HI 215 CMS Relative Weight Worksheet for Global Unit 6
Order ID |
53563633773 |
Type |
Essay |
Writer Level |
Masters |
Style |
APA |
Sources/References |
4 |
Perfect Number of Pages to Order |
5-10 Pages |
Description/Paper Instructions
HI 215 CMS Relative Weight Worksheet for Global Unit 6
Assignment Worksheet for Unit 6 Case Mix Index (Use this document as your worksheet)
Case Mix is a term used to describe a group of people who
A patient population’s case mix is a description of that population-based on any number of the qualities listed below:
- Age
- Gender
- Insurance Types
- Diagnosis
- Danger Factors
- Treatments that were given
- Resources that were used
Purposes of Case Mixing
- Case-mix techniques are employed for a variety of purposes, with reimbursement being the most popular.
- Relative weights and base payments for MS DRGs are determined using the case-mix approach.
- Case-mix approach can be used to describe or identify a specific patient population for statistical purposes.
- Because surgical cases need more resources than medical cases, the case-mix approach can be utilized to uncover differences in coding practice patterns and the complexity of the coding.
Case Mix Index (CMI) is a metric that measures how
- Disease Conditions and/or Procedures Classification
- Analyzes resource usage patterns.
- It’s used to figure out how much money you’ll get.
- Evaluation of other facilities
- The case mix index is the average of all cases treated at a given facility’s relative weights.
- The average CMI is 1.000 in theory. Cases with a CMI of over 1.000 are more complex, whereas those with a CMI of less than 1.000 are less complex.
- The CMI of surgical cases is higher than that of medical cases.
The case mix index of a facility is influenced by a number of factors, including:
- Modifications to relative weight values
- Changes in the facility’s type of services offered or provided
- Documentation and coding accuracy.
- DRG assignment precision
Formulas for Case Mixtures
- To find the entire CMS relative weight, multiply the “CMS Relative Weight” by the total number of cases (patients) in the MS DRG category.
- To calculate the Case Mix Index, add all of the CMS Relative Weights together and divide by the total number of patients.
Total CMS Relative Weight Calculation
Multiply the “CMS Relative Weight” by the total number of cases (patients) in the DRG group to arrive at a formula.
- The first question
- A facility has 29 Medicare cases with a relative weight of 1.0005 that are allocated to DRG 69.
- What is the cases’ total relative weight?
- Second question
- A facility has 15 Medicare cases with a relative weight of 0.7789 that are allocated to DRG 117.
- For all of the situations, what is the Total Relative Weight?
Case Mix Index Calculation
The number of CMS Relative Weights divided by the total number of patients serviced is the formula.
- The first question
- A facility’s top 10 DRG surgical operations have a total CMS Relative Weight of 245.8775.
- What is the Case-Mix Index for the institution if the total number of patients served is 129?
- Second question
- A facility’s top ten DRG medical procedures have a total CMS Relative Weight of 123.6651.
- What is the Case-Mix Index for the institution if the total number of patients served is 155?
Upload the completed worksheet to the Dropbox for the unit.
RUBRIC
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Content (worth a maximum of 50% of the total points) |
Zero points: Student failed to submit the final paper. |
20 points out of 50: The essay illustrates poor understanding of the relevant material by failing to address or incorrectly addressing the relevant content; failing to identify or inaccurately explaining/defining key concepts/ideas; ignoring or incorrectly explaining key points/claims and the reasoning behind them; and/or incorrectly or inappropriately using terminology; and elements of the response are lacking. |
30 points out of 50: The essay illustrates a rudimentary understanding of the relevant material by mentioning but not full explaining the relevant content; identifying some of the key concepts/ideas though failing to fully or accurately explain many of them; using terminology, though sometimes inaccurately or inappropriately; and/or incorporating some key claims/points but failing to explain the reasoning behind them or doing so inaccurately. Elements of the required response may also be lacking. |
40 points out of 50: The essay illustrates solid understanding of the relevant material by correctly addressing most of the relevant content; identifying and explaining most of the key concepts/ideas; using correct terminology; explaining the reasoning behind most of the key points/claims; and/or where necessary or useful, substantiating some points with accurate examples. The answer is complete. |
50 points: The essay illustrates exemplary understanding of the relevant material by thoroughly and correctly addressing the relevant content; identifying and explaining all of the key concepts/ideas; using correct terminology explaining the reasoning behind key points/claims and substantiating, as necessary/useful, points with several accurate and illuminating examples. No aspects of the required answer are missing. |
Use of Sources (worth a maximum of 20% of the total points). |
Zero points: Student failed to include citations and/or references. Or the student failed to submit a final paper. |
5 out 20 points: Sources are seldom cited to support statements and/or format of citations are not recognizable as APA 6th Edition format. There are major errors in the formation of the references and citations. And/or there is a major reliance on highly questionable. The Student fails to provide an adequate synthesis of research collected for the paper. |
10 out 20 points: References to scholarly sources are occasionally given; many statements seem unsubstantiated. Frequent errors in APA 6th Edition format, leaving the reader confused about the source of the information. There are significant errors of the formation in the references and citations. And/or there is a significant use of highly questionable sources. |
15 out 20 points: Credible Scholarly sources are used effectively support claims and are, for the most part, clear and fairly represented. APA 6th Edition is used with only a few minor errors. There are minor errors in reference and/or citations. And/or there is some use of questionable sources. |
20 points: Credible scholarly sources are used to give compelling evidence to support claims and are clearly and fairly represented. APA 6th Edition format is used accurately and consistently. The student uses above the maximum required references in the development of the assignment. |
Grammar (worth maximum of 20% of total points) |
Zero points: Student failed to submit the final paper. |
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10 points out 20: The paper is often unclear and difficult to follow due to some inappropriate terminology and/or vague language; ideas may be fragmented, wandering and/or repetitive; poor organization; and/or some grammatical, spelling, punctuation errors |
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20 points: The paper is clear, concise, and a pleasure to read as a result of appropriate and precise use of terminology; total coherence of thoughts and presentation and logical organization; and the essay is error free. |
Structure of the Paper (worth 10% of total points) |
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5 points out of 10: Appearance of final paper demonstrates the student’s limited ability to format the paper. There are significant errors in formatting and/or the total omission of major components of an APA 6th edition paper. They can include the omission of the cover page, abstract, and page numbers. Additionally the page has major formatting issues with spacing or paragraph formation. Font size might not conform to size requirements. The student also significantly writes too large or too short of and paper |
7 points out of 10: Research paper presents an above-average use of formatting skills. The paper has slight errors within the paper. This can include small errors or omissions with the cover page, abstract, page number, and headers. There could be also slight formatting issues with the document spacing or the font Additionally the paper might slightly exceed or undershoot the specific number of required written pages for the assignment. |
10 points: Student provides a high-caliber, formatted paper. This includes an APA 6th edition cover page, abstract, page number, headers and is double spaced in 12’ Times Roman Font. Additionally, the paper conforms to the specific number of required written pages and neither goes over or under the specified length of the paper. |
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