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.
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.
Listen While You Read
Conversations on lupa & pdgm
Episodes from Inside Home Health that put Full PDGM Payment in operational context.
Ep 17Ep 17 · Jun 23, 2026
Most Healthcare AI Startups Are Building the Wrong Product | Dr. Sarah Matt
Dr. Sarah MattWatch 
Ep 16Ep 16 · Jun 15, 2026
Star Agency or Compliance Disaster? Understanding Home Health Ratings
Kathy DuckettWatch 
Ep 14Ep 14 · Jun 1, 2026
AI vs Intuition: What Nurses Know Before the Monitors Do
Desiree PaigeWatch