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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