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Impacting Factors of PDGM on LUPA Management

Categories: Blog|

The advent of the Patient-Driven Groupings Model (PDGM) marked a monumental shift in home health care, and its ripple effects are keenly felt in LUPA management. This new paradigm has introduced several impacting factors that have reshaped how agencies approach and handle LUPAs. Recognizing these influencing elements is essential [...]

Understanding LUPA in Home Health: Navigating Billing and PDGM Changes

Categories: Blog|

In the dynamic landscape of home health care, the Patient-Driven Groupings Model (PDGM) stands as a transformative shift, bringing about changes that every agency must keenly understand and adapt to. Central to this transformation is Low-Utilization Payment Adjustments (LUPAs). With PDGM reshaping how agencies look at LUPA home health [...]

Get Ready for Change: Moving from OASIS-E to OASIS-E1

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The Centers for Medicare and Medicaid Services (CMS) has officially released the Draft version of the OASIS-E1 Instrument. There are deleted items, changed items and one new item confirmed for OASIS-E1, effective with M0090 dates of January 1, 2025, or later.  

NAHC President Bill Dombi Gives His 2024 Outlook

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As we step into a new year, the home health and hospice industries face a landscape marked by both challenges and opportunities. In a recent webinar with Netsmart, National Association for Home Care and Hospice (NAHC) President Bill Dombi shared his insightful outlook for 2024.