CRS Brochure by nashlakie

Your gateway to efficiency, accuracy & success. Comprehensive Reimbursement Services is a con-

strategic planning to accurately capture services

sulting company that assists skilled nursing facilities

which ultimately improve resident care.

in the development of clinical systems for improving efficiency, accuracy & maintaining the integrity of the Medicare & Medicaid programs. We can enhance your facilities current systems, improve

Our clinicians and consultants work closely with your staff and become an integral part of the MDS process:

communication between disciplines and provide

Our services include: • CMI ARD strategic planning and management • Medicare PPS ARD planning • Medicare UR oversight and system enhancements • CMI UR oversight and system enhancements • ADL’s in-services & training • Chart audits • MDS training • Support hotline • Quarterly CMI roster reconciliation • RAC audit support • Benchmark reports and other useful statistics • Frequent reviews of reimbursement drivers to determine accuracy • Establish facility goals and monitor facility progress • Monthly review of Medicare rugs tracking and analysis

Properly documenting ADLs – cont’d

CRS assists facilities in accurately capturing

Who reads the ADL entries?

the activities of daily living. Our company in-

Each level of ADL Self-Performance is different –

ADL’S Document the MOST help given on YOUR  An ADL log is reviewed for each resident during the Living MDS of Daily SHIFT…Activities assessment period – this may be every 92 days for a non

services your nursing staff in accurate docu-

WhyISdocument ADL’s? THERE NO OVERLAP BETWEEN CATEGORIES!

mentation of ADL’s. Through these sessions, your staff will become more alert in indentify-

Helps determine the residents “Plan of Care”. ADL’s measure resident Medicare resident and atwhat about the day 5,14, 30, 60actually or 90 for adid on your shift – not has what the resident is capable Medicare resident. Identifies when a resident a decline or A Guide to Understanding ADL of doing. improvement, by comparing previous scores. Measures how much help the resident needs Documentation  The MDS Coordinator the usesneed that information on the MDS. Assists in identifying for corrective from staff. assistance for the resident, such as therapy will vary from day andorshifttoto  TheResidents MDS (Minimum Data Set) is a day form to that is submitted restorative nursing. shift. It’sreports important to document that variation. the state which the level of care a resident needs and how muchallows funding that Correct coding the resident facilitywill to receive. receive proper reimbursement for the care of its residents.

ing the small changes in your residents, allowing you to quickly intervene and refer them to rehab or a restorative program. This can have a significant impact on improving your residents’ quality of life. By precisely documenting the ADL’s, the facility is able to main-

Comprehensive Reimbursement Services

tain the integrity of the RUG system, as each

Comprehensive Reimbursement Services

of the RUG scores, regardless of category, are

Comprehensive Reimbursement Services

affected by the level of intensity of assistance

Comprehensive Reimbursement Services

needed with the ADL’s. With continuous education and audits we are committed to maintaining the integrity and accuracy of the ADL documentation.

PPS At CRS we are committed to keeping your facility running smoothly throughout these ever changing times. We will prepare your staff for changes in policies and MDS coding, as well as assisting throughout the transition process. Our hotline is always available to answer your questions regarding MDS coding and strategic ARD placement.

True or False? Therapy Policy Group Changes FY Redefined: 2012

 Five minutes into a group therapy session, one of the residents refuses

Agenda

to continue with the treatment and leaves the session. The therapist  Effective forVall assessments with2 0 an1states ARD that on orthe after October 1st. immediately group E F Fstops E C T Ithe Esession, O C T O Bbecause E R 1 S T she 1  Group therapy is defined as similar therapy activities therapy will not count towards with the residents‟ RTM when being only given to  Below is a listTrue ofsimultaneously. the exactly four residents three residents are present. orchanges False? we will be discussing today:  number Change inofGroup  The total grouptherapy therapy minutes will then be divided by four

of Therapy in long order calculate the OMRA Reimbursable Therapy Minutes  False! As astoEnd the initial plan of the facility was to have four (RTM) for

each ofthe four residents. End ofgroup Therapy OMRA with Resumption residents present, the therapy will still be counted and divided by  Ex: If 100 minutes group therapy are given, each of the four residents will receive Change ofofTherapy OMRA four, regardless of the resident leaving mid-session. 25 minutes towards their individual RTM. (100/4=25 minutes per resident) 

