LUPA & PDGM
Per-Visit Payment
Reimbursement method used when a LUPA occurs.
Definition
A Per-Visit Payment is the reimbursement method used when a LUPA occurs. Instead of receiving the full case-mix-adjusted payment, Medicare pays the agency a fixed amount for each qualifying visit provided.
Why it matters
Per-visit reimbursement is typically lower than the standard PDGM payment, affecting agency revenue.
Listen While You Read
Conversations on lupa & pdgm
Episodes from Inside Home Health that put Per-Visit Payment in operational context.
Ep 21Ep 21 · Jul 20, 2026
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Ep 17Ep 17 · Jun 23, 2026
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