How Real-Time Technology Helps Home Health Agencies Boost Reimbursements

With the launch of the Patient-Driven Groupings Model (PDGM) in 2020, home health agencies were anticipating big changes to low-utilization payment adjustments (LUPAs), the low-visit threshold within a care episode that triggers a decreased reimbursement for home healthcare services. However, the national COVID-19 public health emergency sent LUPA rates skyrocketing, largely driven by concerned patients refusing visits. An increase in LUPA rates fuels a decrease in reimbursement and revenues, making LUPA management and avoidance priority No. 1 for many agencies. This white paper will discuss how, with the right technology tools and resources, home healthcare providers can reduce the number of LUPAs their agencies receive, and in turn lessen financial strain even during these unprecedented, challenging times.