In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Jennifer LaBay, RN, RAC-MT, RAC-MTA, QCP, CRC, curriculum development specialist with AAPACN, discuss the sequencing of ICD-10-CM diagnosis coding. Additional Resources: AAPACN Articles: AAPACN Education: AAPACN Tool:
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Question: Do I code J1400, Prognosis, as yes when a resident is under palliative care and not hospice? There is no physician documentation certifying or stating the physician’s belief that the resident’s terminal illness is that their life expectancy is six months or less. Answer from Scott Heichel RN, RAC-MT, RAC-CTA, DNS-CT, …
Question: What is considered as the most updated COVID-19 vaccine to code on the MDS? Answer from Jessie McGill RN, BSN, RAC-MTA, RAC-CTA: To determine up to date, we must reference the Staying Up to Date with COVID-19 Vaccines CDC homepage: www.cdc.gov/covid/vaccines/stay-up-to-date.html There are few considerations- such as age and …
Question: For the PHQ-2 to 9 interview, if the resident is at least sometimes understood and the interview is attempted, but the resident did not respond to the first two questions, how is this coded and can we proceed to the Staff Interview of Mood? Answer from Carol Maher, RN, …
The Centers for Medicare & Medicaid Services (CMS) recently released the FY 2026 Skilled Nursing Facility Value-Based Purchasing (VBP) fact sheet. This fact sheet details the program, measures used, case-minimums, the process for making correction, and where to get more information. This AAPACN resource is copyright protected. AAPACN individual members …
In the Medicare Skilled Nursing Facility Prospective Payment System (SNF PPS) and Consolidated Billing Proposed Rule for Fiscal Year (FY) 2026, officially published on April 30, 2025, the Centers for Medicare & Medicaid Services (CMS) offers a mostly positive update to the fee-for-service (FFS) Part A payment rates, projecting that …
The International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) code assignment continues to be a bit of an enigma in the long-term care setting. Members regularly ask questions about ICD-10-CM coding in AAPACN’s online communities, as well as in post-education surveys, often confused about how to order the codes. …
In a complex care environment where workforce development and regulatory demands are constantly evolving, National Health Care Associates is setting a new standard. With a sharp focus on equipping staff at every level with the knowledge, tools, and confidence to lead, they’ve turned AAPACN Organizational Membership into more than a …
This ZIP file contains resources for surveyors conducting initial surveys under the Long-term Care Survey Process (LTCSP). It is a one-stop shop containing a multitude of reference materials that are provided to the surveyors going into facilities, including, for example, a document detailing their principles of documentation, a document showing …
Imagine the Possibilities Imagine the possibilities when you invest in yourself by earning an AAPACN certification and join the Class of 2025. Pursuing a certification is more than just acquiring a credential; it’s a journey of self-improvement and professional excellence. It demonstrates your commitment to your profession and to continuous …
