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Quarterly PBJ Deadline Nears

We remind nursing home members that Payroll-Based Journal (PBJ) data submissions covering July 1st through Sept. 30th must be finalized with the Centers for Medicare and Medicaid Services (CMS) by Nov. 14th. PBJ submissions are used to calculate quarterly staffing ratings used in the Five-Star Quality Rating System. Only data that are successfully submitted by the deadline are used in determining ratings, and inaccurate submissions can result in a home being assigned a single star for the staffing domain. Providers may overwrite previously submitted data for that quarter until the deadline date.

Members should be certain that their homes are accurately reflecting in their reporting the requirement that they have an RN on site for at least eight consecutive hours, seven days per week. The latest version of the PBJ policy manual (November 2018) and related resources are available for download at the bottom of the dedicated CMS PBJ web page here. The user guide for uploading data through the CMSNet Secure Access Service is available here.

CMS recommends that providers take advantage of the verifications resources after uploading their data to ensure a successful submission. Upon uploading the data, the system will remind the user to:

  • Check the My Submissions page. This feature will show the status of the zip file.
  • Check the Certification and Survey Provider Enhanced Reporting (CASPER) application for a system-generated PBJ Final File Validation Report (FFVR) within 24 hours. If no FFVR appears, run a PBJ Submitter FFVR to check your file for errors.
  • Run the PBJ 1702D (by Employer) or 1703D (by Job Type) Reports to verify that the submitted quarterly PBJ data accurately reflects your records.

Contact: Darius Kirstein, dkirstein@leadingageny.org, 518-867-8841