CDI Performance Assessment

Clinical documentation integrity (CDI) is a key component of the revenue cycle. To provide direction for a CDI programs development and growth, management should regularly evaluate its performance. In this assignment, you will evaluate the performance for the inpatient cardiovascular department(MDC 5).

Instructions:

1. Review the facility data for the cardiovascular department in the file AB202019_Ch12_CDI Performance Assessment Data File.xlsx. In this spreadsheet, data are provided for the following metrics:

a. Review rate

b. Query rate

c. Physician response rate

d. Physician impact on MS-DRG rate

e. CDI intervention denial rate

f. Case-mix index

2. If you have questions about any of the rates included in the data file, reference the AHIMA Clinical Documentation Improvement Toolkit (2016), available in the AHIMA HIM Body of Knowledge (http://bok.ahima.org/). Access to this document requires AHIMA membership. If you are not a member of AHIMA, contact your instructor for assistance

3. Analyze the data. Develop insights.

4. Prepare an annual report for the revenue cycle committee. Your report should include a summary of the CDI performance for the past year. Tables and graphs should be included when warranted. Include the insights your team has developed throughout the report. For example, do not simply report that the CMI is 2.1349. Your report should include a discussion of aspects of CDI performance that have impacted the CMI. Your report should include a section that discusses possible actions designed to improve CDI performance during the upcoming year.

