Phrase used to describe a type of medical decision-making when a patient is seen for an evaluation and management (E/M) service. Medical record documentation must consist of a limited number of diagnoses or management options, a limited amount of data or complexity of data reviewed, and a low risk of complications and/or morbidity or mortality.
Tag: USA
Low severity presenting problem
Medical problem in which the risk of morbidity without treatment is low and there is little or no risk of mortality without treatment. Usually full recovery without functional impairment is expected.
low utilization payment adjustment (LUPA)
In the home health prospective payment system, an episode of four or fewer visits is paid using the national standardized per visit rates instead of the home health resource group (HHRG).