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 ...
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
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 1BGNS 1BGN1 C2F2S4 1.5138 10 $ 3,414.29 $ 14.12 $ 3,428.41<br />
1 1BGNT 1BGN2 C2F2S4 1.5138 10 $ 3,414.29 $ 51.00 $ 3,465.29<br />
1 1BGNU 1BGN3 C2F2S4 1.5138 10 $ 3,414.29 $ 139.84 $ 3,554.13<br />
1 1BGNV 1BGN4 C2F2S4 1.5138 10 $ 3,414.29 $ 207.76 $ 3,622.05<br />
1 1BGNW 1BGN5 C2F2S4 1.5138 10 $ 3,414.29 $ 320.37 $ 3,734.66<br />
1 1BGNX 1BGN6 C2F2S4 1.5138 10 $ 3,414.29 $ 551.00 $ 3,965.29<br />
1 1BGPS 1BGP1 C2F2S5 1.6900 11 to 13 $ 3,811.70 $ 14.12 $ 3,825.82<br />
1 1BGPT 1BGP2 C2F2S5 1.6900 11 to 13 $ 3,811.70 $ 51.00 $ 3,862.70<br />
1 1BGPU 1BGP3 C2F2S5 1.6900 11 to 13 $ 3,811.70 $ 139.84 $ 3,951.54<br />
1 1BGPV 1BGP4 C2F2S5 1.6900 11 to 13 $ 3,811.70 $ 207.76 $ 4,019.46<br />
1 1BGPW 1BGP5 C2F2S5 1.6900 11 to 13 $ 3,811.70 $ 320.37 $ 4,132.07<br />
1 1BGPX 1BGP6 C2F2S5 1.6900 11 to 13 $ 3,811.70 $ 551.00 $ 4,362.70<br />
1 1BHKS 1BHK1 C2F3S1 0.9058 0 to 5 $ 2,042.98 $ 14.12 $ 2,057.10<br />
1 1BHKT 1BHK2 C2F3S1 0.9058 0 to 5 $ 2,042.98 $ 51.00 $ 2,093.98<br />
1 1BHKU 1BHK3 C2F3S1 0.9058 0 to 5 $ 2,042.98 $ 139.84 $ 2,182.82<br />
1 1BHKV 1BHK4 C2F3S1 0.9058 0 to 5 $ 2,042.98 $ 207.76 $ 2,250.74<br />
1 1BHKW 1BHK5 C2F3S1 0.9058 0 to 5 $ 2,042.98 $ 320.37 $ 2,363.35<br />
1 1BHKX 1BHK6 C2F3S1 0.9058 0 to 5 $ 2,042.98 $ 551.00 $ 2,593.98<br />
1 1BHLS 1BHL1 C2F3S2 1.1738 6 $ 2,647.44 $ 14.12 $ 2,661.56<br />
1 1BHLT 1BHL2 C2F3S2 1.1738 6 $ 2,647.44 $ 51.00 $ 2,698.44<br />
1 1BHLU 1BHL3 C2F3S2 1.1738 6 $ 2,647.44 $ 139.84 $ 2,787.28<br />
1 1BHLV 1BHL4 C2F3S2 1.1738 6 $ 2,647.44 $ 207.76 $ 2,855.20<br />
1 1BHLW 1BHL5 C2F3S2 1.1738 6 $ 2,647.44 $ 320.37 $ 2,967.81<br />
1 1BHLX 1BHL6 C2F3S2 1.1738 6 $ 2,647.44 $ 551.00 $ 3,198.44<br />
1 1BHMS 1BHM1 C2F3S3 1.3830 7 to 9 $ 3,119.28 $ 14.12 $ 3,133.40<br />
1 1BHMT 1BHM2 C2F3S3 1.3830 7 to 9 $ 3,119.28 $ 51.00 $ 3,170.28<br />
1 1BHMU 1BHM3 C2F3S3 1.3830 7 to 9 $ 3,119.28 $ 139.84 $ 3,259.12<br />
1 1BHMV 1BHM4 C2F3S3 1.3830 7 to 9 $ 3,119.28 $ 207.76 $ 3,327.04<br />
6 of 34
Change language