8
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Comprehensive Reimbursement Services is a con-
sulting company that assists skilled nursing facilities
in the development of clinical systems for improv-
ing efficiency, accuracy & maintaining the integrity
of the Medicare & Medicaid programs. We can
enhance your facilities current systems, improve
communication between disciplines and provide
strategic planning to accurately capture services
which ultimately improve resident care.
Our clinicians and consultants work closely with
your staff and become an integral part of the MDS
process:
OuR SeRviCeS iNCluDe:
• CMi ARD strategic planning and management
• Medicare PPS ARD planning
• Medicare uR oversight and system enhancements
• CMi uR oversight and system enhancements
• ADl’s in-services & training
• Chart audits
• MDS training
• Support hotline
• Quarterly CMi roster reconciliation
• RAC audit support
• Benchmark reports and other useful statistics
• Frequent reviews of reimbursement drivers to determine accuracy
• establish facility goals and monitor facility progress
• Monthly review of Medicare rugs tracking and analysis
Your gateway to efficiency, accuracy & success.
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CRS assists facilities in accurately capturing
the activities of daily living. Our company in-
services your nursing staff in accurate docu-
mentation of ADl’s. Through these sessions,
your staff will become more alert in indentify-
ing the small changes in your residents, allow-
ing you to quickly intervene and refer them
to rehab or a restorative program. This can
have a significant impact on improving your
residents’ quality of life. By precisely docu-
menting the ADl’s, the facility is able to main-
tain the integrity of the RuG system, as each
of the RuG scores, regardless of category, are
affected by the level of intensity of assistance
needed with the ADl’s. With continuous edu-
cation and audits we are committed to main-
taining the integrity and accuracy of the ADl
documentation.
At CRS we are committed to keeping your
facility running smoothly throughout these
ever changing times. We will prepare your
staff for changes in policies and MDS cod-
ing, as well as assisting throughout the tran-
sition process. Our hotline is always avail-
able to answer your questions regarding
MDS coding and strategic ARD placement.
Why document ADL’s?
Helps determine the residents “Plan of Care”.Identifies when a resident has a decline or
improvement, by comparing previous scores.Assists in identifying the need for corrective
assistance for the resident, such as therapy or restorative nursing.
Correct coding allows the facility to receive proper reimbursement for the care of its residents.
Comprehensive Reimbursement Services
Who reads the ADL entries?
An ADL log is reviewed for each resident during the MDS assessment period – this may be every 92 days for a non Medicare resident and at about day 5,14, 30, 60 or 90 for a Medicare resident.
The MDS Coordinator uses that information on the MDS.
The MDS (Minimum Data Set) is a form that is submitted to the state which reports the level of care a resident needs and how much funding that resident will receive.
Comprehensive Reimbursement Services
Properly documenting ADLs – cont’dEach level of ADL Self-Performance is different –
THERE IS NO OVERLAP BETWEEN CATEGORIES!Document the MOST help given on YOUR
SHIFT… ADL’s measure what the resident actually did
on your shift – not what the resident is capable of doing.
Measures how much help the resident needs from staff.
Residents will vary from day to day and shift to shift. It’s important to document that variation.
Comprehensive Reimbursement Services
ADL’SActivities of Daily Living
A Guide to Understanding ADL Documentation
Comprehensive Reimbursement Services
Agenda
COMPREHENSIVE REIMBURSEMENT SERVICES
Below is a list of the changes we will be discussing today: Change in Group therapy
End of Therapy OMRA
End of Therapy OMRA with Resumption
Change of Therapy OMRA
Change in PPS Schedule
Clarification in how to code isolation
Managed Medicaid and CMI
Group Therapy Redefined:
Effective for all assessments with an ARD on or after October 1st.
Group therapy is defined as similar therapy activities being given to exactly four residents simultaneously.
The total number of group therapy minutes will then be divided by four in order to calculate the Reimbursable Therapy Minutes (RTM) for each of the four residents. Ex: If 100 minutes of group therapy are given, each of the four residents will receive
25 minutes towards their individual RTM. (100/4=25 minutes per resident)
If one of the four residents refuses therapy or is unable to show up, the group therapy may still be counted, so long as the original plan was to have four residents participate The group minutes would still be divided by four, even if three residents participate..
