LUPA & PDGM

Average Visits per 30-Day Payment Period

This metric measures the average number of skilled visits delivered during each 30-day PDGM.

Definition

This metric measures the average number of skilled visits delivered during each 30-day PDGM payment period.

Why it matters

Monitoring average visits helps agencies understand utilization trends and compare service delivery across different patient populations and payment groups.

Free eBook

Texas Home Health Payer Contracting Playbook

When a Texas payer says “our network is closed,” it doesn’t mean every door is shut. This playbook explores three paths to pursue payer contracts, access referral networks, and secure out-of-network payments. Learn which three numbers payers check first, and how to build a stronger case for your agency.

Download Free eBook27 pages · 12 sections · PDF

Listen While You Read

Conversations on lupa & pdgm

Episodes from Inside Home Health that put Average Visits per 30-Day Payment Period in operational context.

All episodes

Related Blogs

Billing

LUPA Explained: How Low Utilization Payment Adjustment Affects Home Health Agencies

LUPA (Low Utilization Payment Adjustment) kicks in when a 30-day home health period falls below its PDGM visit threshold, shifting payment from the case-mix-adjusted 30-day rate to per-visit. This guide explains how thresholds work, what causes avoidable LUPAs, and how to manage LUPA risk without chasing visits.

Back to glossary