1 Cardiovascular Department - CDI Performance Metrics Review Rate B All 1st QTR 2nd QTR 3rd QTR 4th QTR Total 4 575 599 597 616 2387 #records reviewed by CDI #discharges available for revew 765 761 764 769 3059 review rate 75.1696 78.7196 78.1496 80.10% 78.0396 5 5 KPI - 80% 7 3 Surgical 1st QTR 2nd QTR 3rd QTR 4th QTR Total 175 180 190 193 738 #records reviewed by CDI #discharges available for revew 0 285 274 293 287 1139 1 KPI = 75% review rate 61.4096 65.6996 64.8596 67.2596 64.7996 2 3 4 Medical 1st QTR 2nd QTR 3rd QTR 4th QTR Total 400 419 407 423 1649 5 #records reviewed by CDI #discharges available for revew review rate 480 487 471 482 1920 83.3396 86.0496 86.4196 87.7696 85.8996 nmin 00 O ON 6 KPI = 85% 7 8 9 All 1st QTR 2nd QTR 3rd QTR 4th QTR Total O Query Rate 1 2 3 #records with CDI query/request 290 310 310 314 1224 #records reviewed by CDI 575 599 597 616 2387 A B E 4 No KPI query rate 50.4396 51.7595 51.9396 50.9796 51.2896 5 6 7 Surgical 1st QTR 2nd QTR 3rd QTR 4th QTR Total 8 50 52 46 57 205 9 #records with CDI query/request #records reviewed by CDI query rate 175 180 190 193 738 0 No KPI 28.57% 28.8996 24.2196 29.5396 27.7896 1 2 3 Medical 1st QTR 2nd QTR 3rd QTR 4th QTR Total 240 258 264 257 1019 #records with CDI query/request #records reviewed by CDI query rate 400 419 407 423 1649 60.0096 61.5896 64.8696 60.7696 61.8096 4 5 6 No KPI 7 8 9 0 Physician Response Rate 1 2 3 All 1st QTR 2nd QTR 3rd QTR 4th QTR Total 248 262 272 279 1061 #physician responses to query/request #query/request 302 329 335 357 1323 4 KPI = 85% physician response rate 82.1296 79.6496 81.1996 78.1596 80.2096 KPI = 85% physician response rate 82.1296 79.6496 81.1996 78.15% 80.2096 Surgical 1st QTR 2nd QTR 3rd QTR 4th QTR Total 33 35 31 36 135 #physician responses to query/request #query/request physician response rate 51 54 49 64 218 KPI = 85% 64.7196 64.8196 63.27% 56.2596 61.9396 Medical 1st OTR 2nd QTR 3rd QTR 4th QTR Total 215 227 241 243 926 #physician responses to query/request #query/request physician response rate 251 275 286 293 1105 KPI = 85% 85.6696 82.5596 84.2796 82.9496 83.8096 Physician Impact on MS-DRG Rate All 1st QTR 2nd QTR 3rd QTR 4th QTR Total 110 134 130 137 511 #responses that impact MS-DRG #physician responses to query/request physician impact on MS-DRG rate 248 262 272 279 1061 No KPI 44.3596 51.1596 47.7996 49.1096 48.1696 H Physician Impact on MS-DRG Rate All 1st QTR 2nd QTR 3rd QTR 4th QTR Total 110 134 130 137 511 #responses that impact MS-DRG #physician responses to query/request physician impact on MS-DRG rate 248 262 272 279 1061 No KPI 44.3596 51.1596 47.7996 49.1096 48.1696 Surgical 1st QTR 2nd QTR 3rd QTR 4th QTR Total #responses that impact MS-DRG 5 7 6 7 25 33 35 31 36 135 #physician responses to query/request physician impact on MS-DRG rate No KPI 15.1596 20.00% 19.3596 19.4496 18.5296 Medical 1st QTR 2nd QTR 3rd QTR 4th QTR Total #responses that impact MS-DRG 105 127 124 130 486 #physician responses to query/request 215 227 241 243 926 No KPI physician impact on MS-DRG rate 48.8496 55.9596 51.4596 53.5096 52.4896 CDI Intervention Denial Rate All 1st QTR 2nd QTR 3rd QTR 4th QTR Total #denials 30 33 45 54 162 #records reviewed by CDI 575 599 597 616 2387 KPI = 5% CDI intervention denial rate 5.2296 5.5196 7.5496 8.7796 6.7996 Surgical 1st QTR 2nd QTR 3rd QTR 4th QTR Total #denials 1 1 2 0 4 #records reviewed by CDI 175 180 190 193 738 KPI = 596 CDI intervention denial rate 0.5795 0.5696 1.0596 0.0096 0.5496 Medical 1st QTR 2nd QTR 3rd QTR 4th QTR Total #denials 29 32 43 54 158 #records reviewed by CDI 400 419 407 423 1649 KPI = 5% CDI intervention denial rate 7.2596 7.6496 10.57% 12.7796 9.5896 Case Mix Index Annual AII 2.1349 Surgical 3.7527 Medical 1.1751 FY 2019 RW Volume 15 9.8209 