The group therapy cap of 25% of the residents RTM will still apply.
COMPREHENSIVE REIMBURSEMENT SERVICES
True or False?
Five minutes into a group therapy session, one of the residents refuses to continue with the treatment and leaves the session. The therapist immediately stops the session, because she states that the group therapy will not count towards with the residents‟ RTM when only three residents are present. True or False?
False! As long as the initial plan of the facility was to have four residents present, the group therapy will still be counted and divided by four, regardless of the resident leaving mid-session.
COMPREHENSIVE REIMBURSEMENT SERVICES
E F F E C T I V E O C T O B E R 1 S T 2 0 1 1
PPS Policy Changes FY 2012
COMPREHENSIVE REIMBURSEMENT SERVICES
t
$555.35
Medicare Report Facility B Oct 10-Sep 11
Jan Feb Mar Apr May Jun July
Total Days 1122 1160 1207 1070 1198 1151 908
Dollar Amount Days % $ Days % $ Days % $ Days % $ Days % $ Days % $ Days % $
RU 369 43.57% 509 52.47% 514 57.75% 494 61.83% 744 74.47% 838 79.36% 593 71.70%RUX $957.40 25 2.95% $23,935.00 7 0.72% $6,701.80 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00RUL $933.07 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00RUC $698.45 121 14.29% $84,512.45 74 7.63% $51,685.30 54 6.07% $37,716.30 77 9.64% $53,780.65 196 19.62% $136,896.20 397 37.59% $277,284.65 229 27.69% $159,945.05RUB $698.45 100 11.81% $69,845.00 98 10.10% $68,448.10 214 24.04% $149,468.30 319 39.92% $222,805.55 400 40.04% $279,380.00 328 31.06% $229,091.60 310 37.48% $216,519.50RUA $564.64 123 14.52% $69,450.72 330 34.02% $186,331.20 246 27.64% $138,901.44 98 12.27% $55,334.72 148 14.81% $83,566.72 113 10.70% $63,804.32 54 6.53% $30,490.56RV 315 37.19% 282 29.07% 191 21.46% 129 16.15% 148 14.81% 66 6.25% 100 12.09%RVX $866.27 0 0.00% $0.00 1 0.10% $866.27 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00RVL $768.94 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00RVC $607.32 133 15.70% $80,773.56 121 12.47% $73,485.72 92 10.34% $55,873.44 40 5.01% $24,292.80 76 7.61% $46,156.32 48 4.55% $29,151.36 61 7.38% $37,046.52RVB $515.20 44 5.19% $22,668.80 35 3.61% $18,032.00 55 6.18% $28,336.00 59 7.38% $30,396.80 32 3.20% $16,486.40 6 0.57% $3,091.20 37 4.47% $19,062.40RVA $513.46 138 16.29% $70,857.48 125 12.89% $64,182.50 44 4.94% $22,592.24 30 3.75% $15,403.80 40 4.00% $20,538.40 12 1.14% $6,161.52 2 0.24% $1,026.92RH 31 3.66% 90 9.28% 118 13.26% 20 2.50% 32 3.20% 84 7.95% 99 11.97%RHX $796.06 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00RHL $702.22 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00RHC $537.12 0 0.00% $0.00 7 0.72% $3,759.84 41 4.61% $22,021.92 13 1.63% $6,982.56 17 1.70% $9,131.04 37 3.50% $19,873.44 69 8.34% $37,061.28RHB $478.03 2 0.24% $956.06 26 2.68% $12,428.78 9 1.01% $4,302.27 7 