Per-Visit Rate
A per-visit rate is a payment amount tied to each individual home health visit, usually set separately by discipline such as skilled nursing, physical therapy, or aide services. Medicare uses national per-visit rates to pay LUPA periods, and per-visit payment is the most common structure in Medicare Advantage and Medicaid managed care contracts. Under per-visit payment, revenue scales directly with the number of visits delivered.
Definition
A per-visit rate is a payment amount tied to each individual home health visit, usually set separately by discipline such as skilled nursing, physical therapy, or aide services. Medicare uses national per-visit rates to pay LUPA periods, and per-visit payment is the most common structure in Medicare Advantage and Medicaid managed care contracts. Under per-visit payment, revenue scales directly with the number of visits delivered.
Why it matters
Per-Visit Rate is part of the Revenue Cycle & Billing vocabulary used across home health operations, documentation, and revenue cycle. Understanding it helps clinicians, QA leads, and administrators stay aligned on care quality and compliance.
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