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Home Health & Hospice Week

Industry Notes:

New Edits Aim To Prevent LUPA Overpayments

Published on Fri Feb 27, 2015

New LUPA-related edits may throw a wrench in your billing. The problem: Under two billing-sequence-related circumstances, the Medicare claims system has been paying for multiple LUPA add-ons when episodes are adjacent (within 60 days of one another). That occurs when 1) an initial LUPA episode is auto-canceled when a later LUPA episode is submitted; and 2) the claims are processed [...]
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