0.88% $3,346.21 12 1.20% $5,736.36 34 3.22% $16,253.02 8 0.97% $3,824.24RHA $413.73 29 3.42% $11,998.17 57 5.88% $23,582.61 68 7.64% $28,133.64 0 0.00% $0.00 3 0.30% $1,241.19 13 1.23% $5,378.49 22 2.66% $9,102.06RM 129 15.23% 89 9.18% 67 7.53% 156 19.52% 75 7.51% 68 6.44% 35 4.23%RMX $735.93 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00RML $673.37 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00RMC $478.22 96 11.33% $45,909.12 84 8.66% $40,170.48 20 2.25% $9,564.40 38 4.76% $18,172.36 13 1.30% $6,216.86 40 3.79% $19,128.80 35 4.23% $16,737.70RMB $443.97 0 0.00% $0.00 5 0.52% $2,219.85 40 4.49% $17,758.80 118 14.77% $52,388.46 50 5.01% $22,198.50 17 1.61% $7,547.49 0 0.00% $0.00RMA $357.07 33 3.90% $11,783.31 0 0.00% $0.00 7 0.79% $2,499.49 0 0.00% $0.00 12 1.20% $4,284.84 11 1.04% $3,927.77 0 0.00% $0.00RL 3 0.35% 0 0.00% 0 0.00% 0 0.00% 0 0.00% 0 0.00% 0 0.00%RLX $653.67 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00RLB $474.67 3 0.35% $1,424.01 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00RLA $290.45 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00SE 0 0.00% 0 0.00% 0 0.00% 0 0.00% 0 0.00% 0 0.00% 0 0.00%ES3 $728.11 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00ES2 $569.96 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00ES1 $509.13 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00H 39 3.48% 30 2.59% 45 3.73% 38 3.55% 84 7.01% 12 1.04% 17 1.87%HE2 $491.75 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 17 1.87% $8,359.75HE1 $408.33 39 3.48% $15,924.87 27 2.33% $11,024.91 45 3.73% $18,374.85 38 3.55% $15,516.54 54 4.51% $22,049.82 11 0.96% $4,491.63 0 0.00% $0.00HD2 $460.46 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00HD1 $384.00 0 0.00% $0.00 2 0.17% $768.00 0 0.00% $0.00 0 0.00% $0.00 1 0.08% $384.00 0 0.00% $0.00 0 0.00% $0.00HC2 $434.40 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00HC1 $363.14 0 0.00% $0.00 1 0.09% $363.14 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 1 0.09% $363.14 0 0.00% $0.00HB2 $429.19 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 29 2.42% $12,446.51 0 0.00% $0.00 0 0.00% $0.00HB1 $359.67 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00L 127 11.32% 75 6.47% 117 9.69% 168 15.70% 105 8.76% 74 6.43% 50 5.51%LE2 $446.57 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 29 2.71% $12,950.53 4 0.33% $1,786.28 0 0.00% $0.00 0 0.00% $0.00LE1 $373.57 104 9.27% $38,851.28 68 5.86% $25,402.76 82 6.79% $30,632.74 51 4.77% $19,052.07 43 3.59% $16,063.51 20 1.74% $7,471.40 21 2.31% $7,844.97LD2 $429.19 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 6 0.52% $2,575.14 1 0.11% $429.19LD1 $359.67 0 0.00% $0.00 0 0.00% $0.00 20 1.66% $7,193.40 41 3.83% $14,746.47 26 2.17% $9,351.42 38 3.30% $13,667.46 16 1.76% $5,754.72LC2 $377.05 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 16 1.34% $6,032.80 10 0.87% $3,770.50 0 0.00% $0.00LC1 $317.96 10 0.89% $3,179.60 7 0.60% $2,225.72 0 0.00% $0.00 17 1.59% $5,405.32 1 0.08% $317.96 0 0.00% $0.00 12 1.32% $3,815.52LB2 $357.93 0 0.00% $0.00 0 0.00% $0.00 15 1.24% $5,368.95 30 2.80% $10,737.90 15 1.25% $5,368.95 0 0.00% $0.00 0 0.00% $0.00LB1 $304.05 13 1.16% $3,952.65 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00
