CMS announces a new Payroll-Based Journal system

Apr 30, 2015 | Reporting Policies & Rules

CMS announces a new Payroll-Based Journal system – 2015

The Payroll-Based Journal staffing data system was launched in April, 2015 when CMS documented the PBJ plan with several Policy Memos.  These Survey & Certification Letters defined the outlines and purpose of PBJ data collection.  While the technical details have evolved, the core purpose of the PBJ program continues much as it was initially defined.

With the publication of instructions and rules for PBJ staffing data submission, CMS started encouraging nursing homes to submit practice PBJ data in October 0f 2015.  The real program doesn’t start until July of 2016, but practice submissions are available so facilities can familiarize themselves with the new system and requirements of payroll-based journal reporting.

 

news from mcknights

Payroll-Based Journal Reporting system should lose a star

“I’m with the government, and I’m here to help.”

Sense a little irony in that statement?  If so, you won’t be shocked that the federal government is tweaking how it rates nursing homes, but the small changes may pose big problems for some facilities.

pbj-submission-starts

CMS: Nursing homes should start submitting staffing data in two weeks

Skilled nursing facilities should start submitting electronic staffing data Oct. 1 for the best results, federal officials said during a SNF Open Door Forum conference call Thursday.

Lorelei Chapman, a health insurance specialist with the Division of Nursing Homes, Survey & Certification Group, encouraged providers to use the voluntary submission period to test their data submission processes as soon as possible. The mandatory filing period begins July 1, 2016.

news from iadvanced

CMS develops staffing, census system

The Centers for Medicare & Medicaid Services (CMS) announced today that it has developed an electronic system whereby long-term care (LTC) facilities will submit staffing and census information as required under the Affordable Care Act. The system, which CMS is calling the Payroll-Based Journal (PBJ), is being implemented via funding from the Impact Act of 2014.

news from industry blog

CMS announces Payroll-Based Journal system to be implemented

February’s announcement of adjustments to the Five Star Rating included the announcement that payroll-based staffing would be implemented in the next year or two for nursing homes, and CMS announced yesterday the release of its staffing submission data Payroll-Based Journal (PBJ) system. Section 6106 of the ACA mandated that nursing facilities electronically submit direct care staffing information, including agency and contract staff, to CMS using payroll or other auditable data.

Related CMS and PBJ Resources

To learn more about the details, policies and information in these articles, please review these CMS and PBJ publications.

CMS QSO survey memorandum
S&C Memo 15-35-NH
CMS QSO survey memorandum
S&C Memo 15-37-NH
Payroll Based Journal Policy Manual
PBJ Policy Manual v1.0

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Ask the payment expert …. about the total nurse staffing measure

Q: What is the Skilled Nursing Facility Value-Based Payment Total Nurse Staffing Measure?
A: The Total Nursing Hours Per Resident Day Measure uses auditable electronic data reported to the Payroll-Based Journal system to calculate total nursing hours per resident day. It is one of two new measures that will begin affecting payments in the FY 2026 SNF VBP program year, the other being SNF Healthcare Associated Infections Requiring Hospitalization.

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States get needed nurse aide waiver relief but workers’ fates uncertain

Skilled nursing providers in at least 15 states averted the loss of thousands of frontline workers Thursday, when the Centers for Medicare & Medicaid Services let expire a blanket national waiver allowing the use of non-certified nurse aides. Those states had been awarded new waivers through an application process, meaning they demonstrated testing backlogs or other delays that kept providers from converting a large share of temporary nurse aides into permanent certified nurse assistants.

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CMS offers leniency to Kronos users impacted by ransomware attack

Ultimate Kronos Group (UKG), a software used by SNFs for PBJ submission, was the victim of a ransomware attack on December 11, 2021. CMS announced it will not downgrade affected facilities that miss the February 14, 2022 PBJ submission deadline or submit incomplete information.

Impacted Kronos users need to contact CMS by March 1, 2022 with specific requested information as noted in the CMS memo below.

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Importance of the human touch

Everyone falls into auto-mode now and then. While SimplePBJ continues to discover and add new verification checks for potential issues, the human touch is still needed to confirm the PBJ data you’re submitting is accurate.

Don’t get lulled into thinking the data from your payroll or timekeeping system is 100% PBJ ready. Many times that ends up not being the case.

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5 Star, QMs, and PBJ Data Updates

5 Star, QM’s and PBJ data updates have been released. Last week, we shared that QRP’s were released for review. All are critical reporting which impacts our 2022 FY reimbursement and our publicly displayed information on Care Compare. There are a few small windows of time for review and correction if needed.

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OIG Reports on CMS Use of Data on Nursing Home Staffing: Progress and Opportunities to Do More

However, CMS has opportunities to better use the staffing information that nursing homes report. Specifically, the staffing information that CMS provides on Care Compare could be more useful to consumers if it included data on nurse staff turnover and tenure, as required by Federal law. CMS reported that the COVID-19 pandemic delayed its progress to implement these requirements.”

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Tips for the PBJ pro — Top 5 PBJ Mistakes

We’re often asked, “What are the biggest mistakes facilities make when completing their PBJ reports?”

Here are the top 5 — based on thousands of facility implementations, consultations, and audit reviews.

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Cutting through the COVID staffing star confusion

COVID-19 has dominated the news — and the senior care industry. Over the past few months, CMS has issued waivers, updated waivers, and repealed waivers. Amidst this COVID chaos is confusion over what PBJ Staffing data is currently posted on Nursing Home Compare. Is it Q1?…Q2? When do you see Q3? What about Q4?

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CMS UPDATE: Q2 2020 optional PBJ data due November 14

CMS has announced that Q2 2020 data (January 1 – March 31) is due no later than November 14. The alert was posted on the CMS PBJ portal and reads:

New Q2 Deadline: CMS has established November 14, 2020 as the new deadline for the Q2 2020 data.

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CMS announces end of emergency blanket data waiver for nursing homes

Federal officials said Friday that they are ending an emergency blanket waiver intended to reduce administrative burden on nursing homes amid the continuing COVID-19 pandemic.

The Centers for Medicare & Medicare Services (CMS) said that effective August 14, nursing homes nationwide will again be required to submit staffing data through the Payroll-Based Journal (PBJ) system, which allows the agency to collect “staffing information which impacts the quality of care residents receive,” CMS said in a press release.

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Things to remember when submitting PBJ data

CMS will provide further information as soon as possible but are encouraging facilities to still report data as they are able. There will be no penalties or negative impacts to staffing ratings for not submitting by May 15.

As facilities work to gather the necessary information, here are some reminders to help perform a successful submission:

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