Table 6 CMS Categorization of the Case Mix Groups (CMG) (M-Motor, C-Cognitive, A-Age)
From: Inpatient rehabilitation service utilization and outcomes under US ACA Medicaid expansion
Stroke | Hip Fracture | Joint Replacement | |||
|---|---|---|---|---|---|
CMG101 | Stroke M > 51.05 | CMG701 | Fracture of lower extremity M > 42.15 | CMG801 | Replacement of lower extremity joint M > 49.55 |
102 | Stroke M > 44.45 and M < 51.05 and C > 18.5 | 702 | Fracture of lower extremity M > 34.15 and M < 42.15 | 802 | Replacement of lower extremity joint M > 37.05 and M < 49.55 |
103 | Stroke M > 44.45 and M < 51.05 and C < 18.5 | 703 | Fracture of lower extremity M > 28.15 and M < 34.15 | 803 | Replacement of lower extremity joint M > 28.65 and M < 37.05 and A > 83.5 |
104 | Stroke M > 38.85 and M < 44.45 | 704 | Fracture of lower extremity M < 28.15 | 804 | Replacement of lower extremity joint M > 28.65 and M < 37.05 and A < 83.5 |
105 | Stroke M > 34.25 and M < 38.85 | 5001 | Short-stay cases, length of stay is 3 days or fewer | 805 | Replacement of lower extremity joint M > 22.05 and M < 28.65 |
106 | Stroke M > 30.05 and M < 34.25 | 5101 | Expired, orthopedic, length of stay is 13 days or fewer | 806 | Replacement of lower extremity joint M < 22.05 |
107 | Stroke M > 26.15 and M < 30.05 | 5001 | Short-stay cases, length of stay is 3 days or fewer | ||
108 | Stroke M < 26.15 and A > 84.5 | 5101 | Expired, orthopedic, length of stay is 13 days or fewer | ||
109 | Stroke M > 22.35 and M < 26.15 and A < 84.5 | ||||
110 | Stroke M < 22.35 and A < 84.5 | ||||
5001 | Short-stay cases, length of stay is 3 days or fewer | ||||