Updated on 06/07/2021

Home Health LUPA Threshold: Bill Correctly

In a recent report, the Office of Inspector General found that Medicare improperly paid some claims for home health services with 5 to 7 visits in a payment episode. Review the Medicare Home Health Benefit and Home Health Prospective Payment System booklets to properly bill for services slightly above the Low Utilization Payment Adjustment (LUPA) threshold.


Article published by Palmetto GBA on May 28, 2021
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