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 1CFMU 1CFM3 C3F1S3 1.3783 7 to 9 $ 3,108.68 $ 139.84 $ 3,248.52<br />
1 1CFMV 1CFM4 C3F1S3 1.3783 7 to 9 $ 3,108.68 $ 207.76 $ 3,316.44<br />
1 1CFMW 1CFM5 C3F1S3 1.3783 7 to 9 $ 3,108.68 $ 320.37 $ 3,429.05<br />
1 1CFMX 1CFM6 C3F1S3 1.3783 7 to 9 $ 3,108.68 $ 551.00 $ 3,659.68<br />
1 1CFNS 1CFN1 C3F1S4 1.5927 10 $ 3,592.25 $ 14.12 $ 3,606.37<br />
1 1CFNT 1CFN2 C3F1S4 1.5927 10 $ 3,592.25 $ 51.00 $ 3,643.25<br />
1 1CFNU 1CFN3 C3F1S4 1.5927 10 $ 3,592.25 $ 139.84 $ 3,732.09<br />
1 1CFNV 1CFN4 C3F1S4 1.5927 10 $ 3,592.25 $ 207.76 $ 3,800.01<br />
1 1CFNW 1CFN5 C3F1S4 1.5927 10 $ 3,592.25 $ 320.37 $ 3,912.62<br />
1 1CFNX 1CFN6 C3F1S4 1.5927 10 $ 3,592.25 $ 551.00 $ 4,143.25<br />
1 1CFPS 1CFP1 C3F1S5 1.7690 11 to 13 $ 3,989.88 $ 14.12 $ 4,004.00<br />
1 1CFPT 1CFP2 C3F1S5 1.7690 11 to 13 $ 3,989.88 $ 51.00 $ 4,040.88<br />
1 1CFPU 1CFP3 C3F1S5 1.7690 11 to 13 $ 3,989.88 $ 139.84 $ 4,129.72<br />
1 1CFPV 1CFP4 C3F1S5 1.7690 11 to 13 $ 3,989.88 $ 207.76 $ 4,197.64<br />
1 1CFPW 1CFP5 C3F1S5 1.7690 11 to 13 $ 3,989.88 $ 320.37 $ 4,310.25<br />
1 1CFPX 1CFP6 C3F1S5 1.7690 11 to 13 $ 3,989.88 $ 551.00 $ 4,540.88<br />
1 1CGKS 1CGK1 C3F2S1 0.9896 0 to 5 $ 2,231.99 $ 14.12 $ 2,246.11<br />
1 1CGKT 1CGK2 C3F2S1 0.9896 0 to 5 $ 2,231.99 $ 51.00 $ 2,282.99<br />
1 1CGKU 1CGK3 C3F2S1 0.9896 0 to 5 $ 2,231.99 $ 139.84 $ 2,371.83<br />
1 1CGKV 1CGK4 C3F2S1 0.9896 0 to 5 $ 2,231.99 $ 207.76 $ 2,439.75<br />
1 1CGKW 1CGK5 C3F2S1 0.9896 0 to 5 $ 2,231.99 $ 320.37 $ 2,552.36<br />
1 1CGKX 1CGK6 C3F2S1 0.9896 0 to 5 $ 2,231.99 $ 551.00 $ 2,782.99<br />
1 1CGLS 1CGL1 C3F2S2 1.2577 6 $ 2,836.67 $ 14.12 $ 2,850.79<br />
1 1CGLT 1CGL2 C3F2S2 1.2577 6 $ 2,836.67 $ 51.00 $ 2,887.67<br />
1 1CGLU 1CGL3 C3F2S2 1.2577 6 $ 2,836.67 $ 139.84 $ 2,976.51<br />
1 1CGLV 1CGL4 C3F2S2 1.2577 6 $ 2,836.67 $ 207.76 $ 3,044.43<br />
1 1CGLW 1CGL5 C3F2S2 1.2577 6 $ 2,836.67 $ 320.37 $ 3,157.04<br />
1 1CGLX 1CGL6 C3F2S2 1.2577 6 $ 2,836.67 $ 551.00 $ 3,387.67<br />
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