Payroll-Based Journal news

Stay on top of the latest updates on PBJ, assembled from a variety of industry news sources.


Penalty box: CMS official says moratorium on nursing home fines will end in May

McKnight's (03/08/2019) – A long-running moratorium on monetary fines for nursing homes will expire in May, a top Centers for Medicare & Medicaid Services official testified to federal officials Wednesday. Full story »

Nursing homes subject to one star rating if they go more than four days without an RN onsite

Healthcare Finance (03/08/2019) – The Centers for Medicare and Medicaid Services is updating the nursing home compare and the five-star quality rating system by dropping the threshold for RN staffing from seven to four days, adding a measure for hospitalizations among long-stay residents and lifting the freeze on health inspections. The changes go into effect in April. Full story »

Changes to SNF inspections, staffing requirements and new quality measures coming in April, CMS says

McKnight's (03/06/2019) – The federal government is further tightening the screws on regulation of nursing home staffing and quality, with a big shakeup starting as soon as next month. Full story »

CMS to crack down on staffing, separate short- and long-term stays in SNF star rating overhaul

Skilled Nursing News (03/05/2019) – The Centers for Medicare & Medicaid Services (CMS) on Tuesday announced stricter standards for its consumer-facing nursing home ratings, including a lower threshold for staffing penalties and new separate ratings for short-term and long-term stays. Full story »

Investing in staffing doesn’t necessarily lead to skilled nursing profits

Skilled Nursing News (02/27/2019) – Regulators have cracked down on the industry over staffing levels, hitting several facilities with one-star staffing ratings in 2018 after payroll-based journal data showed fluctuating workforce numbers. But a data dive by accounting firm CliftonLarsonAllen (CLA) found that investing in staffing star ratings may not actually correlate with profitability. Full story »

Will state surveyors be knocking on your door Saturday night?

McKnight's (02/11/2019) – As early as April 2018, the Centers for Medicare & Medicaid Services was planning to use Payroll Based Journal (PBJ) data in ways other than calculating and reporting a staffing rating on the Five-Star Quality Rating System. In memo QSO 18-17-NH, CMS reported its intention to use PBJ data to inform the survey process to help surveyors identify if a facility’s staffing is an underlying root cause for quality issues. Full story »

A new focus on nursing facility staffing

Provider Magazine (01/14/2019) – Providers should review their compliance plan and internal policies in light of new OIG staffing oversight developments. Full story »

CMS announces new PBJ focus and oversight initiatives

LeadingAge (12/04/2018) – On November 30th, 2018, the Centers for Medicare & Medicaid Services (CMS), Quality, Safety and Oversight Group(QSO), released QSO Memorandum, 19-02-NH, outlining updates to the Payroll Based Journal (PBJ) Policy Manual, notification to states and new Minimum Data Set (MDS) Census reports. Full story »

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