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Home Health & Hospice Week

Patient-Driven Groupings Model:

CMS Isn’t Budging On LUPAs

Published on Fri Jul 09, 2021

CMS Isn’t Budging On LUPAs The factors that influence your payment rate are many under the relatively new Patient-Driven Groupings Model. Here’s what the home health payment proposed rule has to say on key reimbursement areas: LUPA Thresholds Along with PDGM came a confusing new variety of Low Utilization Payment Adjustment thresholds. Each of PDGM’s 432 case mix categories has [...]
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