7.6916 5.2053 29 72 12 6.8182 30 16 18 13 21 1 MS-DRG 2 216 - CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W MCC W W 3 219 - CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W MCC 4 220 - CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W CC 5 226 - CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH W MCC 6 227 - CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH W/O MCC 7 228 - OTHER CARDIOTHORACIC PROCEDURES W MCC 8 229 - OTHER CARDIOTHORACIC PROCEDURES W/O MCC 9 233 - CORONARY BYPASS W CARDIAC CATH W MCC 10 234 - CORONARY BYPASS W CARDIAC CATH W/O MCC 11 235 - CORONARY BYPASS W/O CARDIAC CATH W MCC 12 236 - CORONARY BYPASS W/O CARDIAC CATH W/O MCC 13 239 - AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W MCC 14 240 - AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W CC 15 241 - AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W/O CC/MCC 16 242 - PERMANENT CARDIAC PACEMAKER IMPLANT W MCC 17 243 - PERMANENT CARDIAC PACEMAKER IMPLANT W CC 18 244 - PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC 19 245 - AICD GENERATOR PROCEDURES 20 246 - PERC CARDIOVASC PROC W DRUG-ELUTING STENT W MCC OR 4+ VESSELS/STEN 21 247 - PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC 22 248 - PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W MCC OR 4+ VES/STEN 23 251 - PERC CARDIOVASC PROC WIO CORONARY ARTERY STENT WIO MCC 10 Med/Surg Status Surgical Surgical Surgical Surgical Surgical Surgical Surgical Surgical Surgical Surgical Surgical Surgical Surgical Surgical Surgical Surgical Surgical Surgical Surgical Surgical Surgical Surpical 5.3167 6.5762 4.6484 7.6377 5.1472 5.8099 3.9263 4.7093 2.7449 1.5960 39 Average Charge 339,185.20 292,012.39 194,142.97 152,160.75 114,026.83 253,086.33 155,037.25 250,191.71 232,924.92 206,686.13 171,672.80 127,423.55 69,636.00 48,459.21 128,045.11 68,205.24 73,045.72 136,137.21 105,027.41 68,780.68 105,608.15 67.538.12 Average Pymt 80,949.00 67,634.40 40,490.48 51,394.42 43,041.771 59,312.22 37,464.13 66,173.95 55,100.85 53,567.31 33,705.05 42,729.73 18,530.33 12,599.39 32,635.14 21,400.00 17,343.33) 40,400.371 28,335.83 17,740.28 24,511.08 14.861.471 Average MCR Pymt CMI Calculation 74,534.40 147.3135 57,823.93 223.0564 34,839.38 374.7816 44,961.67 81.8184 36,153.07 159.501 54,230.11 105.2192 34,311.13 83.6712 43,588.19 99.2901 30,698.62 108.0912 31,653.54 58.099 25,313.10 153.1257 28,692.64 23.5465 16,012.27 16.4694 10,661.021 23.94 28,674.25 67.2642 17,677.42 71.5204 15,335.11 80.2104 30,490.53 95.2299 22,420.00 278.5368 14,627.08 224.3268 21,972.08 41.2438 11.438.35 28.5226 5 6 15 18 3.7369 2.5543 28 38 2.1108 5.0121 19 86 3.2388 2.0771 108 13 3.1726 1.67781 171 A C D E F H 1.6778 17 17 50 54 3.2598 2.5943 1.8100 3.6195 1.9918 1.6309 10 12 14 22 3.1586 7.1915 16 28.5226 55.4166 129.715 97.74 36.195 23.9016 22.8326 69.4892 115.064 350.886 132.8288 10.1234 5.8481 60 4.1509 23 251 - PERC CARDIOVASC PROC W/O CORONARY ARTERY STENT W/O MCC 24 252-OTHER VASCULAR PROCEDURES W MCC 25 253 - OTHER VASCULAR PROCEDURES W CC 26 254 - OTHER VASCULAR PROCEDURES W/O CC/MCC 27 260 - CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W MCC 28 261 - CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W CC 29 262 - CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W/O CC/MCC 30 264 - OTHER CIRCULATORY SYSTEM O.R. PROCEDURES 31 266 - ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC 32 267 - ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC 33 269 - AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W/O MO 34 270 - OTHER MAJOR CARDIOVASCULAR PROCEDURES W MCC 35 271 - OTHER MAJOR CARDIOVASCULAR PROCEDURES W CC 36 272 - OTHER MAJOR CARDIOVASCULAR PROCEDURES W/O CC/MCC 37 273 - PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC 