Under the PPS, if an agency provides four visits or fewer to a patient, it will result in a LUPA.
 
According to data posted on Medicare Administrative Contractor (MAC) Palmetto GBA’s website, in 2017 three states within Palmetto’s jurisdiction had at least 7% of episodes resulting in LUPAs.
 
These states include: North Carolina (8.58%), South Carolina (7.71%), Kentucky (7.45%).