Medicare Clinical Review

Clinical Services Dashboard:

Key Performance Indicators (KPIs) include:

• Case Mix Index (CMI) for client, client's defined market and state
• CC/MCC Capture rates for client, client's defined market and state
• Top 10 Medical & Surgical DRGs
• Top 10 Admitting Physicians
• Discharge Dispositions overall and specific for AMI, CHF & Pneumonia patients

MMP, Inc. analyzes the data and includes "Prioritizing Your Action Plan" recommendations for the Client.

Focused Medical Record Reviews:

Includes a review for:

• Medical Necessity of the Admission
• Dated, timed & signed Admit Status Order
• Clinical Documentation Improvement (CDI) Opportunities
• Initial & 2nd Important Message from Medicare

Preliminary Findings and Individual Patient Worksheets are provided to the Client for review as well as a conference call to review findings prior to a final report being submitted to the Client.