Change in PPS Schedule

 If one of the four residents refuses therapy or is unable to show up, the  Clarification in how to code isolation

group therapy may still be counted, so long as the original plan was to  Managed Medicaid and CMI have four residents participate 

The group minutes would still be divided by four, even if three residents participate.. COMPREHENSIVE REIMBURSEMENT SERVICES

 The group therapy cap of 25% of the residents RTM will still apply. COMPREHENSIVE REIMBURSEMENT SERVICES

COMPREHENSIVE REIMBURSEMENT SERVICES

Medicare Report Facility B Oct 10-Sep 11 Jan Total Days

1122 Dollar Amount

RU RUX RUL RUC RUB RUA RV RVX RVL RVC RVB RVA RH RHX RHL RHC RHB RHA RM

Feb

$957.40 $933.07 $698.45 $698.45 $564.64 $866.27 $768.94 $607.32 $515.20 $513.46 $796.06 $702.22 $537.12 $478.03 $413.73

Mar

1160

Days 369 25 0 121 100 123 315 0 0 133 44 138 31 0 0 0 2 29 129

% 43.57% 2.95% 0.00% 14.29% 11.81% 14.52% 37.19% 0.00% 0.00% 15.70% 5.19% 16.29% 3.66% 0.00% 0.00% 0.00% 0.24% 3.42% 15.23%

0 0 96 0 33 3 0 3 0 0

0.00% 0.00% 11.33% 0.00% 3.90% 0.35% 0.00% 0.35% 0.00% 0.00%

$0.00 $0.00 $45,909.12 $0.00 $11,783.31

$23,935.00 $0.00 $84,512.45 $69,845.00 $69,450.72 $0.00 $0.00 $80,773.56 $22,668.80 $70,857.48 $0.00 $0.00 $0.00 $956.06 $11,998.17

Apr

1207

Days 509 7 0 74 98 330 282 1 0 121 35 125 90 0 0 7 26 57 89

% 52.47% 0.72% 0.00% 7.63% 10.10% 34.02% 29.07% 0.10% 0.00% 12.47% 3.61% 12.89% 9.28% 0.00% 0.00% 0.72% 2.68% 5.88% 9.18%

0 0 84 5 0 0 0 0 0 0

0.00% 0.00% 8.66% 0.52% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00%

$0.00 $0.00 $40,170.48 $2,219.85 $0.00

$6,701.80 $0.00 $51,685.30 $68,448.10 $186,331.20 $866.27 $0.00 $73,485.72 $18,032.00 $64,182.50 $0.00 $0.00 $3,759.84 $12,428.78 $23,582.61

May

1070

Days 514 0 0 54 214 246 191 0 0 92 55 44 118 0 0 41 9 68 67

% 57.75% 0.00% 0.00% 6.07% 24.04% 27.64% 21.46% 0.00% 0.00% 10.34% 6.18% 4.94% 13.26% 0.00% 0.00% 4.61% 1.01% 7.64% 7.53%

0 0 20 40 7 0 0 0 0 0

0.00% 0.00% 2.25% 4.49% 0.79% 0.00% 0.00% 0.00% 0.00% 0.00%

$0.00 $0.00 $9,564.40 $17,758.80 $2,499.49

$0.00 $0.00 $37,716.30 $149,468.30 $138,901.44 $0.00 $0.00 $55,873.44 $28,336.00 $22,592.24 $0.00 $0.00 $22,021.92 $4,302.27 $28,133.64

Jun

1198

Days 494 0 0 77 319 98 129 0 0 40 59 30 20 0 0 13 7 0 156

% 61.83% 0.00% 0.00% 9.64% 39.92% 12.27% 16.15% 0.00% 0.00% 5.01% 7.38% 3.75% 2.50% 0.00% 0.00% 1.63% 0.88% 0.00% 19.52%

0 0 38 118 0 0 0 0 0 0

0.00% 0.00% 4.76% 14.77% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00%

$0.00 $0.00 $18,172.36 $52,388.46 $0.00

$0.00 $0.00 $53,780.65 $222,805.55 $55,334.72 $0.00 $0.00 $24,292.80 $30,396.80 $15,403.80 $0.00 $0.00 $6,982.56 $3,346.21 $0.00

