Category: State Mandates & Medicaid
State Mandates & Medicaid
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CMS says final hours requirement still undecided on looming staffing rule
CMS says final hours requirement still undecided on looming staffing rule CMS says final hours...
State Mandates & Medicaid
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Next Quarterly Payroll-Based Journal Data Submission Due
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
Higher Spending on Nursing Home Staff is Not Tied to Better Staffing Levels Higher Spending on...
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.
‘Powerful Data’ Could Inform CMS’ Nursing Home Minimum Staffing Standards
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
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
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.
- 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
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
Federal bill returning temporary nurse aide waiver gets new life Federal bill returning temporary...
Revised CMS PBJ Manual
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
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
REIT ownership linked to decline in RN staffing, increases in LPN, CNA use REIT ownership linked...
