What does a high CMI mean?

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CMI is an important performance indicator for your hospital not because it tells a big story in and of itself, but because of how it impacts your hospital’s finances. CMI is a measure of the average severity level of a hospital’s procedures. … While the logic may be debatable, the revenue impact on hospitals is not.

Beside this, What is a good CMI?

The average CMI of all 25 hospitals is 3.48, though CMIs range from 3.02 to 5.26. This is a shift up from the last reporting period, which ranged from 2.75 to 4.88. CMI does not appear to correlate to the number of annual discharges, with discharges from the top 10 hospitals ranging from 5,531 to 87 annually.

Likewise, Is a high case mix index good?

The CMI reflects the diversity, clinical complexity, and resource needs of all the patients in the hospital. A higher CMI indicates a more complex and resource-intensive case load.

Also, How are CMI-adjusted discharges calculated?

The Case Mix Index (CMI) is the average relative DRG weight of a hospital’s inpatient discharges, calculated by summing the Medicare Severity-Diagnosis Related Group (MS-DRG) weight for each discharge and dividing the total by the number of discharges.

Is a higher case mix index better?

The CMI reflects the diversity, clinical complexity, and resource needs of all the patients in the hospital. A higher CMI indicates a more complex and resource-intensive case load.


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Why is CMI important?

CMI is an important performance indicator for your hospital not because it tells a big story in and of itself, but because of how it impacts your hospital’s finances. CMI is a measure of the average severity level of a hospital’s procedures. … While the logic may be debatable, the revenue impact on hospitals is not.

What does the calculated CMI tell you about the facility?

The CMI value is used in determining the allocation of resources necessary to provide care for and/or treat the patients in an identified group. The CMI of a facility reflects the diversity and clinical complexity of the patients and the associated resources utilized in the care of those patients.

Why is Case Mix important?

CMI is an important performance indicator for your hospital not because it tells a big story in and of itself, but because of how it impacts your hospital’s finances. … The Centers for Medicare and Medicaid Services (CMS) use CMI to determine a hospital’s reimbursement rate across all of its cases.

How does CMI play a role in determining the amount that Medicare will reimburse your facility?

CMI and Medicare Because Medicare uses DRGs in calculating reimbursements, CMI plays a role in determining the amount that Medicare will reimburse your facility. … Your facility will multiply the DRG for each patient by the blended rate, an amount assigned to you by Medicare to calculate the reimbursement amount.

How does case mix index affect reimbursement?

A higher CMI means more reimbursement dollars for providing care because it indicates that a hospital is treating a sicker patient population. Increasing the CMI hinges on having clinical documentation that accurately reflects the severity level of patients’ conditions.

What is the primary use of a case mix index analysis?

The CMI value is used in determining the allocation of resources necessary to provide care for and/or treat the patients in an identified group. The CMI of a facility reflects the diversity and clinical complexity of the patients and the associated resources utilized in the care of those patients.

How do I increase my hospital CMI?

When physicians accurately portray the acuity of their patients, it equates to CMI and more reimbursement for the hospital. The most effective way to improve CMI is thorough documentation training and consistent follow-through as it relates to ongoing documentation review and education.

What is a good case mix index?

Hospital case mix index calculation CMI is a vital indicator of hospital performance because of the way it impacts finances. … The average CMI of all 25 hospitals is 3.48, though CMIs range from 3.02 to 5.26.

How is CMI-adjusted patient days calculated?

Adjusted hospital days were calculated based on the following formula: [1 + (outpatient gross charges/inpatient gross charges)] * patient days. CMI-adjusted discharges and CMI-adjusted hospital days were calculated by multiplying CMI by discharges and adjusted hospital days, respectively.

What does a higher case mix index mean?

The CMI reflects the diversity, clinical complexity, and resource needs of all the patients in the hospital. … A higher CMI indicates a more complex and resource-intensive case load.

How are CMI adjusted discharges calculated?

The Case Mix Index (CMI) is the average relative DRG weight of a hospital’s inpatient discharges, calculated by summing the Medicare Severity-Diagnosis Related Group (MS-DRG) weight for each discharge and dividing the total by the number of discharges.

How do you calculate adjusted admissions?

“Adjusted admission” means the sum of all inpatient admissions divided by the ratio of inpatient revenues to total patient revenues.


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