Payroll-Based Journal news

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


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 »

CMS intensifying nursing home staffing oversight; providers say it won’t help

McKnight's (12/03/2018) – The Centers for Medicare & Medicaid Services announced that it will be turning up the heat, particularly on weekends. The changes come after a Kaiser Health News analysis in July uncovered an average of 11% percent fewer direct-care nurses and 8% fewer aides on duty on weekends. Full story »

CMS implements stricter nursing home staffing survey rules for states

Skilled Nursing News (11/30/2018) – The Centers for Medicare & Medicaid Services (CMS) announced Friday that it will use payroll-based journal (PBJ) data to bolster state oversight of nursing homes, effective immediately. Full story »

CMS peels back curtain on why providers receive PBJ audits

Skilled Nursing News (11/29/2018) – As part of the federal government’s effort to verify staffing levels at skilled nursing facilities, skilled nursing facilities are rated on their nursing and caretaking personnel based on payroll records. How the government assesses those records has raised questions among providers, and the Centers for Medicare & Medicaid Services (CMS) recently gave Skilled Nursing News a glimpse into the audit process. Full story »

Top tips for skilled nursing providers to win under the new CMS rules

Skilled Nursing News (11/23/2018) – The Patient-Driven Payment Model (PDPM) has gobbled up most of the recent headlines in the skilled nursing industry regarding new regulations, but there’s another set of rules that providers shouldn’t forget about. Full story »

Staff vacancies just got a little more important & complicated

Open Minds (09/25/2018) – You can’t go to a health and human service meeting where the topic of workforce doesn’t come up. Common topics include retention of direct service professionals, the shortage of psychiatrists, tech-enabled task shifting, and paying for productivity and performance (for more, see the presentation from last week’s 2018 OPEN MINDS Executive Leadership Retreat, How To Retain & Grow Direct Support Professionals). Full story »

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