Following is a table that I have developed to identify the incremental changes in revenue at each of the therapy visit ranges.

Please note that these revenues (total and change) are for a Service Area that has a Wage Index of 1.0000 and are based on a NRS Severity Level of  1:

2014                Wage Index of this Table:       1.0000            AFTER SEQUESTRATION

HHRG            Episode #         Therapy Visit Range        PPS Pmt            Change      Cumm Change

C1F1S1               1 or 2                      0 – 5                    $1,724.60

C1F1S2               1 or 2                        6                         2,060.22            $335.61                 $335.61

C1F1S3               1 or 2                      7 – 9                      2,396.39            336.18                    671.79

C1F1S4               1 or 2                       10                         2,732.00            335.61                 1,007.40

C1F1S5               1 or 2                    11 – 13                    3,068.18            336.18                 1,343.57

C1F1S1               1 or 2                    14 – 15                    3,403.79            335.61                 1,679.19

C1F1S2               1 or 2                   16 – 17                     3,844.33            440.54                 2,119.73

C1F1S3               1 or 2                  18 – 19                      4,284.60            440.26                 2,559.99

C1F1S1                ANY                     20 +                        4,724.86            440.26                 3,000.26

 

C1F1S1                 3 +                        0 – 5                       $1,412.34

C1F1S2                 3 +                          6                             1,835.72             $423.38           $423.38

C1F1S3                 3 +                       7 – 9                           2,259.11             423.38             846.77

C1F1S4                 3 +                        10                              2,682.49             423.38           1,270.15

C1F1S5                 3 +                     11 – 13                         3,105.59             423.10           1,693.25

C1F1S1                 3 +                     14 – 15                         3,528.98             423.38           2,116.64

C1F1S2                 3 +                    16 – 17                          3,927.60             398.63           2,515.26

C1F1S3                 3 +                    18 – 19                           4,326.23            398.63          2,913.89

C1F1S1                ANY                    20 +                            4,724.86              398.63           3,312.52

Note:  The above are at the NRS Level of 1

LEGEND:

  •  Column 1 – identifies the applicable HHRG Code
  •  Column 2 – identifies the episode timing:  Early (1 or 2) or Late (3+) or Any (which is for any episode of 20+ Therapy Visits)
  •  Column 3 – identifies the applicable (i.e., allowable) Therapy Visit Range
  •  Column 4 – identifies the PPS Payment Rate for that applicable HHRG based on the Therapy Visit Range
  •  Column 5 – identifies the incremental change when moving from one level to the next
  •  Column 6 – identifies the Cumulative Change from the base-C1F1S1 PPS Rate

Note:  These rates are based on an NRS Level of 1 (and there are 6 possible NRS Rates that each have their own incremental increase to the PPS Rate)