Home Health & Hospice Week

Fraud & Abuse:

OIG Hits HHAs Hard On Near-LUPA Episodes

Medicare overpaid HHAs $192 million for episodes slightly exceeding LUPA thresholds. LUPAs are more of a moving target under PDGM, but it’s your agency that could become the target of claims scrutiny if you don’t pay attention to your documentation for periods that flirt with the LUPA threshold. In a new report, the HHS Office of Inspector Gen-eral says Medicare [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Home Health & Hospice Week

View All