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Knowing About The PBJ Requirements

By Christine Barnes


A payroll based journal or commonly as PBJ is a result of the requirements being brought for the employers and which they mandated. One of the requirements is the healthcare insurance. But PBJ is affecting the nursing homes and the care facilities including skilled nursing facilities.

Payroll based journal wanted to achieve several goals. First is allowing the Centers for Medicaid and Medicare Services to gather more regular and more frequent data in the nursing houses. Second is ensuring data accuracy. Third is standardizing the gathering of data. Fourth is inspecting the quality of care given by the nursing houses. PBJ requirements may often be referred as peanut butter and jelly.

The ACA or Affordable Care Act requires the CMS to go ahead with the collection of data from all facilities which will include all the staffs in agencies. And to comply the requirement of ACA, the CMS developed the PBJ. All of nursing facilities were motivated to read and to review the manual of policies of the requirements.

The manual of PBJ policies provide all necessary background and information for the submission of requirement. This includes the submission deadlines, submission screens, and the definition of job categories. All the collected information will be entered to the PBJ system. These information are inputted quarterly within 45 days every after the end of quarter.

This proposed requirement has surely created burden in most parts of many facilities. And for sure, the software vendors will be lessening the workload of facilities. They will need to require new scheduling, new timekeeping, and new payroll system. The contractual workers and as well as the therapists who belongs to the non payroll staffs are not being affected by new software systems since they will continue using manual entry of the requirements. And therefore, the submission will be needing duplicate effort.

Since the implementation of this, it became very critical for the providers. If there will be some failures upon submission, it maybe errors on reports or inaccuracy of data, it will lead to penalties. These idea has been identified for delivering better quality care outcomes. Another advantage of this is that the consumers and the referral sources will understand more about the differences of staffing in the nursing homes.

Nowadays, this can be a very big problem to most providers, but the CMS understands them. While they are adjusting and adapting to this, CMS stated to refrain from imposing remedies on this. Aside from that, CMS will provide feedbacks and warnings to them to help them facilitate the requirement compliance.

Even though it affected the revenue goals, staffing, and also the operation costs, this is still a good thing. And one good advantage of it is it makes the managing and controlling of report processes easy, thus, resulting to cost reduction. It will also ensure the reporting requirement be met.

To meet the requirement shows that the facilities are providing better quality care. Also, it reduces the risk of delayed reports and having penalties. Even though this can be time consuming, consumers may still identify a better facility for their families or loved ones.




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