Knowing What Really Are 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 Affordable Care Act is requiring the CMS to start collecting any information in all nursing facilities including the staffs in the agencies. And to be able to comply this requirement given by the ACA, CMS has developed the PBJ. All nursing facilities are encouraged to read and review all the policies in the manual of the said 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 requirement being proposed surely has created burden in the part of many facilities. And surely, the vendors of the software will be decreasing the workload in such facilities. They will have to require new payroll system, scheduling, and timekeeping as well. Non payroll staffs such as the therapists and the contracted workers will not be affected by the software systems since they will still use the manual entry of requirements. Therefore, the submission of it may require duplicate effort.

Ever since this is being implemented, the system became so critical on the part of some providers. Whenever failures will happen such as wrong reports or wrong data entry, there may be penalties. The idea was identified since it has delivered a better quality of care outcomes. Another very good advantage of this is consumers and some referral sources will be understanding more on the differences and levels of staffing of nursing homes.

This became a very big undertaking for most providers nowadays, so the CMS tries on understanding them. While they try to adapt and adjust on the new system, CMS prefers on refraining from imposing a remedy to this. And another things is that CMS provides feedbacks and as well as warnings to help the providers facilitate new requirement compliance.

Even if this has affected all the staffing, revenue goals, and the operational costs, there is still one main advantage of this. You can just easily control and manage the reporting processes, thus, minimizing all the costs involved. And it will ensure the meeting of reporting requirement.

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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