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.
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.
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:
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Column |
Description |
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|---|---|---|---|
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Payer |
Displays the name of the payer associated with the episode |
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Payer Type |
Displays the payer type identified when establishing the payer |
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Branch |
Identifies which branch the patient is affiliated with |
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Patient Name |
Displays the patient’s last name, first name and middle initial |
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Patient Status |
Displays the patient’s status as of the date the report is generated |
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MRN |
Displays the medical record number (MRN) from the patient’s profile |
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Episode Timing |
Displays Early or Late based on the episode timing identified in the OASIS Profile Case-Mix Analysis |
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Episode Start Date |
Displays the start date of the episode |
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Episode End Date |
Displays the end date of the episode |
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Claim Start Date |
Displays the start date of the claim/billing period |
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Claim End Date |
Displays the end date of the claim/billing period |
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Claim Period |
Displays First or Second based on whether the claim period falls within the first or second half of the episode |
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Billed HIPPS Code |
Displays the billed HIPPS code identified on the UB-04/HCFA-1500 |
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OASIS HIPPS Code |
Displays the OASIS HIPPS code established in the most recent OASIS Profile Case-Mix Analysis for the claim period |
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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 |
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Actual HIPPS Code |
Displays the actual HIPPS code calculated during verification of the final claim |
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Actual Claim Period Revenue |
Displays the actual claim period revenue calculated during verification of the final claim |
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LUPA Claim |
Displays Yes or No based on whether the final claim turned the claim period into a LUPA |
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LUPA Threshold |
Displays the LUPA threshold established in the OASIS Profile Case-Mix Analysis |
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Total Billed Visits |
Displays the total number of billed visits selected/calculated during verification of the final claim |
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LUPA Amount |
Displays the LUPA amount selected/calculated during verification of the final claim |
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 |
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Insurance ID Number |
Displays the payer’s insurance ID number identified in the Schedule Center or patient’s profile |
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Admission Date |
Displays the admission date identified in the patient’s profile |
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Admission Source |
Displays Institutional or Community based on the admission source established in the OASIS Profile Case-Mix Analysis |
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Discharge Date |
Displays the patient’s discharge date identified in the Schedule Center |
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Episode Timing |
Displays Early or Late based on the episode timing identified in the OASIS Profile Case-Mix Analysis |
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Episode Start Date |
Displays the start date of the episode |
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Episode End Date |
Displays the end date of the episode |
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|
Claim Start Date |
Displays the start date of the claim/billing period |
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Claim End Date |
Displays the end date of the claim/billing period |
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Claim Period |
Displays First or Second based on whether the claim period falls within the first or second half of the episode |
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Original Schedule Frequency |
Displays the first/initial frequency identified when completing the OASIS documentation |
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Completed SN Visits |
Displays the total number of SN visits completed in the Schedule Center |
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Completed LVN/LPN Visits |
Displays the total number of LVN/LPN visits completed in the Schedule Center |
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Completed PT Visits |
Displays the total number of PT visits completed in the Schedule Center |
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Completed PTA Visits |
Displays the total number of PTA visits completed in the Schedule Center |
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Completed OT Visits |
Displays the total number of OT visits completed in the Schedule Center |
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Completed COTA Visits |
Displays the total number of COTA visits completed in the Schedule Center |
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Completed ST Visits |
Displays the total number of ST visits completed in the Schedule Center |
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Completed HHA Visits |
Displays the total number of HHA visits completed in the Schedule Center |
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Completed MSW Visits |
Displays the total number of MSW visits completed in the Schedule Center |
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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.) |
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Total Completed Visits |
Displays the total number of visits completed in the Schedule Center |
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Billed HIPPS Code |
Displays the billed HIPPS code identified on the UB-04/HCFA-1500 |
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OASIS HIPPS Code |
Displays the OASIS HIPPS code established in the most recent OASIS Profile Case-Mix Analysis for the claim period |
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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 |
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Actual HIPPS Code |
Displays the actual HIPPS code calculated during verification of the final claim |
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Actual Claim Period Revenue |
Displays the actual claim period revenue calculated during verification of the final claim |
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|
LUPA Claim |
Displays Yes or No based on whether the final claim turned the claim period into a LUPA |
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LUPA Threshold |
Displays the LUPA threshold established in the OASIS Profile Case-Mix Analysis |
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Total Billed Visits |
Displays the total number of billed visits selected/calculated during verification of the final claim |
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LUPA Amount |
Displays the LUPA amount selected/calculated during verification of the final claim |
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RAP Billed Date |
Displays the RAP billed date identified in Billing/Claims History |
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RAP Claim Amount |
Displays the RAP claim amount identified in Billing/Claims History |
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RAP Payment Date |
Displays the RAP payment date identified in Billing/Claims History |
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RAP Payment Amount |
Displays the RAP payment amount identified in Billing/Claims History |
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RAP Net Adjustment Date |
Displays the latest adjustment date identified in Billing/Claims History |
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RAP Net Adjustment Amount |
Displays the net adjustments posted for the claim |
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Final Billed Date |
Displays the final billed date identified in Billing/Claims History |
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Final Claim Amount |
Displays the final claim amount identified in Billing/Claims History |
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Final Payment Date |
Displays the final payment date identified in Billing/Claims History |
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Final Payment Amount |
Displays the final payment amount identified in Billing/Claims History |
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Final Net Adjustment Date |
Displays the latest adjustment date identified in Billing/Claims History |
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Final Net Adjustment Amount |
Displays the net adjustments posted for the claim |
Updated on 01/27/2021
