Industry Notes:
New Edits Aim To Prevent LUPA Overpayments
Published on Fri Feb 27, 2015
New LUPA-related edits may throw a wrench in your billing. The problem: Under two billing-sequence-related circumstances, the Medicare claims system has been paying for multiple LUPA add-ons when episodes are adjacent (within 60 days of one another). That occurs when 1) an initial LUPA episode is auto-canceled when a later LUPA episode is submitted; and 2) the claims are processed [...]