38 274 - PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC 39 280 - ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC 40 281 - ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC 41 282 - ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC 42 283 - ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC 43 286 - CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC 44 287 - CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC 501 LT AI L IUHn 1 TOCK 10U CC 32 B Surgical Surgical Surgical Surgical Surgical Surgical Surgical Surgical Surgical Surgical Surgical Surgical Surgical Surgical Surgical Surgical Medical Medical Medical Medical Medical Medical modinol 14,861.47| 27,566.36 22,590.961 15,334.18 30,807.17 16,545.57 10,790.35 34,334.14 63,142.44 46,344.68 34,003.47 42,572.69 24,700.94 19,036.02 33,132.84 21,244.69 16,571.93 9,671.87 7,249.74 21,777.54 24,441.78 11,328.47 67,538.12 100,224.10 87,221.46 57,414.71 105,186.50 56,973.361 41,501.36 161,415.55 259,702.44 177,207.72 136,886.69 189,229.53 120,555.75 73,215.46 141,122.27 101,992.83 75,889.74 41,225.06 31,520.59 126,396.69 108,551.19 52,745.23 57 707 50 G 11,438.35 24,078.20 18,925.54 11,385.18 22,882.83 14,109.07 9,130.30 25,550.23 59,319.50 44,616.25 26,975.44 31,953.25 22,273.94 16,107.40 24,262.36 16,595.81 12,437.39 6,849.45 5,043.29 17,552.23 17,671.56 8,321.54 11.01.00 5.0617 2 2 14 48.9132 3.4938 2.6181 37 96.8697 45 3.6525 2.9783 126 164.3625 375.2658 101.0831 61 31 30.3676 11.235 15 1.6571 0.9796 0.74901 1.80471 2.1808 1.1389 1 2061 13 23.4611 130 283.504 160.5849 141 A ARIF ALI A 14 555 121 57 7599 A B D F G G H 13 130 141 1.8047) 2.1808 1.1389 1.3454 0.9198 0.6656) 1.4504 23.4611 283.504 160.5849 567.7588 150.8472 422 164 25 16.648 24 34.8096 44.0191 1.0237 43 0.7262 19 13.7978 1.0695 16 Medical Medical Medical Medical Medical Medical Medical Medical Medical Medical Medical Medical Medical Medical Medical Medical Medical Medical Medical Medical Medical E 126,396.69 108,551.19 52,745.23 52,707.58 31,082.08 21,174.92 65,482.000 25,383.47 16,578.74 40,424.75 18,835.54 35,897.44 20,649.45 40,491.01 20,100.33 14,846.41 24,843.50 22,473.30 18,864.45 108,649.39 36,839.49 42 283 - ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC 43 286 - CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC 44 287 - CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC 45 291 - HEART FAILURE & SHOCK W MCC 46 292 - HEART FAILURE & SHOCK W CC 47 293 - HEART FAILURE & SHOCK W/O CC/MCC 48 299 - PERIPHERAL VASCULAR DISORDERS W MCC 49 300 - PERIPHERAL VASCULAR DISORDERS W CC 50 301 - PERIPHERAL VASCULAR DISORDERS W/O CC/MCC 51 302 - ATHEROSCLEROSIS W MCC 52 303 - ATHEROSCLEROSIS W/O MCC 53 304 - HYPERTENSION W MCC 54 305 - HYPERTENSION W/O MCC 55 308 - CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC 56 309 - CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC 57 310 - CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC & 58 311 - ANGINA PECTORIS 59 312 - SYNCOPE & COLLAPSE 60 313 - CHEST PAIN 61 314 - OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC 62 315 - OTHER CIRCULATORY SYSTEM DIAGNOSES W CC - 63 0.6655 24 21,777.54 24,441.78 11,328.47 14,555.13 9,601.41 7,134.36 16,428.04 9,474.44 7,125.84 10,553.38 6,470.92 9,873.40 6,952.70 11,861.25 7,754.93 5,972.08 6,728.19 7,785.71 6,707.66 22,955.24 9,221.551 17,552.23 17,671.56 8,321.54 11,016.49 6,680.74 4,989.48 13,417.54 7,450.28 5,609.68 7,623.19 5,032.13 7,659.84 4,876.58 8,349.60 5,477.53 3,991.32 4,815.00 5,637.13 4,980.56 17,047.81 6,835.26 17.112 15.972 59.4605 55 1.0811 0.7199 1.2036 67 81 139 48.2333 97.4916 106.1265 56.7923 10.9952 83.356 101 0.7635 0.5623 0.6872 0.8015 0.7073 2.0231 0.95591 16 104 64 112 45.2672 226.5872 50.6627 53 3059 6530.5462 2.134863093 64 