Unplanned Low Utilization Payment Adjustments (LUPAs) threaten your agency's revenue and patient care continuity. Mosai Pulse uses machine learning to identify Scheduled and Potential LUPA scenarios in near real time, helping you avoid simple timing oversights and make clinically appropriate decisions. Save time, protect revenue, and ensure the right care at the right time.
Low Utilization Payment Adjustments (LUPAs) threaten your agency's financial health and clinical quality. When episodes fall below the visit threshold, reimbursement drops — yet prevention remains a persistent challenge.
Why this matters: Each LUPA represents significant lost revenue, directly impacting your agency's sustainability and ability to serve your community.
Why this matters: Many LUPAs result from scheduling gaps rather than clinical decisions, meaning lost revenue that could have been prevented with better visibility.
Why this matters: Spreadsheets and manual reviews pull your team away from patient care, while still missing at-risk episodes until it's too late.
Mosai Pulse helps home health teams prevent unplanned Low Utilization Payment Adjustments with near real-time monitoring and visit-by-visit alerts — turning scheduling data into actionable guidance that protects revenue while ensuring clinically appropriate care.
Identify patients whose scheduled visits fall below the LUPA threshold, allowing you to review timing and adjust schedules before the 30-day period closes.
Flag scenarios where scheduled visits exactly meet the threshold, giving you visibility into at-risk episodes that may trigger LUPA due to missed or rescheduled visits.
View LUPA thresholds by 30-day period directly in the patient calendar, making it easy to spot timing gaps and coordinate care delivery without manual calculations.
Access patient risk scores, hospitalization indicators, and care coordination data in one view to determine whether LUPA is clinically justified or requires scheduling intervention.
Near real-time visibility that helps home health teams avoid costly timing oversights
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Pulse LUPA Management automatically generates a prioritized list of patients at risk for Low Utilization Payment Adjustments.
Monitor Scheduled LUPA scenarios where scheduled visits fall below the threshold, and Potential LUPA scenarios where visits equal the threshold—giving your team the visibility needed to act before reimbursement is impacted.
Navigate directly to the patient record to view the calendar and LUPA thresholds for each 30-day period. Review clinical context alongside scheduling data to determine whether a LUPA is clinically appropriate or an unintended timing oversight—empowering care coordinators to make informed, compliant decisions quickly.
By proactively flagging LUPA risk, Pulse helps agencies avoid simple scheduling errors that lead to costly payment reductions. Care teams save hours previously spent manually tracking visit counts and thresholds, while protecting revenue and ensuring patients receive the right care at the right time—every time.