
How to Avoid LUPA (Low Utilization Payment Adjustment) with Outsourcing
LUPA can significantly impact home health agencies, especially with the unpredictability of the Patient-Driven Groupings Model (PDGM). According to the Centers for Medicare & Medicaid Services (CMS), LUPA rates increased from 10% to 25% during the pandemic, financially straining agencies. The good news? Outsourcing critical tasks like billing and coding can reduce your agency’s revenue