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For example, if your CMI includes DRGs for serious conditions

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Because Medicare uses DRGs in calculating reimbursements, CMI plays a role in determining the amount that Medicare will reimburse your facility. For example, if your CMI includes DRGs for serious conditions such as heart transplants or conditions with major complications, your CMI will be high as it will reflect higher than average costs to take care of these patients. Your facility will multiply the DRG for each patient by the blended rate, an amount assigned to you by Medicare to calculate the reimbursement amount..

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