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 4CHMU 4CHM3 C3F3S3 2.9201 18 to 19 $ 6,586.12 $ 139.84 $ 6,725.96<br />
4 4CHMV 4CHM4 C3F3S3 2.9201 18 to 19 $ 6,586.12 $ 207.76 $ 6,793.88<br />
4 4CHMW 4CHM5 C3F3S3 2.9201 18 to 19 $ 6,586.12 $ 320.37 $ 6,906.49<br />
4 4CHMX 4CHM6 C3F3S3 2.9201 18 to 19 $ 6,586.12 $ 551.00 $ 7,137.12<br />
All Episodes With 20 or More Therapy Visits<br />
5 5AFKS 5AFK1 C1F1S1 2.5495 20+ $ 5,750.26 $ 14.12 $ 5,764.38<br />
5 5AFKT 5AFK2 C1F1S1 2.5495 20+ $ 5,750.26 $ 51.00 $ 5,801.26<br />
5 5AFKU 5AFK3 C1F1S1 2.5495 20+ $ 5,750.26 $ 139.84 $ 5,890.10<br />
5 5AFKV 5AFK4 C1F1S1 2.5495 20+ $ 5,750.26 $ 207.76 $ 5,958.02<br />
5 5AFKW 5AFK5 C1F1S1 2.5495 20+ $ 5,750.26 $ 320.37 $ 6,070.63<br />
5 5AFKX 5AFK6 C1F1S1 2.5495 20+ $ 5,750.26 $ 551.00 $ 6,301.26<br />
5 5AGKS 5AGK1 C1F2S1 2.7390 20+ $ 6,177.66 $ 14.12 $ 6,191.78<br />
5 5AGKT 5AGK2 C1F2S1 2.7390 20+ $ 6,177.66 $ 51.00 $ 6,228.66<br />
5 5AGKU 5AGK3 C1F2S1 2.7390 20+ $ 6,177.66 $ 139.84 $ 6,317.50<br />
5 5AGKV 5AGK4 C1F2S1 2.7390 20+ $ 6,177.66 $ 207.76 $ 6,385.42<br />
5 5AGKW 5AGK5 C1F2S1 2.7390 20+ $ 6,177.66 $ 320.37 $ 6,498.03<br />
5 5AGKX 5AGK6 C1F2S1 2.7390 20+ $ 6,177.66 $ 551.00 $ 6,728.66<br />
5 5AHKS 5AHK1 C1F3S1 2.9532 20+ $ 6,660.78 $ 14.12 $ 6,674.90<br />
5 5AHKT 5AHK2 C1F3S1 2.9532 20+ $ 6,660.78 $ 51.00 $ 6,711.78<br />
5 5AHKU 5AHK3 C1F3S1 2.9532 20+ $ 6,660.78 $ 139.84 $ 6,800.62<br />
5 5AHKV 5AHK4 C1F3S1 2.9532 20+ $ 6,660.78 $ 207.76 $ 6,868.54<br />
5 5AHKW 5AHK5 C1F3S1 2.9532 20+ $ 6,660.78 $ 320.37 $ 6,981.15<br />
5 5AHKX 5AHK6 C1F3S1 2.9532 20+ $ 6,660.78 $ 551.00 $ 7,211.78<br />
5 5BFKS 5BFK1 C2F1S1 2.7632 20+ $ 6,232.25 $ 14.12 $ 6,246.37<br />
5 5BFKT 5BFK2 C2F1S1 2.7632 20+ $ 6,232.25 $ 51.00 $ 6,283.25<br />
5 5BFKU 5BFK3 C2F1S1 2.7632 20+ $ 6,232.25 $ 139.84 $ 6,372.09<br />
5 5BFKV 5BFK4 C2F1S1 2.7632 20+ $ 6,232.25 $ 207.76 $ 6,440.01<br />
5 5BFKW 5BFK5 C2F1S1 2.7632 20+ $ 6,232.25 $ 320.37 $ 6,552.62<br />
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