July

1151

Days 744 0 0 196 400 148 148 0 0 76 32 40 32 0 0 17 12 3 75

% 74.47% 0.00% 0.00% 19.62% 40.04% 14.81% 14.81% 0.00% 0.00% 7.61% 3.20% 4.00% 3.20% 0.00% 0.00% 1.70% 1.20% 0.30% 7.51%

0 0 13 50 12 0 0 0 0 0

0.00% 0.00% 1.30% 5.01% 1.20% 0.00% 0.00% 0.00% 0.00% 0.00%

$0.00 $0.00 $6,216.86 $22,198.50 $4,284.84

$0.00 $0.00 $136,896.20 $279,380.00 $83,566.72 $0.00 $0.00 $46,156.32 $16,486.40 $20,538.40 $0.00 $0.00 $9,131.04 $5,736.36 $1,241.19

908

Days 838 0 0 397 328 113 66 0 0 48 6 12 84 0 0 37 34 13 68

% 79.36% 0.00% 0.00% 37.59% 31.06% 10.70% 6.25% 0.00% 0.00% 4.55% 0.57% 1.14% 7.95% 0.00% 0.00% 3.50% 3.22% 1.23% 6.44%

0 0 40 17 11 0 0 0 0 0

0.00% 0.00% 3.79% 1.61% 1.04% 0.00% 0.00% 0.00% 0.00% 0.00%

$0.00 $0.00 $19,128.80 $7,547.49 $3,927.77

$0.00 $0.00 $277,284.65 $229,091.60 $63,804.32 $0.00 $0.00 $29,151.36 $3,091.20 $6,161.52 $0.00 $0.00 $19,873.44 $16,253.02 $5,378.49

Days 593 0 0 229 310 54 100 0 0 61 37 2 99 0 0 69 8 22 35

% 71.70% 0.00% 0.00% 27.69% 37.48% 6.53% 12.09% 0.00% 0.00% 7.38% 4.47% 0.24% 11.97% 0.00% 0.00% 8.34% 0.97% 2.66% 4.23%

0 0 35 0 0 0 0 0 0 0

0.00% 0.00% 4.23% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00%

$0.00 $0.00 $16,737.70 $0.00 $0.00

$0.00 $0.00 $159,945.05 $216,519.50 $30,490.56 $0.00 $0.00 $37,046.52 $19,062.40 $1,026.92 $0.00 $0.00 $37,061.28 $3,824.24 $9,102.06

