Understanding Case Mix Index (CMI) and Why Accurate Documentation Matters
The Case Mix Index (CMI) is a numerical value assigned to each resident based on their acuity level. Simply put, the higher the acuity, the higher the CMI value. Because CMI directly influences reimbursement, it is essential that it accurately reflects the clinical complexity of the residents being served. Under the Patient Driven Payment Model (PDPM), residents are classified into case mix categories based on several factors, including clinical characteristics, resident assessments, resident diagnosis and…
