Sunday, October 2, 2016

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.

Affordable Care Act or ACA has required the CMS to start on the collection of information details from the nursing equipment which includes the staff agencies. For the completion of the requirement by the ACA, the CMS developed a PBJ. All facilities were encouraged in reading and reviewing the policies inside the handbook of the requirements.

The PBJ policy manual provides all backgrounds and information about submitting the requirements. It includes submission screens, deadlines, and the definition of each job category. All the data that has been collected will be inputted into the PBJ system. These are entered on a quarterly basis and this is due after the end of each quarter within 45 days.

The requirement that is proposed will surely be a great burden in most parts of a facility. Surely, software vendors will be diminishing the workload in the facilities. But they will still be requiring new scheduling, payroll system, and timekeeping. The contracted workers and the therapists who are non payroll staffs would not be affected by the new software systems because they will still continue on using the manual entry for the requirements. So therefore, submission will require double 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.

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.

When the requirement is met, it will show that facilities provide a better and improved quality care. It also reduces risks in submitting delayed reports and paying for penalties. Though it may be time consuming, it will still let consumers identify an improved, better facility for other people.

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