C 105 9.36% 84 7.24% 155 12.84% 65 6.07% 5 0.42% 8 0.70% 14 1.54%CE2 $397.91 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00CE1 $366.62 15 1.34% $5,499.30 9 0.78% $3,299.58 3 0.25% $1,099.86 0 0.00% $0.00 0 0.00% $0.00 1 0.09% $366.62 2 0.22% $733.24CD2 $377.05 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00CD1 $345.76 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 11 1.03% $3,803.36 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00CC2 $330.13 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00CC1 $305.79 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 18 1.68% $5,504.22 2 0.17% $611.58 1 0.09% $305.79 0 0.00% $0.00CB2 $305.79 0 0.00% $0.00 0 0.00% $0.00 14 1.16% $4,281.06 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00CB1 $283.20 0 0.00% $0.00 8 0.69% $2,265.60 45 3.73% $12,744.00 7 0.65% $1,982.40 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00CA2 $258.87 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00CA1 $241.49 90 8.02% $21,734.10 67 5.78% $16,179.83 93 7.71% $22,458.57 29 2.71% $7,003.21 3 0.25% $724.47 6 0.52% $1,448.94 12 1.32% $2,897.88B 0 0.00% 1 0.09% 0 0.00% 0 0.00% 0 0.00% 0 0.00% 0 0.00%BB2 $274.54 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00BB1 $262.35 0 0.00% $0.00 1 0.09% $262.35 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00BA2 $227.58 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00BA1 $217.16 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00P 4 0.36% 0 0.00% 0 0.00% 0 0.00% 5 0.42% 1 0.09% 0 0.00%PE2 $366.62 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00PE1 $349.24 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 1 0.09% $349.24 0 0.00% $0.00PD2 $345.76 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00PD1 $328.39 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00PC2 $297.10 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00PC1 $283.20 4 0.36% $1,132.80 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00PB2 $251.92 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00PB1 $241.49 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00PA2 $208.47 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00PA1 $199.78 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 0 0.00% $0.00 5 0.42% $998.90 0 0.00% $0.00 0 0.00% $0.00
TOTAL $$ $584,388.28 TOTAL $$ $613,686.34 TOTAL $$ $619,321.67 TOTAL $$ $579,605.93 TOTAL $$ $707,969.03 TOTAL $$ $715,503.52 TOTAL $$ $560,651.50
