Industry Notes:
LUPA Claims Glitches Will Remain Until Next July, MAC Says
Published on Fri Oct 23, 2020
It’s going to be a while until some LUPA-related claims processing problems get fixed. Problems: “Low Utilization Payment Adjustment (LUPA) claims are processing with incorrect early/late episodes resulting in an incorrect payment” and “[LUPA] claims are incorrectly being sent to the Return to Provider (RTP) file because the Common Working File (CWF) believes a Request for Anticipated Payment (RAP) is [...]