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HHRG/LUPA Report


Axxess Home Health now provides an HHRG/LUPA Report that consolidates data from the old HHRG Report and LUPA Report.


The new HHRG/LUPA Report is an episodic report with HHRG, HIPPS and LUPA analytics. This report can be generated in a summary or detailed format for seamless financial planning and operations.


To access the HHRG/LUPA Report, users must have permission to view billing/financial reports in Axxess Home Health.

Request HHRG/LUPA Report


To generate the HHRG/LUPA Report, navigate to the Report Center under the Reports tab. In the Billing/Financial Reports section, select HHRG/LUPA Report. Enter the desired parameters using the filters at the top of the screen and click Request Report.


Reports tab ➜ Report Center ➜ Billing/Financial Reports ➜ HHRG/LUPA Report ➜ Enter parameters ➜ Request Report


The system will alert you through the Message Center when the report is finished generating. To view the report, navigate to the Reports tab and select Completed Reports.


Reports tab ➜ Completed Reports


Click on the name of the report to open it. The report will open in an Excel spreadsheet.

Summary Report


The Report Type filter at the top of the report enables users to select Summary or Detailed. When Summary is selected, the following data will populate in the report:


Column

 

Description

Payer

 

Displays the name of the payer associated with the episode  

 

Payer Type

 

Displays the payer type identified when establishing the payer

 

Branch

 

Identifies which branch the patient is affiliated with

 

Patient Name

 

Displays the patient’s last name, first name and middle initial

 

Patient Status

 

Displays the patient’s status as of the date the report is generated

 

MRN

 

Displays the medical record number (MRN) from the patient’s profile 

 

Episode Timing

 

Displays Early or Late based on the episode timing identified in the OASIS Profile Case-Mix Analysis 

 

Episode Start Date

 

Displays the start date of the episode 

 

Episode End Date

 

Displays the end date of the episode 

 

Claim Start Date

 

Displays the start date of the claim/billing period

 

Claim End Date

 

Displays the end date of the claim/billing period

 

Claim Period

 

Displays First or Second based on whether the claim period falls within the first or second half of the episode

 

Billed HIPPS Code

 

Displays the billed HIPPS code identified on the UB-04/HCFA-1500

 

OASIS HIPPS Code

 

Displays the OASIS HIPPS code established in the most recent OASIS Profile Case-Mix Analysis for the claim period 

 

OASIS Claim Period Revenue

 

Displays the OASIS claim period revenue as established in the most recent OASIS Profile Case-Mix Analysis for the claim period 

 

Actual HIPPS Code

 

Displays the actual HIPPS code calculated during verification of the final claim

 

Actual Claim Period Revenue

 

Displays the actual claim period revenue calculated during verification of the final claim

 

LUPA Claim

 

Displays Yes or No based on whether the final claim turned the claim period into a LUPA
(If the final claim has not been verified, the value will be N/A)

 

LUPA Threshold

 

Displays the LUPA threshold established in the OASIS Profile Case-Mix Analysis 

 

Total Billed Visits

 

Displays the total number of billed visits selected/calculated during verification of the final claim

 

LUPA Amount

 

Displays the LUPA amount selected/calculated during verification of the final claim

 

Detailed Report


When Detailed is selected in the Report Type filter, the following data will populate in the report:


Column

 

Description

Payer

 

Displays the name of the payer associated with the episode  

 

Payer Type

 

Displays the payer type identified when establishing the payer

 

Branch

 

Identifies which branch the patient is affiliated with

 

Patient Name

 

Displays the patient’s last name, first name and middle initial

 

Patient Status

 

Displays the patient’s status as of the date the report is generated

 

MRN

 

Displays the medical record number (MRN) from the patient’s profile 

 

Insurance ID Number

 

Displays the payer’s insurance ID number identified in the Schedule Center or patient’s profile

 

Admission Date

 

Displays the admission date identified in the patient’s profile

 

Admission Source

 

Displays Institutional or Community based on the admission source established in the OASIS Profile Case-Mix Analysis

 

