GRS Regulatory Update:
CMS to post PBJ Public Use File November 1, 2017
Issued September 29, 2017
On September 25, 2017, Center for Medicare and Medicaid Services (CMS) posted the Survey and Certification Electronic Staffing Submission – PBJ Public Use File Memorandum stating beginning November 1, 2017, CMS will begin posting Payroll-Based Journal (PBJ) public use files, accessible at https://data.cms.gov/. CMS stated that by the last deadline of August 14, 2017, 95% of facilities had successfully submitted PBJ data.
Payroll-Based Journal Public Use File will include:
- Data from reporting periods of calendar quarters 1 and 2, 2017, and “total number of hours submitted for nursing services job categories (e.g., registered nurse, licensed practical nurse, and nurse aides) for each day in the quarter, in addition to each facility’s census for each day in the quarter as calculated using minimum data set (MDS) submissions” (Memo, p. 2).
- Raw number of hours submitted by providers, not calculations of measures.
- Future data expansion expected by CMS.
Nursing Home Compare website:
- Nursing Home Compare website identifies those providers who have “submitted data by the required deadline, and if providers have submitted, complete, incomplete, or inaccurate data” (Memo, p. 1).
- Data may not provide an accurate representation if providers have not submitted complete data timely. Refer to Memo, page 3 for more details.
- “Providers that do not submit data by the required deadline will have their overall and staffing star ratings suppressed (e.g., removed) on Nursing Home Compare” (Memo, p. 3).
- PBJ data and that displayed on Nursing Home Compare may differ secondary to differences in data collection time periods as well as definitions. “Staffing measures posted on the Nursing Home Compare website and used in the Five Star Quality Rating System are currently calculated using information submitted by facilities on the CMS-671 form. (Memo, p. 3).
- “States, CMS Regional Offices, and stakeholders should also not interpret the data to indicate noncompliance with other requirements for LTC facilities. (Memo, p. 2).
Payroll-Based Journal Resident Census
CMS will use MDS data to calculate daily resident census and ultimately staffing levels, however facilities will still have the option to submit electronically through PBJ resident census data.
Updated and available resources to be posted by October 1, 2017, including PBJ website, Policy Manual, and Frequently Asked Questions.
If you have questions, please contact the Genesis Rehab Services (GRS)/ Respiratory Health Services (RHS) email inquiry system at GRSASK@genesishcc.com.
About GRS/RHS Regulatory Administration
The Regulatory Administration department of GRS/RHS closely monitors legislative and regulatory notices, and continues to work with Congress, CMS and industry leaders regarding changes in government regulations that may impact patient care and service delivery.