Mary Madison, RN, RAC-CT, CDP
Clinical Consultant – Briggs Healthcare
Changes to the Nursing-Home Level Exclusion Criteria:
Effective with the July 2023 refresh, CMS revised the nursing-home level exclusion criteria on erroneously high number of administrators applied to the administrator turnover measure. Previously, if a nursing home submitted Payroll-Based Journal (PBJ) data and reported administrator hours (PBJ job code 1) for five or more individuals (based on employee IDs in the PBJ system) on 12 or more days during the three-quarter denominator eligibility period, the administrator turnover measure would be excluded.
Effective July 2023, if a nursing home reports administrator hours (PBJ job code 1) for five or more individuals (based on employee IDs) on four or more days in a single quarter in any of the six quarters required for calculating the administrator turnover measure, the administrator turnover measure will be excluded. Details on the exclusion criteria are described in the Specifications for Staff Turnover Measures section of this document.
Changes are identified in red, italicized text.
The only change I could find is on page 13 of this 38-page document:
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