What is a good CMI score?
CMI for the top 25 hospitals range from 3.23 to 5.69 with an average CMI of 3.78. There was a slight increase from the average CMI of 3.48 for the top hospitals in 2018. With patients delaying care during the COVID-19 pandemic, hospitals were seeing the most severe patients, potentially increasing CMIs.
Is a higher case mix index better?
Case Mix Index-1996-2021
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 do you determine the case mix index?
Case mix index is calculated by adding up the relative Medicare Severity Diagnosis Related Group (MS-DRG) weight for each discharge, and dividing that by the total number of Medicare and Medicaid discharges in a given month and year.
What is a CMI score?
A hospital’s CMI represents the average diagnosis-related group (DRG) relative weight for that hospital. It is calculated by summing the DRG weights for all Medicare discharges and dividing by the number of discharges. CMIs are calculated using both transfer-adjusted cases and unadjusted cases.
How is CMI calculated example?
For example, if Hospital A has an average cost per patient of $1,000 and a CMI of 0.80 for a given year, their adjusted cost per patient is $1,000 / 0.80 = $1,250. Likewise, if Hospital B has an average cost per patient of $1,500 and a CMI of 1.25, their adjusted cost per patient is $1,500 / 1.25 = $1,200.
How can I boost my CMI?
Five Ways to Improve Case-Mix Index For Your Community
- Hold CMI Review Meetings.
- Communicate with Therapy.
- Capture the Complete Clinical Picture.
- Accurately Code Activities of Daily Living.
- Complete Interviews Timely and Accurately.
- For More Information.
Why is CMI important to us?
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.
How does CMI affect a facility?
A higher CMI corresponds to increased consumption of resources and increased cost of patient care, resulting in increased reimbursement to the facility from government and private payers, like CMS.
How CMI affects a facility?
How is CMI used?
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.
What affects CMI?
b) What Affects CMI? Coding accuracy, documentation specificity, the volume of highly weighted DRGs (organ transplant, neurosurgeries, cardiothoracic surgeries), and annual updates to relative MS-DRG weights are some of the most important factors. CMI healthcare is affected by coding accuracy.
How do you increase case mix index?
How does CMI affect reimbursement?
Why is CMI important? Facilities with higher CMI receive more insurance reimbursement. Thus, the higher the CMI, the lower the adjusted cost per patient per day for the hospital.
How does the CMI affects a facility?