LUPA & PDGM

    Full PDGM Payment

    Standard Medicare reimbursement paid when the patient meets or exceeds the required LUPA visit.

    Definition

    A Full PDGM Payment is the standard Medicare reimbursement paid when the patient meets or exceeds the required LUPA visit threshold during the 30-day payment period.

    Why it matters

    Receiving the full payment helps agencies recover the costs associated with patient care, staffing, and operations.

    Listen While You Read

    Conversations on lupa & pdgm

    Episodes from Inside Home Health that put Full PDGM Payment in operational context.

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