Functional points that are based on a reaction typically have lower values, like in CY 2022. The LUPA thresholds will decrease once all six visit requirements have been removed.
The rule establishes a final set 5% cap on negative wage index movements, regardless of the underlying reason for the decrease. This is supposed to improve the regularity of funding for home health care. The new LUPA criteria were finalised by CMS in addition to updating the functional endpoints and functional impairment thresholds by HIPPS code.
The key points of the CMS 2023 Home Health billing services changes are outlined below.