RMX RML RMC RMB RMA RL RLX RLB RLA SE

$735.93 $673.37 $478.22 $443.97 $357.07

ES3 ES2 ES1 H

$728.11 $569.96 $509.13

0 0 0 39

0.00% 0.00% 0.00% 3.48%

$0.00 $0.00 $0.00

0 0 0 30

0.00% 0.00% 0.00% 2.59%

$0.00 $0.00 $0.00

0 0 0 45

0.00% 0.00% 0.00% 3.73%

$0.00 $0.00 $0.00

0 0 0 38

0.00% 0.00% 0.00% 3.55%

$0.00 $0.00 $0.00

0 0 0 84

0.00% 0.00% 0.00% 7.01%

$0.00 $0.00 $0.00

0 0 0 12

0.00% 0.00% 0.00% 1.04%

$0.00 $0.00 $0.00

0 0 0 17

0.00% 0.00% 0.00% 1.87%

$0.00 $0.00 $0.00

HE2 HE1 HD2 HD1 HC2 HC1 HB2 HB1 L

$491.75 $408.33 $460.46 $384.00 $434.40 $363.14 $429.19 $359.67

0 39 0 0 0 0 0 0 127

0.00% 3.48% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 11.32%

$0.00 $15,924.87 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

0 27 0 2 0 1 0 0 75

0.00% 2.33% 0.00% 0.17% 0.00% 0.09% 0.00% 0.00% 6.47%

$0.00 $11,024.91 $0.00 $768.00 $0.00 $363.14 $0.00 $0.00

0 45 0 0 0 0 0 0 117

0.00% 3.73% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 9.69%

$0.00 $18,374.85 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

0 38 0 0 0 0 0 0 168

0.00% 3.55% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 15.70%

$0.00 $15,516.54 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

0 54 0 1 0 0 29 0 105

0.00% 4.51% 0.00% 0.08% 0.00% 0.00% 2.42% 0.00% 8.76%

$0.00 $22,049.82 $0.00 $384.00 $0.00 $0.00 $12,446.51 $0.00

0 11 0 0 0 1 0 0 74

0.00% 0.96% 0.00% 0.00% 0.00% 0.09% 0.00% 0.00% 6.43%

$0.00 $4,491.63 $0.00 $0.00 $0.00 $363.14 $0.00 $0.00

17 0 0 0 0 0 0 0 50

1.87% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 5.51%

$8,359.75 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

LE2 LE1 LD2 LD1 LC2 LC1 LB2 LB1

$446.57 $373.57 $429.19 $359.67 $377.05 $317.96 $357.93 $304.05

0 104 0 0 0 10 0 13

0.00% 9.27% 0.00% 0.00% 0.00% 0.89% 0.00% 1.16%

$0.00 $38,851.28 $0.00 $0.00 $0.00 $3,179.60 $0.00 $3,952.65

0 68 0 0 0 7 0 0

0.00% 5.86% 0.00% 0.00% 0.00% 0.60% 0.00% 0.00%

$0.00 $25,402.76 $0.00 $0.00 $0.00 $2,225.72 $0.00 $0.00

0 82 0 20 0 0 15 0

0.00% 6.79% 0.00% 1.66% 0.00% 0.00% 1.24% 0.00%

$0.00 $30,632.74 $0.00 $7,193.40 $0.00 $0.00 $5,368.95 $0.00

29 51 0 41 0 17 30 0

2.71% 4.77% 0.00% 3.83% 0.00% 1.59% 2.80% 0.00%

$12,950.53 $19,052.07 $0.00 $14,746.47 $0.00 $5,405.32 $10,737.90 $0.00

4 43 0 26 16 1 15 0

0.33% 3.59% 0.00% 2.17% 1.34% 0.08% 1.25% 0.00%

$1,786.28 $16,063.51 $0.00 $9,351.42 $6,032.80 $317.96 $5,368.95 $0.00

0 20 6 38 10 0 0 0

0.00% 1.74% 0.52% 3.30% 0.87% 0.00% 0.00% 0.00%

$0.00 $7,471.40 $2,575.14 $13,667.46 $3,770.50 $0.00 $0.00 $0.00

0 21 1 16 0 12 0 0

0.00% 2.31% 0.11% 1.76% 0.00% 1.32% 0.00% 0.00%

$0.00 $7,844.97 $429.19 $5,754.72 $0.00 $3,815.52 $0.00 $0.00

C CE2 CE1 CD2 CD1 CC2 CC1 CB2 CB1 CA2 CA1 B

$397.91 $366.62 $377.05 $345.76 $330.13 $305.79 $305.79 $283.20 $258.87 $241.49

105 0 15 0 0 0 0 0 0 0 90 0

9.36% 0.00% 1.34% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 8.02% 0.00%

