I am a new MDS nurse and I have a couple questions regarding medicaid reimbursement. I just received our quarterly reimbursment rate information and the CMI is sig lower than the previous quarter. (0.91 now compared to 0.97 on previous quarter). I am trying to better understand how these numbers are figured. Thus the questions:
1) If a medicaid patient is skilled during the entire 3 month window, are they omitted from the medicaid census for that quarter as far as figuring medicaid CMI goes?
2) What if a patient has more than one assessment in a 3 month quarter? Which CMI is used in figuring the reimbursement? Both, Average of two, most recent, or other?