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Home Health & Hospice Week

Patient-Driven Groupings Model:

LUPAs, Outliers Require Changes Under PDGM

Published on Fri Oct 23, 2020

HHAs are losing 2.5% of payments per year. It’s not only the behavioral adjustment cut related to low utilization payment adjustments that’s the problem in the 2021 proposed rule for home health payment. PDGM’s whole LUPA methodology needs a rethink, many commenters told CMS in their comment letters. Reminder: Under the Patient-Driven Groupings Model that the Centers for Medicare & [...]
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