$0.00 $5,499.30 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $21,734.10

84 0 9 0 0 0 0 0 8 0 67 1

7.24% 0.00% 0.78% 0.00% 0.00% 0.00% 0.00% 0.00% 0.69% 0.00% 5.78% 0.09%

$0.00 $3,299.58 $0.00 $0.00 $0.00 $0.00 $0.00 $2,265.60 $0.00 $16,179.83

155 0 3 0 0 0 0 14 45 0 93 0

12.84% 0.00% 0.25% 0.00% 0.00% 0.00% 0.00% 1.16% 3.73% 0.00% 7.71% 0.00%

$0.00 $1,099.86 $0.00 $0.00 $0.00 $0.00 $4,281.06 $12,744.00 $0.00 $22,458.57

65 0 0 0 11 0 18 0 7 0 29 0

6.07% 0.00% 0.00% 0.00% 1.03% 0.00% 1.68% 0.00% 0.65% 0.00% 2.71% 0.00%

$0.00 $0.00 $0.00 $3,803.36 $0.00 $5,504.22 $0.00 $1,982.40 $0.00 $7,003.21

5 0 0 0 0 0 2 0 0 0 3 0

0.42% 0.00% 0.00% 0.00% 0.00% 0.00% 0.17% 0.00% 0.00% 0.00% 0.25% 0.00%

$0.00 $0.00 $0.00 $0.00 $0.00 $611.58 $0.00 $0.00 $0.00 $724.47

8 0 1 0 0 0 1 0 0 0 6 0

0.70% 0.00% 0.09% 0.00% 0.00% 0.00% 0.09% 0.00% 0.00% 0.00% 0.52% 0.00%

$0.00 $366.62 $0.00 $0.00 $0.00 $305.79 $0.00 $0.00 $0.00 $1,448.94

14 0 2 0 0 0 0 0 0 0 12 0

1.54% 0.00% 0.22% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 1.32% 0.00%

$0.00 $733.24 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $2,897.88

$653.67 $474.67 $290.45

$0.00 $1,424.01 $0.00

$0.00 $0.00 $0.00

BB2 BB1 BA2 BA1 P

$274.54 $262.35 $227.58 $217.16

0 0 0 0 4

0.00% 0.00% 0.00% 0.00% 0.36%

$0.00 $0.00 $0.00 $0.00

0 1 0 0 0

0.00% 0.09% 0.00% 0.00% 0.00%

$0.00 $262.35 $0.00 $0.00

0 0 0 0 0

0.00% 0.00% 0.00% 0.00% 0.00%

$0.00 $0.00 $0.00 $0.00

0 0 0 0 0

0.00% 0.00% 0.00% 0.00% 0.00%

$0.00 $0.00 $0.00 $0.00

0 0 0 0 5

0.00% 0.00% 0.00% 0.00% 0.42%

$0.00 $0.00 $0.00 $0.00

0 0 0 0 1

0.00% 0.00% 0.00% 0.00% 0.09%

$0.00 $0.00 $0.00 $0.00

0 0 0 0 0

0.00% 0.00% 0.00% 0.00% 0.00%

$0.00 $0.00 $0.00 $0.00

PE2 PE1 PD2 PD1 PC2 PC1 PB2 PB1 PA2 PA1

$366.62 $349.24 $345.76 $328.39 $297.10 $283.20 $251.92 $241.49 $208.47 $199.78

0 0 0 0 0 4 0 0 0 0

0.00% 0.00% 0.00% 0.00% 0.00% 0.36% 0.00% 0.00% 0.00% 0.00%

$0.00 $0.00 $0.00 $0.00 $0.00 $1,132.80 $0.00 $0.00 $0.00 $0.00

0 0 0 0 0 0 0 0 0 0

0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00%

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

0 0 0 0 0 0 0 0 0 0

0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00%

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

0 0 0 0 0 0 0 0 0 0

0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00%

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

0 0 0 0 0 0 0 0 0 5

0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.42%

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $998.90

0 1 0 0 0 0 0 0 0 0

0.00% 0.09% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00%

$0.00 $349.24 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

0 0 0 0 0 0 0 0 0 0

0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00%

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

TOTAL $$

$584,388.28 TOTAL $$

$613,686.34 TOTAL $$

$619,321.67 TOTAL $$

$579,605.93 TOTAL $$

$707,969.03 TOTAL $$

$715,503.52 TOTAL $$

X L C B A

25 0 458 293 333

2.95% 0.00% 40.82% 26.11% 29.68%

8 0 354 207 579

0.82% 0.00% 30.52% 17.84% 49.91%

0 0 289 445 365

0.00% 0.00% 23.94% 36.87% 30.24%

0 0 248 565 187

0.00% 0.00% 23.18% 52.80% 17.48%

0 0 349 565 226

0.00% 0.00% 29.13% 47.16% 18.86%

0 0 542 406 155

0.00% 0.00% 47.09% 35.27% 13.47%

0 0 432 367 90

0.00% 0.00% 47.58% 40.42% 9.91%

Rehab Rugs Nursing

847 275

75.49% 24.51%

970 190

83.62% 16.38%

890 317

73.74% 26.26%

799 271

74.67% 25.33%

999 199

83.39% 16.61%

1056 95

91.75% 8.25%

827 81

91.08% 8.92%

Average PPD YTD Average from OCT

$520.85

$529.04

$513.11

$541.69

$590.96

$621.64

$617.46

$555.35

PPD TRACKER

ADL DISTR

$650.0

$612.5

$560,651.50

$621.64

$617.46 0.60

medicare chart Each month you will receive a Medicare summary chart with your facilities statistical information which includes colorful graphs and pie charts that track and analyze the following: Monthly Average PPD (Daily Rate); Percentages of Rehab rugs vs. Nursing rugs; Percentages of rugs scores distributions by ADLâ&#x20AC;&#x2122;s (A,B,C,D & E);

