Category: PBJ Audits by CMS

More PBJ Topics

  • Minimum Staffing
  • State Mandates & Medicaid
  • Survey & FTags for Staffing
  • Five Star Staffing Ratings
  • Nursing HPRD & Turnover
  • PBJ Audits by CMS

CMS starts study to support minimum staffing proposal

There was a stark, though not at all unexpected, dichotomy between participants in Monday’s listening session to gather input on coming nursing home staff minimums. On the one hand, you had consumer advocates — armed with the Biden administration’s aggressive reform push and 20 years of resentment about perceived understaffing — ready to throw fuel on the fire. And on the other, there were nursing home leaders from major organizations, mid-sized chains and tiny, independent facilities in rural settings pleading with federal regulators to douse the flames. Where a resident advocate might see the potential for more staffing rules to help nursing homes rise from the ashes of COVID, providers are legitimately worried that a well-intentioned but under-supported mandate might just burn the sector down for good.

CMS Issues Significant Updates to Improve the Safety and Quality Care for Long-Term Care Residents

the Centers for Medicare & Medicaid Services (CMS) issued updates to guidance on minimum health and safety standards that Long-Term Care (LTC) facilities (often called “nursing homes”) must meet to participate in Medicare and Medicaid. CMS also updated and developed new guidance in the State Operations Manual (SOM) to address issues that significantly affect residents of LTC facilities.

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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  • CMS' PBJ Policies
  • Rules for PBJ Reporting
  • Studies & Research of PBJ Data

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.