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Five PBJ Reporting Pitfalls: A Staffing Coordination Guide for Nursing Homes

Jul 20, 2026 7 min read

A practical coordination checklist for facilities reporting agency and contract hours through CMS Payroll-Based Journal requirements.

Start with the current CMS materials

CMS publishes the current PBJ Policy Manual, FAQs, technical specifications, and update notices on its staffing-data submission page. Facilities should use those source materials and their own compliance process rather than relying on a staffing agency article as reporting advice.

Include agency and contract staff in the facility process

CMS states that covered facilities submit direct-care staffing information, including agency and contract staff, based on payroll and other auditable data. Facilities remain responsible for determining which records and categories apply to their submission.

Reconcile source records before the deadline

Set an internal cadence for comparing facility timekeeping, approved agency records, employee identifiers, and job categories. Resolve discrepancies while the underlying shift information is still available.

Ask for available worked-hour information

Med Plus Staffing can discuss what worked-hour information is available for an assignment. That support does not transfer the facility's reporting responsibility or guarantee that a record is sufficient for a particular PBJ submission.

Escalate policy questions to the authoritative source

CMS lists the current PBJ contact and supporting materials on its official page. Facilities should route unresolved interpretation questions through their compliance leadership and the appropriate CMS support channel.