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PBJ Breathing Room

Late last week, the Centers for Medicare and Medicaid Services (CMS) issued a communication to nursing homes indicating that while the agency expects providers to make a good faith effort to meet established deadlines, it will continue to accept submissions of the July through September 2016 payroll data and will not penalize homes that missed the Nov. 14th deadline. Along with the announcement, they provided some insights on common concerns and issues with the process. They acknowledged that submission volume did bog down the system and encouraged providers to pull down their validation reports during off-peak hours.

Other issues addressed in the communication include guidance on finding your facility ID used in the PBJ system, the fact that the "Save" button is used to submit the data, and an assurance that due to differences between the PBJ system and the CMS-671 form, CMS does not expect data from the two data sources to match.

The CMS communication is copied below.

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

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From: info@qtso.com

Date: November 10, 2016 at 7:57:20 PM EST

Subject: PBJ Submissions for LTC Facilities

We understand providers have had questions regarding submitting their data into the PBJ system. With the deadline for submission almost upon us, we felt it would be beneficial to send out an email addressing some of the more frequently asked questions to help facilitate the process for you.

1. System Access  We acknowledge that the large number of provider submissions as we near the submission deadline has exceeded the amount of planned network capacity and has resulted in high network utilization which is subsequently causing slowed system response times as well as an inability to access the system for some users. We encourage users to pull down their validation reports during off peak times to relieve system congestion and allow more bandwidth for data submissions and less user frustration. Note that we are extending our QTSO Help Desk hours to include support from 8am to 5pm EST both Saturday, November 12th and Sunday, November 13th.

2. Deadline for Submission  CMS will accept data submission past the deadline and will not impose penalties for providers that have not met the deadline at this time. However, we expect providers to still make a good faith effort to submit data as soon as possible for Fiscal Year 2016 Q4 (July 1 – September 30, 2016).

3. Facility IDs  We understand several providers are confused about what number to use when PBJ asks for the Facility ID (FAC_ID). The list of FAC_IDs can be found by logging on to CMSNet, clicking “QIES Systems for Providers” and then under “PBJ Submissions” click “Look Up Facility ID”.

4. Hire/Rehire Dates  For questions related to entering the hire and rehire dates for employees, please see Section 8.4 (“Manual Data Entry and XML Submission Rehire Process”) of the PBJ User Manual, which can be found here.

5. Saving and Submitting Data  We are aware that some facilities may be confused on the use of the “save” button in the PBJ system. The save button is the same as submitting your data. Additionally, you can save and submit as often as you’d like throughout the quarter, such as every two weeks, and you can always go back and edit your data for previous weeks. Do not wait until the end of the quarter to save and submit. CMS will not collect any files until after November 14th.

6. CMS 671 Form and PBJ Submission Discrepancies  We are aware that some providers are concerned that PBJ data will be compared to the information submitted on their CMS-671 form. We acknowledge that there are differences between how staffing data is submitted in comparing the instructions and policies of PBJ and the CMS-671, and they cover very different time frames. Therefore, in general, we do not expect PBJ data to match the data from the CMS-671.

Additional Resources  Policy Questions should be sent to NHStaffing@cms.hhs.gov

Technical Issues/Questions should be sent to NursingHomePBJTechIssues@cms.hhs.gov

QTSO Help Desk at (877) 201-4721 or E-mail at help@qtso.com

The PBJ website is here.