What Are LUPA and Outlier Payments in Home Health? (And How They Impact Your Revenue)

💰 Are LUPAs and outlier payments quietly impacting your agency’s revenue?In this episode of The Home Health Consultant Podcast, our co-founder Mariam Treystman breaks down LUPA (Low Utilization Payment Adjustment) and outlier payments… two of the most misunderstood (and financially critical) components of Medicare home health reimbursement.Learn how OASIS, HHRG/HIPPS codes, and visit thresholds determine your payment, and why missing the mark can drastically reduce your revenue or delay payments altogether. We also dive into the 10% outlier cap, common scenarios like high-utilization diabetic patients, and how agencies unknowingly create cash flow problems.🎯 If you want to protect your margins and make smarter operational decisions, this is a must-watch.👉 Don’t forget to like, subscribe, and share for more home health & insights!📬 Want tools like this in your inbox? Subscribe to our newsletter: https://thehomehealthconsultant.com/newsletter-sign-up