Case mix index (cmi) is the average relative weight for all cases reported in a base ms-drg ms-drgs at lower severity levels have lower relative weights and ms-drgs at higher severity levels have higher relative weights. In talking with our hospital customers, case mix index (cmi) often comes up as a source of confusion and misunderstanding by clinical staff cmi is widely. Case mix index (cmi) is a critical measurement hospital cfos and directors monitor closely it is the metric by which the relative cost of treating patients covered by medicare is measured it also sheds light on the type of patients hospitals are treating. Qualifying groups, choose the rug-iv group that has the highest case mix index the index maximizing method uses the case mix indices effective with rug-iv on october 1, 2010.
Case mix index (cmi) is a measure used by the centers for medicare and medicaid services (cms) to determine funding allocation for medicare and medicaid beneficiaries in hospitals and other care facilities. Condensed final rates - these are the condensed versions of final case mix rates these documents consist of provider names, ma cmi averages, and final rates these documents consist of provider names, ma cmi averages, and final rates. Benchmarking tools for reducing costs of care for a case example of the application of a benchmarking analysis, go to the case mix index (cmi). Case-mix classification case mix is by definition a system that classifies into groups that are homogeneous in their use of resources a good case-mix system.
The youth level of service/case management inventory (yls/cmi ™) is a risk/needs assessment and a case management tool combined into one convenient system it was derived from the lsi-r, but was designed specifically for adolescents. The preparation of the case plan handbook was supported by the pennsylvania commission on crime and delinquency (pccd) sub-grants 2011-j-04-25568 and. Case mix index (cmi): the cmi is the average of all the diagnosis-related groups' (drgs) relative weight for a hospital this basically shows how sick the patients are at that hospital this basically shows how sick the patients are at that hospital. Page how cmi impacts reimbursement every incremental increase in the case mix index impacts a hospital's revenue the blended rate is an assigned rate from cms for each. We are a case dealer with locations in knoxville tn and johnson city tn we have been in business since 1976 and look forward to serving your construction equipment needs.
Medical management plus, a healthcare compliance consulting firm, provides case mix index analyses and reports to identify cmi and top-ten drgs and to track trends. The case mix index (cmi) set is the standard nursing-only cmi set published by cms for rug-iii 520, 34-group identified as d01 the days attributable to an inactive (expired) assessment or tracking record are categorized as bc1. The case mix index for a healthcare facility reflects costs incurred to provide services and treatments that inpatients require in general, the higher the cmi is, the sicker its patients, and the more resources patients required during treatment. 12vac30-90-306 case-mix index (cmi) a effective for dates of service beginning july 1, 2001, through june 30, 2014, nursing facility case-mix indices shall be applied as described in this subsection.
The cmi for the rate period lists the average case mix index for your facility for the quarter used to determine your rate average cmi scores are listed for all patients in. This case mix index (cmi) version is for use with rug-iii grouper versions 512 and 512b cmi version 512a includes 4 sets of final cmis including the sets required for use in medicare pps being implemented nationally on july 1, 1998 note: a preliminary draft set of cmis was inadvertently posted. Case management, inc (cmi) was founded in june 1990 to provide outpatient case management services to the mentally ill in the memphis and shelby county area the organization is a private, non-profit 501(c)3 governed by a volunteer board of directors.
The clinical resource center (crc) project is jointly sponsored by the wisconsin department of health services, leadingage wisconsin and the wisconsin health care association (whca/wical), through funding from the department of health services. The description of the construction scalar case mix index (information theory-based) is also very meticulous hospital cost analysis issues to consider in provider profiling and case mix systems. Analytics to answers executive series is your case mix covered: five ways cmi now effectively manages case mix and reimbursement and improves compliance. Mds nurses know how important it is to know their cmi in order to maximize their case mix, they need to have the key information at their fingertips.