Percentages of Rehab Rugs

classification groups (RU,RV,RH,RM & RL)

Rehab vs Nursing Rug %

RUGS DISTRIBUTION

80.00% 70.00%

JUL

91.08%

8.92%

JUN

91.75%

8.25%

60.00% 50.00%

16.61%

83.39%

MAY

40.00% RU

30.00%

25.33%

74.67%

APR

20.00%

RM RL

26.26%

73.74%

MAR

10.00%

16.38%

83.62%

FEB

0.00% RU

JAN 43.57%

FEB 52.47%

MAR 57.75%

APR 61.83%

MAY 74.47%

JUN 79.36%

JUL 71.70%

37.19%

29.07%

21.46%

16.15%

14.81%

6.25%

12.09%

3.66%

9.28%

13.26%

2.50%

3.20%

7.95%

11.97%

15.23%

9.18%

7.53%

19.52%

7.51%

6.44%

4.23%

0.35%

0.00%

24.51%

75.49%

JAN 50%

55%

60%

65%

70%

75%

Rehab Rugs

80%

85%

90%

95%

100%

Nursing

PPD TRACKER 60.00%

ADL DISTRIBUTION

$640.00 $621.64

$620.00

50.00%

$600.00

40.00% X L

30.00%

C B

20.00%

$560.00 $540.00 $520.00

0.00%

$500.00 FEB

MAR

APR

MAY

JUN

JUL

$590.96

$580.00

10.00%

JAN

$617

JAN

$541.69

$529.04

$520.85

$513.11

FEB

MAR

APR PPD

MAY

JUN

JUL

medicaid CMI chart Each month you will receive a Medicaid summary chart with your facilities statistical information which includes colorful graphs and pie charts that track and analyze the following: Quarterly Average MA CMI ; Percentages of rugs scores distributions by Classification (SE,SS,Rehab,C, I, B & P);

Percentages of rugs scores distributions by ADLs (A,B,C,D & E);

Percentages of RNP and Depression rugs

JAN-MAR

CATG CMI R RAD RAC RAB RAA SE SE3 SE2 SE1 SS SSC SSB SSA C CC2 CC1 CB2 CB1 CA2 CA1 I IB2 IB1 IA2 IA1 B BB2 BB1 BA2 BA1 P PE2 PE1 PD2 PD1 PC2 PC1 PB2 PB1 PA2 PA1

1.66 1.31 1.24 1.07 2.1 1.79 1.54 1.44 1.33 1.28 1.42 1.25 1.15 1.07 1.06 0.95 0.88 0.85 0.72 0.67 0.86 0.82 0.71 0.6 1 0.97 0.91 0.89 0.83 0.81 0.65 0.63 0.62 0.59

