The daily rate depends on the care needs of the patient as measured by the Resource Utilization Groups (RUGs), a case mix
index (CMI) for NHs, that is expected to cover operating and capital costs (MedPAC 2009b).
However, other conditions or circumstances affect CMS' publicly reported measures, such as resident case mix
and preadmission conditions.
Financial winners will review their processes and focus on improvement in: (1) MDS data accuracy, (2) case mix
of admissions, (3) selection of ARD and coordination of service delivery with therapy managers, and (4) operational changes that will ensure proper look-back to document each resident's clinical history.
1999) to estimate statistical cost functions, assessing the impact of dialysis modality mix, patient case mix
, facility size, location, and practice patterns on Medicare-allowable costs for CR services.
The attempts to reduce this problem, thought to be caused by multicollinearity, included a principal components analysis (that failed to remedy the problem), followed by an information theory approach to construct a weighted case mix
First, a multiple regression model is used to study the effect of case mix
To assist in the review of the HotList, case management, provider profiling and case mix
functionality are addressed below.
Thomas & Associates Outperforming CMS Projections; Achieving 5 Percent Higher Case Mix
Index with Clinical Documentation Improvement Program
Market resulting from this consultation is to ensure that the case mix
of the institution reflects the fairest of its business and, if necessary, correct it possible to establish the diagnosis of a solid foundation and facilitating the exchange with professionals and conduct changement.
However, facility variation in Q M rates may comprise both varying case mix
The commission will look at whether specialty hospitals select patients with less severe illness by using Medicare case mix
, severity across DRGs, and case-mix severity among other payers' patients as indicators, said commission consultant Julian Pettengill.
, billing, financials) send millions of bits of data across the Internet back to the server for computation.
This is determined by the hospital's case mix
System Modules: Applications include Admissions & Census, Accounts Receivable, Claims Management, Accounts Payable, General Ledger, Resident Banking, MDS/RAI & Electronic Submission, Clinical Documentation, Care Plans, Physician's Orders, AncillaryLink, Case Mix
Coach, Pre-Admission Screening, Clinical and Financial Pathways, Payroll, Staff Scheduling and Provider Intelligence (Enterprise Management).
These models evaluate how the introduction of two exemplar policies affect case mix
, holding constant various facility, State policy, and community characteristics.