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CMS Moves the Goalposts for Five Star Ratings

Many facilities will lose a Staffing star due to how CMS increased emphasis on RNs in the Staffing Five Star ratings.  In this March letter to State Survey Agency Directors and related updates to the Five Star Users Guide, CMS announced a series of changes to Nursing Home Compare and Five Star ratings including: Changes…

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Instantly Predict Your Staffing Five Star

How to Use ezPBJ’s Real-Time Five Star Predictor ezPBJ’s Five Star Staffing Projections show your expected Five Star rating for the active, current quarter – anywhere from 4 to 6 months before CMS publishes your rating to Nursing Home Compare. The staffing Five Star projection is built on multiple data points, including: Reported PBJ hours…

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Meal Breaks Eating Away at Star Ratings

With the latest update to the PBJ Policy Manual, CMS makes very clear its rules on removing meal breaks from Payroll-Based Journal reports. Take note:  ALWAYS remove 30 minutes for lunch in your PBJ reports. Even when your staff works through lunch, those 30 minutes CANNOT be reported. Download the Policy Manual here.   CMS Explicitly Details…

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ezPBJ Provides Free Benchmarking of PBJ Data for All SNFs

Free PBJ Analytics Tool Available for Skilled Nursing Facilities ezPBJ Essentials (sign up here) lets facilities review their CMS public use PBJ data and illustrates staffing trends across the key five-star staffing ratings published on Nursing Home Compare.  In addition, facilities can profile and compare themselves to nearby competitors and benchmark facilities anywhere in the…

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CMS Announces How PBJ Will Be Used for Staffing Five Star

CMS shared details with State Survey Agency Directors on how they will use Payroll-Based Journal data for Staffing Five Star measures. Download the full memo here or read on for our summary: There’s much to unpack in this detailed memo.  ezPBJ has summarized the key points of interest below: How the Staffing Five Star Rating…

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Gotchas to Watch for in PBJ Audits

PBJ Audits are a key part of the Staffing Five Star methodology going forward based on the details shared by CMS with State Survey Agency Directors on how they will use Payroll-Based Journal data for Staffing Five Star measures. Download the full memo here.   Here’s what to watch for in preparing your PBJ submissions so…

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Why the MDS Will Impact Your PBJ Five Star

A little-noticed PBJ policy update last September will play an important role in your Staffing Five Star rating once CMS begins using PBJ data in 2018.  PBJ Census calculations are now based on your MDS. PBJ rules no longer require the submission of Resident Census.  Instead, CMS released a new method they will use to…

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PBJ Audits Are Beginning

PBJ Gotchas ezPBJ Audit Manager ezPBJ is working hard to make your PBJ audits as pain-free as possible!  ezPBJ already holds much of the information requested by CMS and will make that information easily downloadable.  In addition we are adding a new audit section where you can upload the requested PBJ audit documents and create the…

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Avoiding PBJ Submission Challenges

PBJ Gotchas New CMS Rule on Hire Dates CMS made an impactful change to the PBJ rules in February, making the reporting of employee Hire Dates and Termination Dates optional. CMS also removed the rule on using the same Employee ID more than once in a single PBJ Submission. These changes are Issues 8 and 9 in the latest PBJ Data…

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Submitting PBJ to CMS

PBJ Gotchas Quarter Not Matching When uploading files to CMS, make sure the Federal Fiscal Quarter in your file matches the quarter you select in the system, or your submission will be rejected. By February 14, facilities must report QUARTER 1, 2017 data (October 1 to December 31, 2016.)Calendar Day. Lessons from Practice Submissions The latest…

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