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 />
5 5CHKV 5CHK4 C3F3S1 3.4872 20+ $ 7,865.19 $ 207.76 $ 8,072.95<br />
5 5CHKW 5CHK5 C3F3S1 3.4872 20+ $ 7,865.19 $ 320.37 $ 8,185.56<br />
5 5CHKX 5CHK6 C3F3S1 3.4872 20+ $ 7,865.19 $ 551.00 $ 8,416.19<br />
LUPA Per-Visit <strong>Payment</strong> <strong>Rates</strong><br />
Skilled nursing $ 104.22<br />
Physical therapy $ 113.96<br />
Occupational therapy $ 114.72<br />
Speech therapy $ 123.72<br />
Medical social worker $ 167.07<br />
<strong>Home</strong> health aide $ 47.20<br />
LUPA Episode Add-On <strong>Payment</strong> Amount<br />
Initial episodes $ 87.35<br />
All rates are effective for episodes beginning January 1, <strong>2008</strong>, and are based on the Federal<br />
Register, dated August 29, 2007, and the Centers for Medicare and Medicaid Services Transmittal<br />
1348, Change Request 5746 , dated October 5, 2007.<br />
BKD Health <strong>Care</strong> Group provides financial, billing, clinical and operational consulting services for<br />
home health and hospice agencies throughout the nation. Contact Mark Sharp at 417 865-8701 or<br />
msharp@bkd.com with questions regarding this information or browse the BKD website to learn<br />
more about our services.<br />
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