It is helpful to review patients that are admitted to IRFs in larger volumes and to place proposed changes side by side to determine what the effect those changes will have on your admissions. In the first table, the relative CMI weights and LOS proposed values are displayed. The second snapshot displays the change from 2011 regulations to the proposed rule displayed as a variance. The boxes displayed as light red demonstrate the reductions in case weight and average length of stay specific to Medicare stroke patients as reflected in the 2012 proposal.
It is critical for each facility to weigh ‘payment’ against CMI and facility adjusters to define actualized payment; unique to their facility. This and historical volumes by CMG will provide some evidence of what to expect individually.
These weights translate to a standard payment value of the following, (published CMI x $14,528.00), which given the number of CMGs that were reduced has not translated poorly in the standard conversion. Review impact specific to your admission trends to speculate the effect these may have based on your historical patient volumes. Notice hardest hit will be patients with the highest tiered co-morbidity.
Click on the following links to see how the 2012 proposed rule will affect the respective RIC
If you would like help in determining how your facility will be impacted by the 2012 proposed rule, please complete our online form.