Discharge Date

 

Displays the patient’s discharge date identified in the Schedule Center

 

Episode Timing

 

Displays Early or Late based on the episode timing identified in the OASIS Profile Case-Mix Analysis 

 

Episode Start Date

 

Displays the start date of the episode 

 

Episode End Date

 

Displays the end date of the episode 

 

Claim Start Date

 

Displays the start date of the claim/billing period

 

Claim End Date

 

Displays the end date of the claim/billing period

 

Claim Period

 

Displays First or Second based on whether the claim period falls within the first or second half of the episode

 

Original Schedule Frequency

 

Displays the first/initial frequency identified when completing the OASIS documentation 

 

Completed SN Visits

 

Displays the total number of SN visits completed in the Schedule Center

 

Completed LVN/LPN Visits

 

Displays the total number of LVN/LPN visits completed in the Schedule Center

 

Completed PT Visits

 

Displays the total number of PT visits completed in the Schedule Center

 

Completed PTA Visits

 

Displays the total number of PTA visits completed in the Schedule Center

 

Completed OT Visits

 

Displays the total number of OT visits completed in the Schedule Center

 

Completed COTA Visits

 

Displays the total number of COTA visits completed in the Schedule Center

 

Completed ST Visits

 

Displays the total number of ST visits completed in the Schedule Center

 

Completed HHA Visits

 

Displays the total number of HHA visits completed in the Schedule Center

 

Completed MSW Visits

 

Displays the total number of MSW visits completed in the Schedule Center

 

Completed Other Visits

 

Displays the total number of other visits completed in the Schedule Center (i.e., visits that are outside the noted disciples, including Respiratory Therapy [RT], Wound Ostomy Care Nurse [WOCN], etc.) 

 

Total Completed Visits

 

Displays the total number of visits completed in the Schedule Center
(sum of columns R-AA)

 

Billed HIPPS Code

 

Displays the billed HIPPS code identified on the UB-04/HCFA-1500

 

OASIS HIPPS Code

 

Displays the OASIS HIPPS code established in the most recent OASIS Profile Case-Mix Analysis for the claim period 

 

OASIS Claim Period Revenue

 

Displays the OASIS claim period revenue as established in the most recent OASIS Profile Case-Mix Analysis for the claim period 

 

Actual HIPPS Code

 

Displays the actual HIPPS code calculated during verification of the final claim

 

Actual Claim Period Revenue

 

Displays the actual claim period revenue calculated during verification of the final claim

 

LUPA Claim

 

Displays Yes or No based on whether the final claim turned the claim period into a LUPA
(If the final claim has not been verified, the value will be N/A)

 

LUPA Threshold

 

Displays the LUPA threshold established in the OASIS Profile Case-Mix Analysis 

 

Total Billed Visits

 

Displays the total number of billed visits selected/calculated during verification of the final claim

 

LUPA Amount

 

Displays the LUPA amount selected/calculated during verification of the final claim

 

RAP Billed Date

 

Displays the RAP billed date identified in Billing/Claims History

 

RAP Claim Amount

 

Displays the RAP claim amount identified in Billing/Claims History

 

RAP Payment Date

 

Displays the RAP payment date identified in Billing/Claims History

 

RAP Payment Amount

 

Displays the RAP payment amount identified in Billing/Claims History

 

RAP Net Adjustment Date

 

Displays the latest adjustment date identified in Billing/Claims History

 

RAP Net Adjustment Amount

 

Displays the net adjustments posted for the claim

 

Final Billed Date

 

Displays the final billed date identified in Billing/Claims History

 

Final Claim Amount

 

Displays the final claim amount identified in Billing/Claims History

 

Final Payment Date

 

Displays the final payment date identified in Billing/Claims History

 

Final Payment Amount

 

Displays the final payment amount identified in Billing/Claims History

 

Final Net Adjustment Date

 

Displays the latest adjustment date identified in Billing/Claims History

 

Final Net Adjustment Amount

 

Displays the net adjustments posted for the claim

 

Updated on 01/27/2021