LUPA & PDGM
Clinical Complexity
Severity of a patient's medical conditions, treatments.
Definition
Clinical Complexity refers to the severity of a patient's medical conditions, treatments, and care needs that influence resource utilization and reimbursement.
Why it matters
Patients with greater clinical complexity generally require more skilled services and may qualify for higher reimbursement.
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Conversations on lupa & pdgm
Episodes from Inside Home Health that put Clinical Complexity in operational context.
