Q&A: If the registered dietitian documents a resident is at risk for malnutrition within the MDS look-back period, can “risk for malnutrition” be coded on the MDS section I5600?

Question: If the registered dietitian documents a resident is at risk for malnutrition within the MDS look-back period, can “risk for malnutrition” be coded on the MDS section I5600? Answer from Jennifer LaBay RN, RAC-MT, RAC-MTA, QCP, CRC: Since this is section I, the documentation can ONLY come from a …

Q&A: How do you code discharge status, A2105, when the resident discharged to a hotel?

Question: How do you code discharge status, A2105, when the resident discharged to a hotel? Answer from Carol Maher, RN, GERO-BC, RAC-MTA, RAC-MT, CPC: A discharge to a homeless shelter, jail, or hotel would be coded as 99, None of the above. This AAPACN resource is copyright protected. AAPACN individual members …

Q&A: If a resident has a diagnosis of “schizoaffective disorder, bipolar type,” how is this coded on the MDS?

Question: If a resident has a diagnosis of “schizoaffective disorder, bipolar type,” how is this coded on the MDS? Answer from Carol Maher, RN, GERO-BC, RAC-MTA, RAC-MT, CPC: Schizoaffective disorder would be coded at I6000, but ONLY if all of the DSM-5 requirements are met (physician comprehensive assessment present and …

AAPACN 2026 Conference Highlight: The MDS in Court – How Does Yours Standup? with Janine Lehman

In this LTC NAC Chat podcast episode, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Janine Lehmen, director of clinical and legal nursing consulting with Proactive LTC Consulting, discuss Lehman’s AAPACN 2026 Conference session on Wednesday, March 18 at 2 pm ET, “The MDS …

PDPM Admission Documentation Request Tool

Consistency in documentation is vital to code the MDS accurately. Several MDS items use hospital records to support coding, such as diagnoses, recent surgery, IV fluids/feeding, and tube feeding. Use the PDPM Admission Documentation Request tool as a checklist to ensure a comprehensive review of hospital documentation required to support …

ICD-10-CM Coding Spotlight Series – Part 2: Navigating Genitourinary Conditions in Long-Term Care

Listen to this article Your browser does not support the audio element. As National Kidney Month arrives in March, so does an important reminder: our kidneys work quietly every day, filtering waste, balancing fluids, and supporting overall health. Now is the perfect time for facility coders in long-term care (LTC) …

How the NAC and the IDT Can Be Predictive vs. Reactive With QM Data: AAPACN 2026 Conference Highlight

Listen to this article Your browser does not support the audio element. The watchword that increasingly defines federal (and some state) programs that drive nursing home operations and payment is connectedness, says Scott Heichel, RN, RAC-MT, RAC-CTA, DNS-CT, IPCO, QCP, ICC, director of reimbursement and education for Pathway Health in …

TIP: CMS Clarifies Data Used in the Delayed January Refresh

The January 2026 Care Compare refresh was originally scheduled for Jan. 28, 2026, but was delayed due to an issue with one of the data sets until Feb. 5, 2026. This refresh also brought updated Five-Star Provider Reports, even though the date and time stamp on the reports did not …