LUPA Episode
A LUPA Episode refers to a 30-day PDGM payment period that ends with fewer skilled visits than the applicable LUPA threshold, resulting in reduced reimbursement.
Definition
A LUPA Episode refers to a 30-day PDGM payment period that ends with fewer skilled visits than the applicable LUPA threshold, resulting in reduced reimbursement.
Why it matters
LUPA Episode is part of the Revenue Cycle vocabulary used across home health operations, documentation, and revenue cycle. Understanding it helps clinicians, QA leads, and administrators stay aligned on care quality and compliance.
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