Momentum

Weekly Performance Report

Medicare CMI Rankings

Case Mix Index Performance by Discipline

Facility Rankings
Click column headers to sort by discipline. Higher CMI values indicate more complex patient cases.
Facility
Collaborative Deep Dive: How to Improve Your CMI
Evidence-based strategies to optimize Case Mix Index across all therapy disciplines

Understanding CMI and Why It Matters

Case Mix Index (CMI) measures the clinical complexity and resource intensity of patients treated by your facility. A higher CMI indicates you're treating more medically complex patients requiring skilled interventions, which directly impacts:

  • Medicare Reimbursement: Higher CMI = higher per-diem rates under PDPM
  • Quality Perception: Demonstrates capability to handle complex cases
  • Competitive Positioning: Attracts referrals for high-acuity patients
  • Revenue Optimization: Maximizes payment for services provided

Universal CMI Optimization Principles

1. Accurate Documentation

Document all comorbidities, functional limitations, and skilled interventions

• Use specific ICD-10 codes for all diagnoses

• Detail cognitive and functional impairments

• Record all medications and medical equipment

2. Capture Complexity

Identify and document patient complexity factors that drive CMI

• Multiple comorbidities (diabetes, COPD, CHF)

• Cognitive impairments (dementia, delirium)

• High fall risk and safety concerns

3. Interdisciplinary Collaboration

Share clinical insights across PT, OT, SLP, and nursing teams

• Weekly case conferences on complex patients

• Cross-discipline treatment planning

• Unified documentation standards

4. MDS Accuracy

Ensure MDS assessments accurately reflect patient status

• Review Section GG functional scores

• Validate cognitive assessment (BIMS)

• Confirm therapy minutes and modalities

Flagstone California Markets Comparison
See how Momentum Market ranks against other Flagstone markets across California
Team Collaboration for CMI Optimization
Weekly Case Conferences
Review complex patients with PT, OT, SLP, nursing, and MDS coordinator to ensure all complexity factors are documented and addressed in treatment plans.
MDS Review Process
Therapy team reviews MDS assessments before submission to validate Section GG scores, therapy minutes, and cognitive/functional status accurately reflect patient complexity.
Documentation Audits
Monthly audits of therapy documentation to ensure skilled interventions, patient complexity, and functional outcomes are clearly documented to support CMI scores.