LUPA & PDGM

    Audit Risk

    Likelihood that a home health agency will be selected for review because of unusual billing patterns.

    Definition

    Audit Risk is the likelihood that a home health agency will be selected for review because of unusual billing patterns, documentation deficiencies, coding errors, or compliance concerns.

    Why it matters

    Reducing audit risk requires accurate documentation, compliant billing practices, and strong internal controls.

    Free eBook

    What Should I Document? 100 OASIS Situations Home Health Nurses Face Every Day

    100 real OASIS scenarios, worked end to end — clinical situation, common mistake, better approach, and key takeaway. Built around OASIS-E2 (effective April 1, 2026) to turn what you assess into accurate, defensible documentation.

    Download Free eBook226 pages · 15 chapters · PDF

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    Conversations on lupa & pdgm

    Episodes from Inside Home Health that put Audit Risk in operational context.

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