $ 5,909.27 $ 207.76 $ 6,117.03<br />
4 4CFMW 4CFM5 C3F1S3 2.6200 18 to 19 $ 5,909.27 $ 320.37 $ 6,229.64<br />
4 4CFMX 4CFM6 C3F1S3 2.6200 18 to 19 $ 5,909.27 $ 551.00 $ 6,460.27<br />
4 4CGKS 4CGK1 C3F2S1 2.4787 14 to 15 $ 5,590.57 $ 14.12 $ 5,604.69<br />
4 4CGKT 4CGK2 C3F2S1 2.4787 14 to 15 $ 5,590.57 $ 51.00 $ 5,641.57<br />
4 4CGKU 4CGK3 C3F2S1 2.4787 14 to 15 $ 5,590.57 $ 139.84 $ 5,730.41<br />
4 4CGKV 4CGK4 C3F2S1 2.4787 14 to 15 $ 5,590.57 $ 207.76 $ 5,798.33<br />
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