What Is CMI Adjusted Length Of Stay?

What is considered a high CMI?

A high CMI means the hospital performs big-ticket services and therefore receives more money per patient.

Finance departments consider CMI when determining the hospital’s budget.

If the hospital’s actual CMI is less than what the finance department predicted, the hospital may experience a loss in revenue..

What is a CMI certification?

A CMI is a Certified Member of the Institute for Professionals in Taxation. Certified Member of the Institute (CMI) is the highest level of professional achievement in business taxation and is a mark of professional distinction in the field.

What does CMI mean?

cannot make itDefinition: abbreviation for “cannot make it”. Mostly used in the contextof inferior attributes. Not to be confused with inabilityto be present.

How do I calculate my discharge days?

TOTAL DISCHARGE DAYS – The sum of the number of days spent in the hospital for each inpatient who was discharged during the time period examined regardless of when the patient was admitted.

Why is length of stay Important?

Background. The length of stay (LOS) is an important indicator of the efficiency of hospital management. Reduction in the number of inpatient days results in decreased risk of infection and medication side effects, improvement in the quality of treatment, and increased hospital profit with more efficient bed management …

What is a case mix adjustment?

Case-mix adjustment uses statistical models to predict what each hospital’s ratings would have been for a standard patient or population, thereby removing from comparisons the predictable effects of differences in patient characteristics that are consistent across hospitals.

What is CMI adjusted discharge?

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.

What is a CMI in healthcare?

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.

What is MS DRG?

A Medicare Severity-Diagnosis Related Group (MS-DRG) is a system of classifying a Medicare patient’s hospital stay into various groups in order to facilitate payment of services.

Why is Case Mix important?

What is Case Mix Index and why is it important? CMI is a metric that the Centers for Medicare and Medicaid Services (CMS) uses to assess the mixture, clinical complexity, and resource needs of all patients treated in the hospital. It reflects the average relative DRG weight of a hospital’s inpatient discharges.

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 is a good CMI score?

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.

How can I improve my 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.

How is CMI calculated example?

CMI is the sum of all DRG-relative weights divided by the number of patients for a specific period. … The result is your hospital’s CMI for the calculation period. For example, if your hospital billed 35 DRGs for a one-month period and relative weights totaled 40, the CMI for one month is 0.875, or 35 divided by 40.

How do you calculate adjusted admissions?

Adjusted Admission – An aggregate measure of workload reflecting the sum of admissions and equivalent admissions attributed to outpatient services. The number of equivalent admissions attributed to outpatient services is derived by multiplying admissions by the ratio of outpatient revenue to inpatient revenue.

How do you find length of stay?

Average Length of Stay: The average length of stay is calculated by adding the total length of stay for each discharged resident in the month and dividing by the number of discharge residents in a month. The average length of stay can be calculated for the entire facility or by specialty unit/program.

How do you calculate average length?

How to Calculate Average. The average of a set of numbers is simply the sum of the numbers divided by the total number of values in the set. For example, suppose we want the average of 24 , 55 , 17 , 87 and 100 . Simply find the sum of the numbers: 24 + 55 + 17 + 87 + 100 = 283 and divide by 5 to get 56.6 .

What is geometric mean length of stay?

Geometric mean is a statistical/mathematical term that is applied in many other areas outside of health care. This is calculated by multiplying all of the lengths of stay and then taking the nth root of that number (where n=number of patients). … In short-term comparisons with fewer patients this may not work as well.

How does CMI 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.

Why is the CMI for Table 2b higher than the CMI for Table 2a?

A: The CMI for table 2B higher than the CMI for table 2A because the weighted volume of Table 2B is higher than the weighted volume of table 2A. A: MS-DRG 034 have a higher RW than MS-DRGs 035 and 036 because the vol of MS-DRG 034 is the lowest one in this chart which means the low of Vol will insceased the RW.

What adjusted patient days?

A commonly used patient load indicator that measures the number of days of patient care per year in hospitals. It is a number calculated by the American Hospital Association (AHA) based on its Annual Survey of hospitals.