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June 2, 2021

Home Health LUPA Threshold: Bill Correctly

In a recent reportExternal Website, the Office of Inspector General found that Medicare improperly paid some claims for home health services with 5-7 visits in a payment episode. Review the Medicare Home Health BenefitExternal PDF and Home Health Prospective Payment SystemExternal PDF booklets to properly bill for services slightly above the Low Utilization Payment Adjustment (LUPA) threshold.

For more information, visit the Home Health Prospective Payment System (PPS)External Website webpage and view these additional resources to stay informed on the latest policy and payment updates:


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