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PEANUT BUTTER AND JAM PLAYGROUP REGISTRATION FORM 2011/2012 PARENTS NAME (FIRST & LAST): DAYTIME PHONE #: EVENING PHONE #: EMAIL: ADDRESS: ALTERNATIVE CAREGIVER NAME (if applicable): EMERGENCY CONTACT
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Step 1: Start by gathering all the necessary information and documents required to fill out the PBJ registration form. This may include your personal details, business information, and any supporting documents such as proof of identification or address.
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The PBJ registration form is a document that facilities use to register their staffing data with the Centers for Medicare & Medicaid Services (CMS) for the Payroll-Based Journal (PBJ) reporting.
All skilled nursing facilities that participate in Medicare and Medicaid programs are required to file the PBJ registration form.
To fill out the PBJ registration form, facilities must provide their facility information, including names, addresses, and contact details, as well as information related to their payroll system and staffing data.
The purpose of the PBJ registration form is to ensure compliance with federal regulations by collecting accurate staffing data from nursing facilities for quality measurement and reimbursement purposes.
The PBJ registration form must report information such as the facility’s identifying data, payroll data, staffing levels, and employee work times.
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