LUPA & PDGM
Physician Referral
Formal request from an authorized healthcare provider recommending home health services.
Definition
A Physician Referral is the formal request from an authorized healthcare provider recommending home health services for an eligible patient.
Why it matters
A valid referral is one of the first steps in establishing medical necessity and initiating the home health admission process.
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Conversations on lupa & pdgm
Episodes from Inside Home Health that put Physician Referral in operational context.
