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    LUPA & PDGM

    LUPA Threshold Table

    CMS reference that assigns each PDGM payment group a visit threshold ranging from 2 to 6 visits.

    Definition

    The LUPA Threshold Table is the CMS reference that assigns each PDGM payment group a visit threshold ranging from 2 to 6 visits.

    Why it matters

    Agencies use the table to determine the minimum number of visits needed to avoid a LUPA adjustment for each patient.

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