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 […]
Denial Management in Home Healthcare: Proven Strategies to Strengthen Revenue with Outsourcing

Denied claims are not just an administrative burden — they’re lost revenue. These claims are the money you have earned but haven’t had a chance to collect, and over time, they substantially drain your cash flow. Every resubmission costs between $25 and $117, and unresolved cases can lead to a 5% loss in net patient […]
The True Impact of Outsourcing on US Companies and Workers

Outsourcing is a hot topic among business owners today. But many worry it could affect company culture and job security for in-house teams. And with good reason. However, by exploring these fears and debunking misconceptions, we can reveal how strategic outsourcing benefits both the company and its employees. On this page Key Takeaways Outsourcing reallocates […]