Abbreviations
Benefits
Matching Need
Strategies to Avoid LUPA
100

A data set that determines baseline and outcomes of patient care in Home Health agencies.

OASIS

100

Who benefits from consistent assessment and monitoring?

Patients

100

A complex medication regimen may drive a plan for visit frequency in this way. 

Increased visits early in the episode.

100
When clinically appropriate, visits are intentionally grouped together in a certain way.

Front loaded

200

Whose need drives frequency of visits?

The Patient

200

This common healthcare task is important to consider when planning visit frequencies.

Patient teaching
200

At SOC or ROC adding this could improve the skill match for the patient needs.

An additional discipline.

200

Tracking this type of visit contributes to improved utilization.

Missed visits

300

A change to Medicare payment (per visit amount rather than the full case mix amount)

LUPA (Low Utilization Payment Adjustment) 

300

A patient with changing needs or progress is a good candidate for this strategy.

Frequent reassessment of visit frequency
300

A change in intensity of patient care needs should result in.

Reassessment of visit frequency

300

Two patient factors that contribute to avoidable LUPAs. 

Hospitalization and refused visits

400

A way of grouping Home Health patients by diagnosis for payment

PDGM

400

Reducing avoidable LUPAs improves this Home Health agency function

Operational performance

400

This common activity at start and during care sets goals and interventions in alignment with patient abilities.

Care planning

400

This interdepartmental activity is a best practice to optimize visit utilization.

Communication of changes

500

A billing code that identifies the patient's payment group and sounds like a common healthcare privacy act.

HIPPS (Health Insurance Prospective Payment System)

500

Improved visit frequency utilization can improve staffing due to.

More predictable workload management

500

Avoiding errors in estimation of patient needs relies on physician/clinician assessment and accuracy of this.

primary diagnosis

500
Common operational factors that contribute to avoidable LUPAs.

Scheduling gaps and delays in SOC