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The Strategies, Case Studies, and Advanced Insights You Need — All in One Place
Unlock a curated set of expert resources designed to help you optimize CMI and risk adjustment.
Learn how to engage physicians, leverage data, and drive measurable results in documentation accuracy, quality outcomes, and financial performance.
Case Mix Index Toolkit
Top resources to boost CMI and risk adjustment performance:
- See how WVU Medicine improved case mix index (CMI) and risk adjustment by shifting to a data-driven, provider-focused CDI model.
- Learn how one health system used predictive analytics and mobile-based training to improve severity reporting in just 3 months.
- Get practical strategies to close documentation gaps, ensure compliance, and drive long-term success with the CDI 2.0 model.
Download the Toolkit
What is CMI?
Case Mix Index (CMI) is a key performance metric that reflects the clinical complexity of the patients your organization treats. It’s directly tied to hospital reimbursement, with higher acuity equaling higher payments. But more than that, CMI gives insight into the level of care being delivered and the accuracy of your documentation and coding.
Why Does CMI Matter?
CMI serves as a crucial indicator of hospital performance and financial health. It’s tied to everything from revenue cycle outcomes to strategic planning. In short, when your CMI accurately reflects your patient population, you're positioned for stronger clinical and financial results.
Accurate Reimbursement
Ensures payment aligns with the true complexity and intensity of care delivered
Fewer Denials, Less Risk
Reduces audit exposure by strengthening clarity and completeness in documentation
Physician Alignment
Engages providers with actionable insights that support clinical and organizational goals
How to Access ClinIntell’s CMI Insights
We take a data-driven approach to defining what a “good” CMI should be — based on your hospital’s unique clinical reality. Here’s how it works:
- Our predictive algorithms analyze your hospital’s specific, dynamic inpatient population using your monthly final billed inpatient claims.
- These models have been trained over more than a decade using 15+ million national inpatient claims, giving us the ability to identify population patterns and DRG proxies.
- We’ve also pinpointed the key drivers of severity — including DRG mix, payer type, service line, academic status, and more.
How to Work with ClinIntell
1
Request a Demo or CMI Analysis
Start by scheduling a personalized demo or submitting your all-payor data for a comprehensive CMI analysis.
2
Receive Key Insights
Gain actionable insights tailored to your organization’s unique performance and documentation patterns.
3
Drive Strategic Improvements
Use these insights to drive meaningful improvements in documentation that directly impact reimbursement and clinical performance.