X 25 2.95% 8 0.82% 0 0.00% 0 0.00% 0 0.00% 0 0.00% 0 0.00%L 0 0.00% 0 0.00% 0 0.00% 0 0.00% 0 0.00% 0 0.00% 0 0.00%C 458 40.82% 354 30.52% 289 23.94% 248 23.18% 349 29.13% 542 47.09% 432 47.58%B 293 26.11% 207 17.84% 445 36.87% 565 52.80% 565 47.16% 406 35.27% 367 40.42%A 333 29.68% 579 49.91% 365 30.24% 187 17.48% 226 18.86% 155 13.47% 90 9.91%
Rehab Rugs 847 75.49% 970 83.62% 890 73.74% 799 74.67% 999 83.39% 1056 91.75% 827 91.08%Nursing 275 24.51% 190 16.38% 317 26.26% 271 25.33% 199 16.61% 95 8.25% 81 8.92%
Average PPD $520.85 $529.04 $513.11 $541.69 $590.96 $621.64 $617.46
YTD Average from OCT
$500.0
$537.5
$575.0
$612.5
$650.0
OCT NOV DEC JAN FEB MAR APR
$520.85$529.04
$513.11
$541.69
$590.96
$621.64 $617.46
PPD TRACKER
PPD
0
0.15
0.30
0.45
0.60
OCT NOV DEC JAN FEB MAR APR
ADL DISTRIBUTION
XLCBA
0
0.2
0.4
0.6
0.8
OCT NOV DEC JAN FEB MAR APR
RUGS DISTRIBUTION
RURVRHRMRL
0% 25% 50% 75% 100%
75.4902%
83.6207%
73.7365%
74.6729%
83.3890%
91.7463%
91.0793%
24.5098%
16.3793%
26.2635%
25.3271%
16.6110%
8.2537%
8.9207%
JUL
JUN
MAY
APR
MAR
FEB
JAN
Rehab vs Nursing Rug %
Rehab Rugs Nursing
t
0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
JAN FEB MAR APR MAY JUN JUL
ADL DISTRIBUTION
X
L
C
B
A
$520.85$529.04
$513.11
$541.69
$590.96
$621.64 $617
$500.00
$520.00
$540.00
$560.00
$580.00
$600.00
$620.00
$640.00
JAN FEB MAR APR MAY JUN JUL
PPD TRACKER
PPD
50% 55% 60% 65% 70% 75% 80% 85% 90% 95% 100%
JAN
FEB
MAR
APR
MAY
JUN
JUL
75.49%
83.62%
73.74%
74.67%
83.39%
91.75%
91.08%
24.51%
16.38%
26.26%
25.33%
16.61%
8.25%
8.92%
Rehab vs Nursing Rug %
Rehab Rugs Nursing
0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
70.00%
80.00%
JAN FEB MAR APR MAY JUN JULRU 43.57% 52.47% 57.75% 61.83% 74.47% 79.36% 71.70%
RV 37.19% 29.07% 21.46% 16.15% 14.81% 6.25% 12.09%
RH 3.66% 9.28% 13.26% 2.50% 3.20% 7.95% 11.97%
RM 15.23% 9.18% 7.53% 19.52% 7.51% 6.44% 4.23%
RL 0.35% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00%
RUGS DISTRIBUTION
RU
RV
RH
RM
RL
each month you will receive a Medicare summary chart with your facilities statistical infor-
mation which includes colorful graphs and pie charts that track and analyze the following:
Monthly Average PPD (Daily Rate); Percentages of Rehab rugs vs. Nursing rugs; Percent-
ages of rugs scores distributions by ADl’s (A,B,C,D & e); Percentages of Rehab Rugs
classification groups (Ru,Rv,RH,RM & Rl)
MeDiCARe CHART
t
COMPREHENSIVE REIMBURSEMENT SERVICES
CMI TRACKING SPREADSHEET FACILITY A2010 2011
JAN-MAR APR-JUN JUL-SEP OCT-DEC JAN-MAR APR-JUN
TOTAL DAYS 12728
TOTAL DAYS 14208
TOTAL DAYS 14739
TOTAL DAYS 15142
TOTAL DAYS 14097
TOTAL DAYS 13752
