Understanding LUPA Thresholds- Case Management

This course provides a comprehensive overview of how Medicare Home Health Payments are determined, focusing on Low Utilization Payment Adjustment (LUPA) thresholds. It covers the calculation of LUPA thresholds, key time-points within an episode that impact case-mix, and the types of visits that count toward meeting the LUPA threshold within a 30-day payment period. Learning Objectives Describe how Medicare Home Health Payment is determined. Define Low Utilization Payment Adjustment (LUPA) thresholds Explain how LUPA thresholds are calculated. Identify key time points within an episode that impact case-mix Explain which types of visits count toward meeting LUPA thresholds for total visits completed within a 30-day payment period.  *Purchase term consists of 2 months (60 days) of access to the online modules. Access is limited to the purchaser only. Modules may not be recorded, reproduced, or redistributed without the express consent of McBee, part of Netsmart. At the conclusion of th