Lupa Threshold Calculator, Each HHRG has a unique LUPA threshold (ranging from 2 to 6 visits in most cases).

Lupa Threshold Calculator, Under PDGM, each of the 432 case-mix groups has a threshold to determine if the period of care would receive a LUPA. Oct 1, 2017 · Home Health LUPA Threshold Calculator Under the Home Health Patient-Driven Groupings Model (PDGM), each case-mix group is assigned a LUPA visit threshold used to determine if a period of care receives a low utilization payment adjustment (LUPA). The LUPA threshold ranges between 2 and 6 visits. Use a Case-Mix Analysis Tool Since LUPA thresholds vary under PDGM, it is essential for home health organizations to accurately calculate the correct number of required visits in order to avoid a reduction in reimbursement. Low Utilization Payment Adjustment (LUPA) Threshold Lookup With the home health Patient-Driven Groupings Model (PDGM), the LUPA thresholds vary for a 30-day period of care depending on which of the 432 case-mix groups it is assigned. Privacy Policy All Rights Reserved. Agency provides only 3 visits. Therefore, a LUPA adjustment would be applied when 4 less or visits are provided in the 30-day period. If the agency provides visits below that threshold, the payment automatically adjusts to per-visit rates. Look up HIPPS codes, case-mix weights, LUPA thresholds, and wage index adjustments by CBSA. x9dd, syem, 2yzb, nl28, xc0foqy, 5jmgz, py57mir, eqtl, vgq, 7221,