Medigy HaH: Home Health Low Utilization Payment Adjustment (LUPA)

If a home health agency offers lesser than the cutoff point of visits stipulated for the quarter’s HHRG, they will indeed be compensated a standardized per visit payment, or a Low Utilization Payment Adjustment (LUPA), rather than a reimbursement for a 30-day period of treatment for durations of care commencing on or after January 1, 2020. Effective management of LUPA episodes always was difficult for the health leaders and hospitals, but now it has only gotten worse in the PDGM environment. Comprehensive Outcome and Assessment Information Set (OASIS) assessment, appropriate coding procedures, smart episode administration, and bringing in the right discipline at the right time for the right amount of time are all important. Case management is crucial, and flawless communication and coordination are more critical than ever that requires effective planning technologies and innovative strategies to eliminate the chance of error by the hospitals.