APR-JUN

CMI TRACKING SPREADSHEET FACILITY A 2010 JUL-SEP OCT-DEC

2011 JAN-MAR

APR-JUN

TOTAL TOTAL TOTAL TOTAL TOTAL TOTAL DAYS 12728 DAYS 14208 DAYS 14739 DAYS 15142 DAYS 14097 DAYS 13752 DAYS % TOTAL DAYS % TOTAL DAYS % TOTAL DAYS % TOTAL DAYS % TOTAL DAYS % TOTAL 565 4.44% 510 3.59% 1082 7.34% 880 5.81% 1079 7.65% 1342 9.76% 128 1.01% 212.48 131 0.92% 217.46 165 1.12% 273.90 96 0.63% 159.36 23 0.16% 38.18 138 1.00% 229.08 262.00 227 1.78% 297.37 200 1.41% 529 3.59% 692.99 492 3.25% 644.52 622 4.41% 814.82 532 3.87% 696.92 137.64 134 1.05% 166.16 111 0.78% 113 0.77% 140.12 215 1.42% 266.60 364 2.58% 451.36 582 4.23% 721.68 76 0.60% 81.32 68 0.48% 275 1.87% 294.25 77 0.51% 82.39 70 0.50% 74.90 90 0.65% 96.30 72.76 807 6.34% 904 6.36% 814 5.52% 631 4.17% 697 4.94% 808 5.88% 59 0.46% 123.90 122 0.86% 256.20 151 1.02% 317.10 159 1.05% 333.90 251 1.78% 527.10 415 3.02% 871.50 640 5.03% 1145.60 685 4.82% 1226.15 513 3.48% 918.27 408 2.69% 730.32 376 2.67% 673.04 393 2.86% 703.47 108 0.85% 166.32 97 0.68% 150 1.02% 231.00 64 0.42% 98.56 70 0.50% 107.80 0 0.00% 0.00 149.38 1463 11.49% 2164 15.23% 1968 13.35% 1690 11.16% 2110 14.97% 1926 14.01% 661 5.19% 951.84 855 6.02% 1231.20 789 5.35% 1136.16 767 5.07% 1104.48 884 6.27% 1272.96 745 5.42% 1072.80 819.28 331 2.60% 440.23 616 4.34% 552 3.75% 734.16 504 3.33% 670.32 461 3.27% 613.13 439 3.19% 583.87 471 3.70% 602.88 693 4.88% 627 4.25% 802.56 419 2.77% 536.32 765 5.43% 979.20 742 5.40% 949.76 887.04 2903 22.81% 3097 21.80% 3252 22.06% 3012 19.89% 2819 20.00% 3786 27.53% 0 0.00% 0.00 0 0.00% 0.00 0 0.00% 0.00 0 0.00% 0.00 0 0.00% 0.00 0 0.00% 0.00 872.50 350 2.75% 437.50 698 4.91% 937 6.36% 1171.25 1114 7.36% 1392.50 612 4.34% 765.00 912 6.63% 1140.00 0.00 0 0.00% 0.00 0 0.00% 0 0.00% 0.00 0 0.00% 0.00 0 0.00% 0.00 0 0.00% 0.00 1356 10.65% 1450.92 1468 10.33% 1570.76 1425 9.67% 1524.75 1221 8.06% 1306.47 1475 10.46% 1578.25 1764 12.83% 1887.48 25.44 54 0.42% 57.24 24 0.17% 65 0.44% 68.90 0 0.00% 0.00 0 0.00% 0.00 0 0.00% 0.00 1143 8.98% 1085.85 907 6.38% 825 5.60% 783.75 677 4.47% 643.15 732 5.19% 695.40 1110 8.07% 1054.50 861.65 595 4.67% 448 3.15% 608 4.13% 1171 7.73% 1173 8.32% 856 6.22% 0 0.00% 0.00 0 0.00% 0.00 0 0.00% 0.00 125 0.83% 110.00 236 1.67% 207.68 240 1.75% 211.20 95.20 305 2.40% 259.25 112 0.79% 151 1.02% 128.35 406 2.68% 345.10 450 3.19% 382.50 275 2.00% 233.75 21.60 0 0.00% 0.00 30 0.21% 59 0.40% 42.48 0 0.00% 0.00 0 0.00% 0.00 119 0.87% 85.68 290 2.28% 194.30 306 2.15% 398 2.70% 266.66 640 4.23% 428.80 487 3.45% 326.29 222 1.61% 148.74 205.02 0 0.00% 0 0.00% 67 0.45% 162 1.07% 180 1.28% 134 0.97% 0 0.00% 0.00 0 0.00% 0.00 0 0.00% 0.00 0 0.00% 0.00 0 0.00% 0.00 0 0.00% 0.00 0.00 0 0.00% 0.00 0 0.00% 0 0.00% 0.00 0 0.00% 0.00 0 0.00% 0.00 20 0.15% 16.40 0.00 0 0.00% 0.00 0 0.00% 0 0.00% 0.00 0 0.00% 0.00 0 0.00% 0.00 0 0.00% 0.00 0 0.00% 0.00 0 0.00% 67 0.45% 40.20 162 1.07% 97.20 180 1.28% 108.00 114 0.83% 68.40 0.00 6395 50.24% 7085 49.87% 6948 47.14% 7596 50.17% 6039 42.84% 4900 35.63% 0 0.00% 0.00 0 0.00% 0.00 89 0.60% 89.00 118 0.78% 118.00 327 2.32% 327.00 160 1.16% 160.00 1825 14.34% 1770.25 2841 20.00% 2755.77 2645 17.95% 2565.65 2985 19.71% 2895.45 2050 14.54% 1988.50 1193 8.68% 1157.21 0.00 0 0.00% 0.00 0 0.00% 472 3.20% 429.52 580 3.83% 527.80 524 3.72% 476.84 409 2.97% 372.19 2290 17.99% 2038.10 1722 12.12% 1532.58 1368 9.28% 1217.52 1652 10.91% 1470.28 1648 11.69% 1466.72 1815 13.20% 1615.35 0.00 0 0.00% 0.00 0 0.00% 133 0.90% 110.39 45 0.30% 37.35 0 0.00% 0.00 0 0.00% 0.00 72.09 79 0.62% 63.99 89 0.63% 98 0.66% 79.38 312 2.06% 252.72 180 1.28% 145.80 182 1.32% 147.42 11.05 0 0.00% 0.00 17 0.12% 188 1.28% 122.20 271 1.79% 176.15 90 0.64% 58.50 154 1.12% 100.10 706.23 935 7.35% 589.05 1121 7.89% 832 5.64% 524.16 471 3.11% 296.73 321 2.28% 202.23 105 0.76% 66.15 0.00 0 0.00% 0.00 0 0.00% 0 0.00% 0.00 0 0.00% 0.00 0 0.00% 0.00 0 0.00% 0.00 1266 9.95% 746.94 1295 9.11% 1123 7.62% 662.57 1162 7.67% 685.58 899 6.38% 530.41 882 6.41% 520.38 764.05 TOTAL SCORE 12881.49 TOTAL SCORE 14753.05 TOTAL SCORE 15367.24 TOTAL SCORE 15410.05 TOTAL SCORE 14811.61 TOTAL SCORE 14910.33 CMI 1.0121 CMI 1.0384 CMI 1.0426 CMI 1.0177 CMI 1.0507 CMI 1.0842 A B C D E

