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.