1 Cardiovascular Department - CDI Performance Metrics Review Rate B All 1st QTR 2nd QTR 3rd QTR 4th QTR Total 4 575 599 597 616 2387 #records reviewed by CDI #discharges available for revew 765 761 764 769 3059 review rate 75.1696 78.7196 78.1496 80.10% 78.0396 5 5 KPI - 80% 7 3 Surgical 1st QTR 2nd QTR 3rd QTR 4th QTR Total 175 180 190 193 738 #records reviewed by CDI #discharges available for revew 0 285 274 293 287 1139 1 KPI = 75% review rate 61.4096 65.6996 64.8596 67.2596 64.7996 2 3 4 Medical 1st QTR 2nd QTR 3rd QTR 4th QTR Total 400 419 407 423 1649 5 #records reviewed by CDI #discharges available for revew review rate 480 487 471 482 1920 83.3396 86.0496 86.4196 87.7696 85.8996 nmin 00 O ON 6 KPI = 85% 7 8 9 All 1st QTR 2nd QTR 3rd QTR 4th QTR Total O Query Rate 1 2 3 #records with CDI query/request 290 310 310 314 1224 #records reviewed by CDI 575 599 597 616 2387 A B E 4 No KPI query rate 50.4396 51.7595 51.9396 50.9796 51.2896 5 6 7 Surgical 1st QTR 2nd QTR 3rd QTR 4th QTR Total 8 50 52 46 57 205 9 #records with CDI query/request #records reviewed by CDI query rate 175 180 190 193 738 0 No KPI 28.57% 28.8996 24.2196 29.5396 27.7896 1 2 3 Medical 1st QTR 2nd QTR 3rd QTR 4th QTR Total 240 258 264 257 1019 #records with CDI query/request #records reviewed by CDI query rate 400 419 407 423 1649 60.0096 61.5896 64.8696 60.7696 61.8096 4 5 6 No KPI 7 8 9 0 Physician Response Rate 1 2 3 All 1st QTR 2nd QTR 3rd QTR 4th QTR Total 248 262 272 279 1061 #physician responses to query/request #query/request 302 329 335 357 1323 4 KPI = 85% physician response rate 82.1296 79.6496 81.1996 78.1596 80.2096 KPI = 85% physician response rate 82.1296 79.6496 81.1996 78.15% 80.2096 Surgical 1st QTR 2nd QTR 3rd QTR 4th QTR Total 33 35 31 36 135 #physician responses to query/request #query/request physician response rate 51 54 49 64 218 KPI = 85% 64.7196 64.8196 63.27% 56.2596 61.9396 Medical 1st OTR 2nd QTR 3rd QTR 4th QTR Total 215 227 241 243 926 #physician responses to query/request #query/request physician response rate 251 275 286 293 1105 KPI = 85% 85.6696 82.5596 84.2796 82.9496 83.8096 Physician Impact on MS-DRG Rate All 1st QTR 2nd QTR 3rd QTR 4th QTR Total 110 134 130 137 511 #responses that impact MS-DRG #physician responses to query/request physician impact on MS-DRG rate 248 262 272 279 1061 No KPI 44.3596 51.1596 47.7996 49.1096 48.1696 H Physician Impact on MS-DRG Rate All 1st QTR 2nd QTR 3rd QTR 4th QTR Total 110 134 130 137 511 #responses that impact MS-DRG #physician responses to query/request physician impact on MS-DRG rate 248 262 272 279 1061 No KPI 44.3596 51.1596 47.7996 49.1096 48.1696 Surgical 1st QTR 2nd QTR 3rd QTR 4th QTR Total #responses that impact MS-DRG 5 7 6 7 25 33 35 31 36 135 #physician responses to query/request physician impact on MS-DRG rate No KPI 15.1596 20.00% 19.3596 19.4496 18.5296 Medical 1st QTR 2nd QTR 3rd QTR 4th QTR Total #responses that impact MS-DRG 105 127 124 130 486 #physician responses to query/request 215 227 241 243 926 No KPI physician impact on MS-DRG rate 48.8496 55.9596 51.4596 53.5096 52.4896 CDI Intervention Denial Rate All 1st QTR 2nd QTR 3rd QTR 4th QTR Total #denials 30 33 45 54 162 #records reviewed by CDI 575 599 597 616 2387 KPI = 5% CDI intervention denial rate 5.2296 5.5196 7.5496 8.7796 6.7996 Surgical 1st QTR 2nd QTR 3rd QTR 4th QTR Total #denials 1 1 2 0 4 #records reviewed by CDI 175 180 190 193 738 KPI = 596 CDI intervention denial rate 0.5795 0.5696 1.0596 0.0096 0.5496 Medical 1st QTR 2nd QTR 3rd QTR 4th QTR Total #denials 29 32 43 54 158 #records reviewed by CDI 400 419 407 423 1649 KPI = 5% CDI intervention denial rate 7.2596 7.6496 10.57% 12.7796 9.5896 Case Mix Index Annual AII 2.1349 Surgical 3.7527 Medical 1.1751 FY 2019 RW Volume 15 9.8209 