LUPA & PDGM

    Medicare Revenue

    Portion of an agency's income received from Medicare for covered home health services provided.

    Definition

    Medicare Revenue is the portion of an agency's income received from Medicare for covered home health services provided to eligible beneficiaries.

    Why it matters

    Since Medicare is the primary payer for many home health agencies, LUPAs can substantially affect total Medicare revenue.

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    Texas Home Health Payer Contracting Playbook

    When a Texas payer says “our network is closed,” it doesn’t mean every door is shut. This playbook explores three paths to pursue payer contracts, access referral networks, and secure out-of-network payments. Learn which three numbers payers check first, and how to build a stronger case for your agency.

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    Conversations on lupa & pdgm

    Episodes from Inside Home Health that put Medicare Revenue in operational context.

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