Real-Time Acuity Tracking for Medicaid Case Mix
Medicaid CMI shifts throughout a resident’s stay, not just at assessment time.
Clinical conditions evolve. Functional ability fluctuates. Documentation across disciplines can drift. And manual review often fails to surface meaningful acuity changes in time to act.
CMI-Sync gives teams real-time visibility into acuity as it changes, so ARD decisions and CMI categories remain accurate and defensible.
CMI Is Dynamic Not Static
CMI accuracy does not break because teams miss care. It breaks because acuity changes occur between assessment windows and documentation evolves continuously across nursing, therapy, and provider notes.
Functional decline, behavior changes, and new clinical conditions can meaningfully impact CMI days or weeks before an ARD captures them.
When visibility lags behind those changes, ARD decisions become reactive, documentation weakens, and Medicaid reimbursement becomes less predictable.
This is a visibility problem not an operational one.
Why CMI Accuracy Breaks in Skilled Nursing
Even strong reimbursement teams struggle when:
These are not performance failures. They are visibility failures created by how Medicaid CMI is managed today.
CMI-Sync restores that visibility.
How CMI-Sync Works
Designed to keep Medicaid case mix accurate as resident acuity evolves.
Real-Time Acuity Monitoring
Detects day-to-day changes in condition, behavior, function, and clinical status that impact Medicaid case mix.
ARD Support Engine
Identifies documentation-supported changes that influence ARD selection and CMI category shifts.
Interdisciplinary Alignment
Compares nursing, therapy, and provider documentation to surface inconsistencies that weaken acuity defensibility.
State Model Awareness
Supports PDPM Nursing, PDPM with NTA, RUG-IV, or RUG-III depending on state Medicaid methodology.
Curated Acuity Summaries
Replaces hours of manual chart review with a clear, actionable summary of what changed and why it matters.
The CMI-Sync Advantage
Customer Success
“This product is amazing. It doesn’t only help us capture significantly more reimbursement — it gives our staff back several hours each week.”
Leslie Piper
Director of Clinical Reimbursement, TLC Management