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 />
1 1AHNW 1AHN5 C1F3S4 1.4467 10 $ 3,262.95 $ 320.37 $ 3,583.32<br />
1 1AHNX 1AHN6 C1F3S4 1.4467 10 $ 3,262.95 $ 551.00 $ 3,813.95<br />
1 1AHPS 1AHP1 C1F3S5 1.6229 11 to 13 $ 3,660.36 $ 14.12 $ 3,674.48<br />
1 1AHPT 1AHP2 C1F3S5 1.6229 11 to 13 $ 3,660.36 $ 51.00 $ 3,711.36<br />
1 1AHPU 1AHP3 C1F3S5 1.6229 11 to 13 $ 3,660.36 $ 139.84 $ 3,800.20<br />
1 1AHPV 1AHP4 C1F3S5 1.6229 11 to 13 $ 3,660.36 $ 207.76 $ 3,868.12<br />
1 1AHPW 1AHP5 C1F3S5 1.6229 11 to 13 $ 3,660.36 $ 320.37 $ 3,980.73<br />
1 1AHPX 1AHP6 C1F3S5 1.6229 11 to 13 $ 3,660.36 $ 551.00 $ 4,211.36<br />
1 1BFKS 1BFK1 C2F1S1 0.7335 0 to 5 $ 1,654.37 $ 14.12 $ 1,668.49<br />
1 1BFKT 1BFK2 C2F1S1 0.7335 0 to 5 $ 1,654.37 $ 51.00 $ 1,705.37<br />
1 1BFKU 1BFK3 C2F1S1 0.7335 0 to 5 $ 1,654.37 $ 139.84 $ 1,794.21<br />
1 1BFKV 1BFK4 C2F1S1 0.7335 0 to 5 $ 1,654.37 $ 207.76 $ 1,862.13<br />
1 1BFKW 1BFK5 C2F1S1 0.7335 0 to 5 $ 1,654.37 $ 320.37 $ 1,974.74<br />
1 1BFKX 1BFK6 C2F1S1 0.7335 0 to 5 $ 1,654.37 $ 551.00 $ 2,205.37<br />
1 1BFLS 1BFL1 C2F1S2 1.0015 6 $ 2,258.83 $ 14.12 $ 2,272.95<br />
1 1BFLT 1BFL2 C2F1S2 1.0015 6 $ 2,258.83 $ 51.00 $ 2,309.83<br />
1 1BFLU 1BFL3 C2F1S2 1.0015 6 $ 2,258.83 $ 139.84 $ 2,398.67<br />
1 1BFLV 1BFL4 C2F1S2 1.0015 6 $ 2,258.83 $ 207.76 $ 2,466.59<br />
1 1BFLW 1BFL5 C2F1S2 1.0015 6 $ 2,258.83 $ 320.37 $ 2,579.20<br />
1 1BFLX 1BFL6 C2F1S2 1.0015 6 $ 2,258.83 $ 551.00 $ 2,809.83<br />
1 1BFMS 1BFM1 C2F1S3 1.2107 7 to 9 $ 2,730.67 $ 14.12 $ 2,744.79<br />
1 1BFMT 1BFM2 C2F1S3 1.2107 7 to 9 $ 2,730.67 $ 51.00 $ 2,781.67<br />
1 1BFMU 1BFM3 C2F1S3 1.2107 7 to 9 $ 2,730.67 $ 139.84 $ 2,870.51<br />
1 1BFMV 1BFM4 C2F1S3 1.2107 7 to 9 $ 2,730.67 $ 207.76 $ 2,938.43<br />
1 1BFMW 1BFM5 C2F1S3 1.2107 7 to 9 $ 2,730.67 $ 320.37 $ 3,051.04<br />
1 1BFMX 1BFM6 C2F1S3 1.2107 7 to 9 $ 2,730.67 $ 551.00 $ 3,281.67<br />
1 1BFNS 1BFN1 C2F1S4 1.4252 10 $ 3,214.46 $ 14.12 $ 3,228.58<br />
1 1BFNT 1BFN2 C2F1S4 1.4252 10 $ 3,214.46 $ 51.00 $ 3,265.46<br />
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