To determine a facility's CMI you need which of the following?
A. The relative weight of a specific DRG and total discharges for that DRG
B. The sum total of all DRG weights and sum of all discharges
C. The relative weight sum of all discharges, and hospital base rate
D. The hospital base rate and DRG relative weight
My answer is (D) can someone check this for me
Yes, your answer is correct.
Yes, your answer is correct. To determine a facility's Case Mix Index (CMI), you need the hospital base rate and the relative weight of a specific Diagnosis Related Group (DRG). Therefore, option (D) - the hospital base rate and DRG relative weight - is the correct answer.
To determine a facility's Case Mix Index (CMI), you need the hospital base rate and DRG relative weight.
The CMI is a measure that reflects the complexity and severity of the patients treated at a facility. It is calculated by dividing the sum of the DRG relative weights by the total number of discharges. The DRG relative weight represents the relative costliness and resource intensity of a specific diagnosis-related group (DRG). The hospital base rate, on the other hand, is a predetermined payment amount designated by the facility.
So, in order to calculate the CMI, you would need to gather the DRG relative weights for each DRG and the hospital base rate. Then, you would multiply the DRG relative weight by the total number of discharges for each specific DRG and sum them all up. Finally, you would divide this sum by the total number of discharges to obtain the CMI.
Given this information, your answer (D) is correct. To determine a facility's CMI, you would need the hospital base rate and DRG relative weight.