The Home Health Consultant

What Are LUPA and Outlier Payments in Home Health? (And How They Impact Your Revenue)

💰 Are LUPAs and outlier payments quietly impacting your agency’s revenue? In this episode of The Home Health Consultant Podcast, our co-founder Mariam Treystman breaks down LUPA (Low Utilization Payment Adjustment) and outlier payments… two of the most misunderstood (and financially critical) components of Medicare home health reimbursement. Learn how OASIS, HHRG/HIPPS codes, and visit thresholds determine your payment, and why missing the mark can drastically reduce your revenue or delay payments altogether. We also dive into the 10% outlier cap, common scenarios like high-utilization diabetic patients, and how agencies unknowingly create cash flow problems. 🎯 If you want to protect your margins and make smarter operational decisions, this is a must-watch. 👉 Don’t forget to like, subscribe, and share for more home health & insights! 📬 Want tools like this in your inbox? Subscribe to our newsletter: https://thehomehealthconsultant.com/newsletter-sign-up

What Is Framework Consulting & Does Your Agency Needs It?

Why do so many home health and hospice agencies struggle to grow, even after investing in training, conferences, and business education? The answer often isn’t a lack of knowledge. It’s a lack of execution frameworks. In this episode our cofounder Mariam Treystman breaks down what framework consulting is and why it’s one of the most important concepts for scaling a successful home health or hospice agency. If you’re a home health owner, administrator, or healthcare leader looking to improve operations, strengthen compliance, and scale your agency, this episode is essential. 👉 Subscribe for more content on home health consulting, compliance, operations, and agency growth strategies. 📬 Want tools like this in your inbox? Subscribe to our newsletter: https://thehomehealthconsultant.com/newsletter-sign-up

What is a Frequency in Home Health & Hospice?

If you’re new to home health or hospice charting, understanding frequencies is non-negotiable. In this episode, our co-founder Mariam Treystman breaks down what frequencies are, how to read them, how they’re written, and why they matter so much in compliance, scheduling, and physician orders. This episode is especially helpful for: • New clinicians • Office staff touching charts for the first time • Anyone who’s heard the word “frequency” but never fully understood it If you’re touching charts, scheduling visits, or managing compliance, this is a foundational episode you need to understand. 📌 Subscribe for more real-world compliance guidance for home health & hospice agencies. 📬 Want tools like this in your inbox? Subscribe to our newsletter: https://thehomehealthconsultant.com/newsletter-sign-up

What Are Acuity Levels in Home Health & Hospice?

Acuity levels aren’t just a clinical concept, they’re a critical compliance & emergency planning tool for home health and hospice agencies. In this episode, Home Health Consultant co-founder Mariam Treystman breaks down what acuity levels really mean, how low, medium, and high acuity patients differ, and why getting this wrong can create serious operational and survey risk, especially during emergencies. If you’re responsible for operations, compliance, or emergency preparedness, this episode is a must-watch. 👍 Like 🔔 Subscribe 📤 Share with your team 📬 Want tools like this in your inbox? Subscribe to our newsletter: https://thehomehealthconsultant.com/newsletter-sign-up

What Is an MD Order in Home Health & Hospice?

MD orders are the backbone of home health and hospice care, and they’re one of the fastest ways agencies end up noncompliant. In this episode, co-founder Mariam Treystman breaks down everything agencies need to know about MD orders, including: • What qualifies as an MD order (and what doesn’t) • Who is legally allowed to receive, write, and sign orders • How care plans, verbal orders, and “empty orders” really work • The 30-day signature rule and why missing it puts all care at risk • Common documentation mistakes that fail ADRs and surveys If your agency struggles with late signatures, unclear orders, or audit findings tied to physician documentation, this episode is essential viewing. 📌 Subscribe for more real-world compliance guidance for home health & hospice agencies. 📬 Want tools like this in your inbox? Subscribe to our newsletter: https://thehomehealthconsultant.com/newsletter-sign-up