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What Are LUPA and Outlier Payments in Home Health? (And How They Impact Your Revenue)
💰 Are LUPAs and outlier payments quietly impacting your agency’s revenue?
In this episode of The Home Health Consultant Podcast, our co-founder Mariam Treystman breaks down LUPA (Low Utilization Payment Adjustment) and outlier payments… two of the most misunderstood (and financially critical) components of Medicare home health reimbursement.
Learn how OASIS, HHRG/HIPPS codes, and visit thresholds determine your payment, and why missing the mark can drastically reduce your revenue or delay payments altogether. We also dive into the 10% outlier cap, common scenarios like high-utilization…
The skinny
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