Case mix index is a metric that reflects the diversity, complexity, and severity of the patients treated at a healthcare facility, such as a hospital. Case mix index is used by theCenters for Medicare and Medicaid Services (CMS)to determine hospital reimbursement rates forMedicareandMedicaidbenefi...
A hospital’s case mix index (CMI) reflects the complexity of its patient population and the associated resources needed for their care. What does a high CMI mean? Many factors influence hospital case mix index such as a patient’s condition or overall health prior to their hospital stay, ...
Coding compliance and documentation improvement are key elements in reporting the Case Mix Index and the occurrence of Possibly Preventable Complications. Keywords: Health Care Administration, Dr. Thomas C. Curnow, APR-DRG, MS-DRG, CMS, data, HSCRC.Ferrara, Kathy L...
CMS releases proposed changes in funding ESRD dialysis services However, with the use of Resource Utilization Groups (RUGs), which reflect a patient's severity of illness and the kind of services required (the case mix), Medicare expenditures have increased. Bureaucratic 'sleight of hand' doesn'...
Case mix index (CMI) has been used as a facility-level indicator of patient disease severity. We sought to evaluate the potential for CMI to be used for risk adjustment of National Healthcare Safety Network (NHSN) healthcare-associated infection (HAI) data. NHSN facility-wide laboratory-identif...
Case Mix Index (CMI) The sum of DRGrelative weights of all patients/cases seen during a 1year period in an organization, divided by the number of cases hospitalized and treated during the same year Case Rates Rate of reimbursement that packages pricing for a certain category of services. Typi...
The hospital case mix index (CMI) metric, as defined by the Centers for Medicare and Medicaid Services, has a significant impact on how much hospitals get reimbursed for an inpatient stay. Oftentimes, patients with the highest disease acuity are treated in tertiary care radiology departments. ...
Case-Mix Index Case-sensitiv Case-sensitive Case-sensitive case-sensitive language Case-sensitivity Case-Shiller index Case-Shiller index Case-Shiller Indexes Case-shot Case-shot Case-studies ▼ Complete English Grammar Rules is now available in paperback and eBook formats. ...
Much of the research on ancillary service utilization is limited by inadequate controls for case mix severity and other demand factors. Consequently, these studies offer little evidence that higher utilization rates resulting from self-referral to ancillary services represent inappropriate or unnecessary ...
This before-after study uses Centers for Medicare and Medicaid Services’ (CMS’s) claims data to compare changes in lower extremity joint replacement