7.6916 5.2053 29 72 12 6.8182 30 16 18 13 21 1 MS-DRG 2 216 - CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W MCC W W 3 219 - CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W MCC 4 220 - CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W CC 5 226 - CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH W MCC 6 227 - CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH W/O MCC 7 228 - OTHER CARDIOTHORACIC PROCEDURES W MCC 8 229 - OTHER CARDIOTHORACIC PROCEDURES W/O MCC 9 233 - CORONARY BYPASS W CARDIAC CATH W MCC 10 234 - CORONARY BYPASS W CARDIAC CATH W/O MCC 11 235 - CORONARY BYPASS W/O CARDIAC CATH W MCC 12 236 - CORONARY BYPASS W/O CARDIAC CATH W/O MCC 13 239 - AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W MCC 14 240 - AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W CC 15 241 - AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W/O CC/MCC 16 242 - PERMANENT CARDIAC PACEMAKER IMPLANT W MCC 17 243 - PERMANENT CARDIAC PACEMAKER IMPLANT W CC 18 244 - PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC 19 245 - AICD GENERATOR PROCEDURES 20 246 - PERC CARDIOVASC PROC W DRUG-ELUTING STENT W MCC OR 4+ VESSELS/STEN 21 247 - PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC 22 248 - PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W MCC OR 4+ VES/STEN 23 251 - PERC CARDIOVASC PROC WIO CORONARY ARTERY STENT WIO MCC 10 Med/Surg Status Surgical Surgical Surgical Surgical Surgical Surgical Surgical Surgical Surgical Surgical Surgical Surgical Surgical Surgical Surgical Surgical Surgical Surgical Surgical Surgical Surgical Surpical 5.3167 6.5762 4.6484 7.6377 5.1472 5.8099 3.9263 4.7093 2.7449 1.5960 39 Average Charge 339,185.20 292,012.39 194,142.97 152,160.75 114,026.83 253,086.33 155,037.25 250,191.71 232,924.92 206,686.13 171,672.80 127,423.55 69,636.00 48,459.21 128,045.11 68,205.24 73,045.72 136,137.21 105,027.41 68,780.68 105,608.15 67.538.12 Average Pymt 80,949.00 67,634.40 40,490.48 51,394.42 43,041.771 59,312.22 37,464.13 66,173.95 55,100.85 53,567.31 33,705.05 42,729.73 18,530.33 12,599.39 32,635.14 21,400.00 17,343.33) 40,400.371 28,335.83 17,740.28 24,511.08 14.861.471 Average MCR Pymt CMI Calculation 74,534.40 147.3135 57,823.93 223.0564 34,839.38 374.7816 44,961.67 81.8184 36,153.07 159.501 54,230.11 105.2192 34,311.13 83.6712 43,588.19 99.2901 30,698.62 108.0912 31,653.54 58.099 25,313.10 153.1257 28,692.64 23.5465 16,012.27 16.4694 10,661.021 23.94 28,674.25 67.2642 17,677.42 71.5204 15,335.11 80.2104 30,490.53 95.2299 22,420.00 278.5368 14,627.08 224.3268 21,972.08 41.2438 11.438.35 28.5226 5 6 15 18 3.7369 2.5543 28 38 2.1108 5.0121 19 86 3.2388 2.0771 108 13 3.1726 1.67781 171 A C D E F H 1.6778 17 17 50 54 3.2598 2.5943 1.8100 3.6195 1.9918 1.6309 10 12 14 22 3.1586 7.1915 16 28.5226 55.4166 129.715 97.74 36.195 23.9016 22.8326 69.4892 115.064 350.886 132.8288 10.1234 5.8481 60 4.1509 23 251 - PERC CARDIOVASC PROC W/O CORONARY ARTERY STENT W/O MCC 24 252-OTHER VASCULAR PROCEDURES W MCC 25 253 - OTHER VASCULAR PROCEDURES W CC 26 254 - OTHER VASCULAR PROCEDURES W/O CC/MCC 27 260 - CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W MCC 28 261 - CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W CC 29 262 - CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W/O CC/MCC 30 264 - OTHER CIRCULATORY SYSTEM O.R. PROCEDURES 31 266 - ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC 32 267 - ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC 33 269 - AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W/O MO 34 270 - OTHER MAJOR CARDIOVASCULAR PROCEDURES W MCC 35 271 - OTHER MAJOR CARDIOVASCULAR PROCEDURES W CC 36 272 - OTHER MAJOR CARDIOVASCULAR PROCEDURES W/O CC/MCC 37 273 - PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC 