CMG case-mix groupcase-mix groupCMS Centers for Medicare and Medicaid ServicesCenters for Medicare and Medicaid ServicesCSI Comprehensive Severity Index... G Dejong,CH Hsieh,J Gassaway,... - 《Archives of Physical Medicine & Rehabilitation》 被引量: 121发表: 2009年 Hospice Care in the Nursing...
The Rehabilitation Group is split by the number of therapies (physical, occupational, and speech) they received intensively. These groups, further divided using an Activities of Daily Living score, result in a system which explains 55.5% of the total (nursing plus ancillary) per diem costs of ...
Medicare paid hospitals a higher amount per admission in 1984 than had been planned because the case-mix index (CMI), which reflects the proportion of patients in high-weighted DRG's versus low-weighted ones, increased more than had been projected. This study estimated the degree to which the...
For readers familiar with the 2000-2002 (Years 1-3) Case-Mix Reports, the authors briefly describe how this report differs from the previous year's report. First, this report seeks to evaluate the stability of many of the findings and resultant decisions from the 2000-2002 Case-Mix Reports...
The Secretary will pay each group a bonus for each year equal to a portion of the savings for the year relative to the target. In addition, at such time as the Secretary has developed appropriate criteria, the Secretary will pay an additional ...
To account for additional dimensions of case mix not captured by the CCW, we included indicators of conditions that qualified patients for potential receipt of several low-value services (eg, a diagnosis of headache in 2009 qualifying beneficiaries for potentially inappropriate head imaging; see the ...
The evaluation of neonatal case mix using Medicare DRG and APR-DRG classification systems Aims. The objective of this study was to assess the adequacy of two diagnosis related group (DRG) systems - Medicare DRGs and All Patient Refined DRGs - to... MP Fantini,L Cisbani,L Manzoli,... -...
1 All hospitalizations were examined to identify procedures as complicated, defined as procedures designated under Medicare severity–diagnosis related group (MS-DRG) 469 as having major complications or comorbidities or as uncomplicated, procedures designated under MS-DRG 470 and without major ...
Medicare paid Illinois providers for more than 290,000 group psychotherapy sessions in 2012 — more than twice as many sessions as were reimbursed to providers in New York, the state with the second-highest total. Among the highest billers for group psychotherapy in Illinois were three OB-GYNs...
National health insurance has arisen not as the result of widespread demand, but through the efforts of policy elites in these respective nations, acting in different historical periods in response to specific health conditions, interest group configurations, governmental constraints, and political windows...