The Challenges You're Facing
Common problems that cost your facility time, money, and quality of care.
PBJ data directly feeds CMS Five-Star staffing ratings. Even small errors — mismatched employee IDs, incorrect job codes, or missing census data — can drop your rating by a full star. And most facilities don't realize the damage until it's already reflected on Care Compare.
CMS requires quarterly PBJ submissions within 45 days of quarter end. Late or incomplete submissions can trigger civil monetary penalties of up to $10,000 per day. With complex payroll data from multiple systems, deadlines sneak up fast.
Most facilities pull PBJ data from payroll, scheduling, and HR systems that don't talk to each other. Staff spend hours manually reconciling timecards, contract labor hours, and census numbers — introducing errors at every step.
You submit your PBJ file and hope for the best. Without pre-submission validation, error tracking, or trend analysis, facilities have no way to catch problems before CMS processes the data and updates star ratings.
How We Help
Proven approaches tailored to the unique needs of pbj compliance.
We forensically review your historical PBJ submissions to identify and correct errors that may be suppressing your star rating.
- Historical submission analysis across multiple quarters
- Employee ID and job code reconciliation
- Census data accuracy verification against MDS records
- Contract and agency labor hour documentation review
We build reliable data pipelines that eliminate manual aggregation and ensure clean submissions every quarter.
- Payroll system integration and automated data extraction
- Pre-submission validation against CMS error checks
- Automated census reconciliation with PCC, PointClickCare, or MatrixCare
- Submission tracking with confirmation and audit trail
We implement proactive checks that catch problems before they reach CMS.
- Real-time staffing data monitoring during each quarter
- Monthly mini-audits to catch issues before submission deadlines
- Job code mapping validation against CMS requirements
- Overtime and agency hour classification verification
We continuously monitor your PBJ data quality and proactively identify opportunities to improve your Five-Star staffing rating.
- Quarterly submission management and CMS filing
- Star rating trend analysis and improvement roadmap
- Staffing ratio optimization against CMS thresholds
- Annual PBJ compliance review and strategy session
How It Works
A structured, proven process that delivers results.
Data Audit
We pull your last four quarters of PBJ submissions and cross-reference against payroll, scheduling, and census records to identify every discrepancy, error, and missed opportunity.
Error Correction & Resubmission
For quarters still within the CMS correction window, we prepare and submit corrected data. For older quarters, we document findings to prevent the same errors going forward.
Submission Workflow Setup
We configure automated data extraction from your payroll and scheduling systems, build pre-submission validation checks, and establish a quarterly submission calendar with built-in review cycles.
Quarterly Review & Submission
Each quarter, we review your data, run validation checks, flag anomalies for your team to verify, and submit clean files to CMS on your behalf — well before the deadline.
Ongoing Monitoring & Optimization
Between submissions, we monitor staffing patterns, flag data quality issues in real time, and provide star rating impact projections so you can make informed staffing decisions.
Results You Can Expect
Real outcomes from facilities we've worked with.
PBJ Compliance FAQs
Common questions about our pbj compliance services
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