Category: State Mandates & Medicaid
State Mandates & Medicaid
Medicaid nursing facility payment approaches
CMS says final hours requirement still undecided on looming staffing rule
Feb 23, 2023 | Minimum Staffing
CMS says final hours requirement still undecided on looming staffing rule CMS says final hours...
OIG signals new focus on nursing homes
Feb 17, 2023 | Minimum Staffing
State Mandates & MedicaidLatest
Next Quarterly Payroll-Based Journal Data Submission Due
Jan 31, 2022 | Minimum Staffing, State Mandates & Medicaid
We remind nursing home members that Payroll-Based Journal (PBJ) data submissions covering Jan. 1st through March 31st must be finalized with the Centers for Medicare and Medicaid Services (CMS) by May 15th. PBJ submissions have been the basis for calculating the staffing domain of the Five-Star Quality Rating System for several years, and they are now being used to compute staff turnover and weekend staffing rates currently being displayed on Nursing Home Compare. As of July of this year, CMS expects to incorporate these measures into the Five-Star calculation.
More PBJ Topics
- Minimum Staffing
- Five Star Staffing Ratings
- Research & Studies of PBJ Data
- Survey & FTags for Staffing
- PBJ Audits by CMS
Higher Spending on Nursing Home Staff is Not Tied to Better Staffing Levels
Feb 8, 2023 | Minimum Staffing |
Higher Spending on Nursing Home Staff is Not Tied to Better Staffing Levels Higher Spending on...
A loud and clear message on staffing mandates
Jan 31, 2023 | Minimum Staffing |
Ask the payment expert …. about the total nurse staffing measure
Nov 11, 2022 | Five Star Staffing Ratings, Rules for Staff, Hours & Census |
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.
Lots to learn with new Five-Star
Jul 22, 2022 | Five Star Staffing Ratings |
‘Powerful Data’ Could Inform CMS’ Nursing Home Minimum Staffing Standards
Sep 29, 2022 | Minimum Staffing, Research & Studies of PBJ Data |
As federal minimum staffing requirements loom for skilled nursing providers, analysts with the Medicare Payment Advisory Commission (MedPAC) unveiled crucial data detailing the effects of state-level standards on the industry. While research found state minimum staffing requirements increased staffing levels and in some cases improved quality measures, there were some unintended consequences: a decrease in indirect staffing and skill mix, or the number of registered nurses (RNs) and licensed practical nurses (LPNs) relative to certified nursing assistants (CNAs).
CMS Announces Immediate, Aggressive Enforcement for Special Focus Facilities (SFF) Participants
Oct 24, 2022 | Survey & FTags for Staffing |
On Friday, Oct. 21, CMS announced new actions "to significantly strengthen accountability for nursing homes in the Special Focus Facilities (SFF) Program." According to the White House press release, the "SFF Program already provides more frequent inspections of these nursing homes, but more action is needed to ensure these nursing homes improve."
Importance of the human touch
Oct 13, 2021 | PBJ Audits by CMS, Rules for Staff, Hours & Census |
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.
PBJ audits: Why me?
Oct 22, 2019 | PBJ Audits by CMS |
- CMS' PBJ Policies
- Rules for Staff, Hours & Census
- PBJ Report Submission
- State Mandates & Medicaid
- Nursing Turnover & Hours
The Impact of the Public Health Emergency on Skilled Nursing Facilities
Feb 21, 2023 | CMS' PBJ Policies |
The Impact of the Public Health Emergency on Skilled Nursing Facilities The Impact of the Public...
Federal bill returning temporary nurse aide waiver gets new life
Jan 26, 2023 | Rules for Staff, Hours & Census |
Federal bill returning temporary nurse aide waiver gets new life Federal bill returning temporary...
Revised CMS PBJ Manual
Jun 17, 2022 | CMS' PBJ Policies, PBJ Report Submission, Rules for Staff, Hours & Census |
The Centers for Medicare & Medicaid released an updated Electronic Staffing Data Submission Payroll-Based Journal (PBJ) Long-Term Care Facility Policy Manual.
Defiant Sloan to nursing home critics: Address funding to tackle staffing challenge
Dec 7, 2022 | Minimum Staffing, State Mandates & Medicaid |
Defiant Sloan to nursing home critics: Address funding to tackle staffing challenge Defiant Sloan...
REIT ownership linked to decline in RN staffing, increases in LPN, CNA use
Jan 27, 2023 | Nursing Turnover & Hours |
REIT ownership linked to decline in RN staffing, increases in LPN, CNA use REIT ownership linked...