CMS to Conduct Pilot Audit Process for PBJ

Nancy Leveille and Lisa Volk in Clinical & Quality

CMS is beginning to initiate audits on the Payroll Based Journal system. NYSHFA has recently heard that contactor Myers and Stauffer has contacted a facility in New York State to conduct an audit. See below for information CMS sent out to all SNFs. Please let NYSHFA know if you get contacted for an audit.

CMS has announced in a letter addressed to skilled nursing facility administration that their PBJ staffing audit team will begin conducting audits of PBJ data submitted to CMS. The letter states that the PBJ audit team will examine payroll records and other auditable data along with PBJ submission data to identify if staffing is being reported accurately based on hours staff are paid to work. This may include, but is not limited to:

  • Information from payroll
  • Timekeeping systems
  • Invoices for contracted staff
  • Interviews with staff responsible for PBJ data entry 
  • It’s important to note that at this time, CMS is piloting the audit process. Any findings from these audits will not result in sanctions for negative actions against the facility.

NYSHFA CONTACTS:

Nancy Leveille, RN, MS
Executive Director
518-462-4800 x20

Lisa Volk, RN, B.P.S., LNHA
Director, Clinical & Quality Services
518-462-4800 x15