CATG CMI DAYS % TOTAL DAYS % TOTAL DAYS % TOTAL DAYS % TOTAL DAYS % TOTAL DAYS % TOTALR 565 4.44% 510 3.59% 1082 7.34% 880 5.81% 1079 7.65% 1342 9.76%RAD 1.66 128 1.01% 212.48 131 0.92% 217.46 165 1.12% 273.90 96 0.63% 159.36 23 0.16% 38.18 138 1.00% 229.08RAC 1.31 227 1.78% 297.37 200 1.41% 262.00 529 3.59% 692.99 492 3.25% 644.52 622 4.41% 814.82 532 3.87% 696.92RAB 1.24 134 1.05% 166.16 111 0.78% 137.64 113 0.77% 140.12 215 1.42% 266.60 364 2.58% 451.36 582 4.23% 721.68RAA 1.07 76 0.60% 81.32 68 0.48% 72.76 275 1.87% 294.25 77 0.51% 82.39 70 0.50% 74.90 90 0.65% 96.30SE 807 6.34% 904 6.36% 814 5.52% 631 4.17% 697 4.94% 808 5.88%SE3 2.1 59 0.46% 123.90 122 0.86% 256.20 151 1.02% 317.10 159 1.05% 333.90 251 1.78% 527.10 415 3.02% 871.50SE2 1.79 640 5.03% 1145.60 685 4.82% 1226.15 513 3.48% 918.27 408 2.69% 730.32 376 2.67% 673.04 393 2.86% 703.47SE1 1.54 108 0.85% 166.32 97 0.68% 149.38 150 1.02% 231.00 64 0.42% 98.56 70 0.50% 107.80 0 0.00% 0.00SS 1463 11.49% 2164 15.23% 1968 13.35% 1690 11.16% 2110 14.97% 1926 14.01%SSC 1.44 661 5.19% 951.84 855 6.02% 1231.20 789 5.35% 1136.16 767 5.07% 1104.48 884 6.27% 1272.96 745 5.42% 1072.80SSB 1.33 331 2.60% 440.23 616 4.34% 819.28 552 3.75% 734.16 504 3.33% 670.32 461 3.27% 613.13 439 3.19% 583.87SSA 1.28 471 3.70% 602.88 693 4.88% 887.04 627 4.25% 802.56 419 2.77% 536.32 765 5.43% 979.20 742 5.40% 949.76C 2903 22.81% 3097 21.80% 3252 22.06% 3012 19.89% 2819 20.00% 3786 27.53%CC2 1.42 0 0.00% 0.00 0 0.00% 0.00 0 0.00% 0.00 0 0.00% 0.00 0 0.00% 0.00 0 0.00% 0.00CC1 1.25 350 2.75% 437.50 698 4.91% 872.50 937 6.36% 1171.25 1114 7.36% 1392.50 612 4.34% 765.00 912 6.63% 1140.00CB2 1.15 0 0.00% 0.00 0 0.00% 0.00 0 0.00% 0.00 0 0.00% 0.00 0 0.00% 0.00 0 0.00% 0.00CB1 1.07 1356 10.65% 1450.92 1468 10.33% 1570.76 1425 9.67% 1524.75 1221 8.06% 1306.47 1475 10.46% 1578.25 1764 12.83% 1887.48CA2 1.06 54 0.42% 57.24 24 0.17% 25.44 65 0.44% 68.90 0 0.00% 0.00 0 0.00% 0.00 0 0.00% 0.00CA1 0.95 1143 8.98% 1085.85 907 6.38% 861.65 825 5.60% 783.75 677 4.47% 643.15 732 5.19% 695.40 1110 8.07% 1054.50I 595 4.67% 448 3.15% 608 4.13% 1171 7.73% 1173 8.32% 856 6.22%IB2 0.88 0 0.00% 0.00 0 0.00% 0.00 0 0.00% 0.00 125 0.83% 110.00 236 1.67% 207.68 240 1.75% 211.20IB1 0.85 305 2.40% 259.25 112 0.79% 95.20 151 1.02% 128.35 406 2.68% 345.10 450 3.19% 382.50 275 2.00% 233.75IA2 0.72 0 0.00% 0.00 30 0.21% 21.60 59 0.40% 42.48 0 0.00% 0.00 0 0.00% 0.00 119 0.87% 85.68IA1 0.67 290 2.28% 194.30 306 2.15% 205.02 398 2.70% 266.66 640 4.23% 428.80 487 3.45% 326.29 222 1.61% 148.74B 0 0.00% 0 0.00% 67 0.45% 162 1.07% 180 1.28% 134 0.97%BB2 0.86 0 0.00% 0.00 0 0.00% 0.00 0 0.00% 0.00 0 0.00% 0.00 0 0.00% 0.00 0 0.00% 0.00BB1 0.82 0 0.00% 0.00 0 0.00% 0.00 0 0.00% 0.00 0 0.00% 0.00 0 0.00% 0.00 20 0.15% 16.40BA2 0.71 0 0.00% 0.00 0 0.00% 0.00 0 0.00% 0.00 0 0.00% 0.00 0 0.00% 0.00 0 0.00% 0.00BA1 0.6 0 0.00% 0.00 0 0.00% 0.00 67 0.45% 40.20 162 1.07% 97.20 180 1.28% 108.00 114 0.83% 68.40P 6395 50.24% 7085 49.87% 6948 47.14% 7596 50.17% 6039 42.84% 4900 