LUPA & PDGM
Payment Variance
Difference between the expected reimbursement amount and the actual payment received.
Definition
Payment Variance is the difference between the expected reimbursement amount and the actual payment received from Medicare or another payer.
Why it matters
LUPAs, claim adjustments, wage index changes, and billing errors can all contribute to payment variances.
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Conversations on lupa & pdgm
Episodes from Inside Home Health that put Payment Variance in operational context.
