CASE NUMBER THREE: A young pediatrician has recently finished his
HIM 4222 – Clinical Data Management Unit 4 Assignment: Calculating the CMI (15 points) Purpose: To complete and analyze information to calculate the CMI for a particular population of patients in a healthcare organization. Scenario: The CEO of your hospital has asked that you calculate the CMI for all patients hospitalized in the past year whose MS-DRG was in MDC 06 Diseases and Disorders of the Digestive System. Use Figure 6.1 (other handout) for this assignment. To help you get started, the first few lines are calculated for you. **For this assignment, you should assume that your hospital’s PPS rate is $4000** Complete the table below, calculating the anticipated revenue for each MS-DRG. Then, respond to the questions on page 2 of this assignment. MS-DRG Relative Weight (RW) of MS-DRG # of Cases Treated Total MS-DRG weight for all patients Anticipated revenue for MS-DRG 326 5.1660 2 10.3320 $41,328 327 3.2941 1 3.2941 13,176.40 328 1.8017 5 9.0085 36,034 329 4.5059 3 13.5177 54,070.80 330 2.8935 10 28.9350 115,740 331 1.8415 12 22.0980 88,392 332 3.7139 0 0.0000 0 333 2.5787 1 2.5787 10,314 334 1.8756 9 16.8804 67,521.60 335 3.4785 1 3.4785 13,914 336 2.4776 1 2.4776 9,910.40
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