35.63%PE2 1 0 0.00% 0.00 0 0.00% 0.00 89 0.60% 89.00 118 0.78% 118.00 327 2.32% 327.00 160 1.16% 160.00PE1 0.97 1825 14.34% 1770.25 2841 20.00% 2755.77 2645 17.95% 2565.65 2985 19.71% 2895.45 2050 14.54% 1988.50 1193 8.68% 1157.21PD2 0.91 0 0.00% 0.00 0 0.00% 0.00 472 3.20% 429.52 580 3.83% 527.80 524 3.72% 476.84 409 2.97% 372.19PD1 0.89 2290 17.99% 2038.10 1722 12.12% 1532.58 1368 9.28% 1217.52 1652 10.91% 1470.28 1648 11.69% 1466.72 1815 13.20% 1615.35PC2 0.83 0 0.00% 0.00 0 0.00% 0.00 133 0.90% 110.39 45 0.30% 37.35 0 0.00% 0.00 0 0.00% 0.00PC1 0.81 79 0.62% 63.99 89 0.63% 72.09 98 0.66% 79.38 312 2.06% 252.72 180 1.28% 145.80 182 1.32% 147.42PB2 0.65 0 0.00% 0.00 17 0.12% 11.05 188 1.28% 122.20 271 1.79% 176.15 90 0.64% 58.50 154 1.12% 100.10PB1 0.63 935 7.35% 589.05 1121 7.89% 706.23 832 5.64% 524.16 471 3.11% 296.73 321 2.28% 202.23 105 0.76% 66.15PA2 0.62 0 0.00% 0.00 0 0.00% 0.00 0 0.00% 0.00 0 0.00% 0.00 0 0.00% 0.00 0 0.00% 0.00PA1 0.59 1266 9.95% 746.94 1295 9.11% 764.05 1123 7.62% 662.57 1162 7.67% 685.58 899 6.38% 530.41 882 6.41% 520.38
TOTAL SCORE 12881.49 TOTAL SCORE 14753.05 TOTAL SCORE 15367.24 TOTAL SCORE 15410.05 TOTAL SCORE 14811.61 TOTAL SCORE 14910.33CMI 1.0121 CMI 1.0384 CMI 1.0426 CMI 1.0177 CMI 1.0507 CMI 1.0842
A 3300 25.93% A 3323 23.39% A 3372 22.88% A 2975 19.65% A 2953 20.95% A 3165 23.01%B 3061 24.05% B 3445 24.25% B 3261 22.12% B 3213 21.22% B 3397 24.10% B 3579 26.03%C 1317 10.35% C 1842 12.96% C 2486 16.87% C 2730 18.03% C 2298 16.30% C 2371 17.24%D 2290 17.99% D 1722 12.12% D 1840 12.48% D 2232 14.74% D 2172 15.41% D 2224 16.17%E 1825 14.34% E 2841 20.00% E 2734 18.55% E 3103 20.49% E 2377 16.86% E 1353 9.84%
each month you will receive a Medicaid summary chart with your facilities statistical infor-
mation which includes colorful graphs and pie charts that track and analyze the following:
Quarterly Average MA CMi ; Percentages of rugs scores distributions by Classification
(Se,SS,Rehab,C, i, B & P); Percentages of rugs scores distributions by ADls (A,B,C,D & e);
Percentages of RNP and Depression rugs
MeDiCAiD CMi CHART
t
0.00%5.00%
10.00%15.00%20.00%25.00%30.00%
RUG ADL DISTRIBUTION
A B C D E
1.0121
1.0384 1.0426
1.0177
1.0507
1.0842
0.9600
0.9800
1.0000
1.0200
1.0400
1.0600
1.0800
1.1000
JAN-MAR APR-JUN JUL-SEP OCT-DEC JAN-MAR APR-JUN
CMI TRACKER
Facilty A CMI
0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
JAN-MAR APR-JUN JUL-SEP OCT-DEC JAN-MAR APR-JUNRehab 4.44% 3.59% 7.34% 5.81% 7.65% 9.76%
SE 6.34% 6.36% 5.52% 4.17% 4.94% 5.88%
SS 11.49% 15.23% 13.35% 11.16% 14.97% 14.01%
C 22.81% 21.80% 22.06% 19.89% 20.00% 27.53%
I 4.67% 3.15% 4.13% 7.73% 8.32% 6.22%
B 0.00% 0.00% 0.45% 1.07% 1.28% 0.97%
P 50.24% 49.87% 47.14% 50.17% 42.84% 35.63%
RUGS DISTRIBUTION
Rehab SE SS C I B P
w w w. c r s l t c. c o m 732.961.8520 7 Randolph Road Howell, NJ 07731
