TOP 9 THINGS TO REMEMBER ABOUT PBJ

Updated: Feb 6, 2020


Accurate PBJ reporting can impact your Five-Star rating, referral patterns, census stability and overall long-term viability. The deadline for PBJ submission is February 14, 2020. Here are the top things to remember about PBJ.


What threshold do providers need to be aware of for monthly hours of a single employee?

CMS will be monitoring the PBJ data to identify if an individual employee has worked more than 400 hours in a single month. Likely, this will only be investigated during an audit, but could imply the employee is being overworked or the SNF is overstating hours.


What threshold do providers need to be aware of for quarterly hours of a single employee?

CMS will be monitoring if an individual employee has worked more than 1,200 hours throughout the quarter. Again, this will likely only be investigated during an audit and carries the same implications as the monthly threshold above.


What will CMS be monitoring for weekend coverage for direct care staff?

CMS will also be monitoring weekday vs. weekend hours per resident per day (PRD) coverage for direct care staff. CMS is now notifying state agencies and CMS regional offices with a list of facilities that report low staffing during the weekend, which could potentially raise audit concerns or trigger state surveyors to commence a health inspection survey during the weekend.