38 274 - PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC 39 280 - ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC 40 281 - ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC 41 282 - ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC 42 283 - ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC 43 286 - CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC 44 287 - CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC 501 LT AI L IUHn 1 TOCK 10U CC 32 B Surgical Surgical Surgical Surgical Surgical Surgical Surgical Surgical Surgical Surgical Surgical Surgical Surgical Surgical Surgical Surgical Medical Medical Medical Medical Medical Medical modinol 14,861.47| 27,566.36 22,590.961 15,334.18 30,807.17 16,545.57 10,790.35 34,334.14 63,142.44 46,344.68 34,003.47 42,572.69 24,700.94 19,036.02 33,132.84 21,244.69 16,571.93 9,671.87 7,249.74 21,777.54 24,441.78 11,328.47 67,538.12 100,224.10 87,221.46 57,414.71 105,186.50 56,973.361 41,501.36 161,415.55 259,702.44 177,207.72 136,886.69 189,229.53 120,555.75 73,215.46 141,122.27 101,992.83 75,889.74 41,225.06 31,520.59 126,396.69 108,551.19 52,745.23 57 707 50 G 11,438.35 24,078.20 18,925.54 11,385.18 22,882.83 14,109.07 9,130.30 25,550.23 59,319.50 44,616.25 26,975.44 31,953.25 22,273.94 16,107.40 24,262.36 16,595.81 12,437.39 6,849.45 5,043.29 17,552.23 17,671.56 8,321.54 11.01.00 5.0617 2 2 14 48.9132 3.4938 2.6181 37 96.8697 45 3.6525 2.9783 126 164.3625 375.2658 101.0831 61 31 30.3676 11.235 15 1.6571 0.9796 0.74901 1.80471 2.1808 1.1389 1 2061 13 23.4611 130 283.504 160.5849 141 A ARIF ALI A 14 555 121 57 7599 A B D F G G H 13 130 141 1.8047) 2.1808 1.1389 1.3454 0.9198 0.6656) 1.4504 23.4611 283.504 160.5849 567.7588 150.8472 422 164 25 16.648 24 34.8096 44.0191 1.0237 43 0.7262 19 13.7978 1.0695 16 Medical Medical Medical Medical Medical Medical Medical Medical Medical Medical Medical Medical Medical Medical Medical Medical Medical Medical Medical Medical Medical E 126,396.69 108,551.19 52,745.23 52,707.58 31,082.08 21,174.92 65,482.000 25,383.47 16,578.74 40,424.75 18,835.54 35,897.44 20,649.45 40,491.01 20,100.33 14,846.41 24,843.50 22,473.30 18,864.45 108,649.39 36,839.49 42 283 - ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC 43 286 - CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC 44 287 - CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC 45 291 - HEART FAILURE & SHOCK W MCC 46 292 - HEART FAILURE & SHOCK W CC 47 293 - HEART FAILURE & SHOCK W/O CC/MCC 48 299 - PERIPHERAL VASCULAR DISORDERS W MCC 49 300 - PERIPHERAL VASCULAR DISORDERS W CC 50 301 - PERIPHERAL VASCULAR DISORDERS W/O CC/MCC 51 302 - ATHEROSCLEROSIS W MCC 52 303 - ATHEROSCLEROSIS W/O MCC 53 304 - HYPERTENSION W MCC 54 305 - HYPERTENSION W/O MCC 55 308 - CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC 56 309 - CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC 57 310 - CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC & 58 311 - ANGINA PECTORIS 59 312 - SYNCOPE & COLLAPSE 60 313 - CHEST PAIN 61 314 - OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC 62 315 - OTHER CIRCULATORY SYSTEM DIAGNOSES W CC - 63 0.6655 24 21,777.54 24,441.78 11,328.47 14,555.13 9,601.41 7,134.36 16,428.04 9,474.44 7,125.84 10,553.38 6,470.92 9,873.40 6,952.70 11,861.25 7,754.93 5,972.08 6,728.19 7,785.71 6,707.66 22,955.24 9,221.551 17,552.23 17,671.56 8,321.54 11,016.49 6,680.74 4,989.48 13,417.54 7,450.28 5,609.68 7,623.19 5,032.13 7,659.84 4,876.58 8,349.60 5,477.53 3,991.32 4,815.00 5,637.13 4,980.56 17,047.81 6,835.26 17.112 15.972 59.4605 55 1.0811 0.7199 1.2036 67 81 139 48.2333 97.4916 106.1265 56.7923 10.9952 83.356 101 0.7635 0.5623 0.6872 0.8015 0.7073 2.0231 0.95591 16 104 64 112 45.2672 226.5872 50.6627 53 3059 6530.5462 2.134863093 64