Category: Rules for PBJ Reporting

More PBJ Topics

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

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.

PBJ audits: Why me?

We often get asked the “Why Me?” question when a facility gets audited. Unfortunately, there’s very little disclosure from CMS on the triggers and reasons for PBJ audits. Even the associations are unable to learn much about PBJ audits.

  • 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.