3300 3061 1317 2290 1825

25.93% 24.05% 10.35% 17.99% 14.34%

A B C D E

3323 3445 1842 1722 2841

23.39% 24.25% 12.96% 12.12% 20.00%

A B C D E

3372 3261 2486 1840 2734

22.88% 22.12% 16.87% 12.48% 18.55%

A B C D E

2975 3213 2730 2232 3103

19.65% 21.22% 18.03% 14.74% 20.49%

A B C D E

2953 3397 2298 2172 2377

COMPREHENSIVE REIMBURSEMENT SERVICES

20.95% 24.10% 16.30% 15.41% 16.86%

A B C D E

3165 3579 2371 2224 1353

23.01% 26.03% 17.24% 16.17% 9.84%

60.00%

RUGS DISTRIBUTION

50.00% 40.00% 30.00% 20.00% 10.00% 0.00% Rehab

JAN-MAR 4.44%

APR-JUN 3.59%

JUL-SEP 7.34%

OCT-DEC 5.81%

JAN-MAR 7.65%

APR-JUN 9.76%

6.34%

6.36%

5.52%

4.17%

4.94%

5.88%

11.49%

15.23%

13.35%

11.16%

14.97%

14.01%

22.81%

21.80%

22.06%

19.89%

20.00%

27.53%

4.67%

3.15%

4.13%

7.73%

8.32%

6.22%

0.00%

0.45%

1.07%

1.28%

0.97%

50.24%

49.87%

47.14%

50.17%

42.84%

35.63%

Rehab

RUG ADL DISTRIBUTION 30.00% 25.00% 20.00% 15.00% 10.00% 5.00% 0.00%

CMI TRACKER 1.1000 1.0842

1.0800 1.0600 1.0400 1.0200 1.0000

1.0384

1.0507

1.0426

1.0121

1.0177

0.9800 0.9600 JAN-MAR

APR-JUN

JUL-SEP

OCT-DEC Facilty A CMI

JAN-MAR

APR-JUN

w w w. c r s l t c . c o m 732.961.8520

7 Randolph Road

Howell, NJ 07731