OBRA Scheduling Tools for Calendar Year 2026

AAPACN offers two great tools to assist nurse assessment coordinators (NACs) in scheduling OBRA assessments. Be prepared for 2026 with these two tools that are free to members: This AAPACN resource is copyright protected. AAPACN individual members may download or print one copy for use within their facility only. AAPACN …

MDS Item L0200: Teeth Matter—and Not Just to Dentists

MDS section L (Oral/Dental Status) is one of the most frequently undervalued areas of the MDS, says Eleisha Wilkes, RN, GERO-BC, RAC-CT, RAC-CTA, DNS-CT, QCP, a senior consultant with Proactive LTC Consulting in Evansville, IN. “Generally, it is perceived as a minor section because it doesn’t directly affect payment in …

Back to PDPM Basics – Part 4: The Nursing Component – Clinically Complex, Behavioral Symptoms and Cognitive Performance, and Reduced Physical Function

The nursing component of the Patient-Driven Payment Model (PDPM) may appear straightforward: calculate a section GG Nursing Function Score and assign the resident to one of six nursing categories. But accuracy relies on a detailed understanding of coding rules, observation periods, and documentation requirements that determine both compliance and reimbursement …

Q&A: Is there a specific table that shows which items if dashed will count against us for the Skilled Nursing Facility Quality Reporting Program (SNF QRP)?

Question: Is there a specific table that shows which items if dashed will count against us for the Skilled Nursing Facility Quality Reporting Program (SNF QRP)? Answer from Carol Maher, RN, GERO-BC, RAC-MTA, RAC-MT, CPC: Yes, CMS releases a document for each fiscal year (FY). The current document, Skilled Nursing …

Q&A: Is a Pure Wick catheter coded as an external catheter?  

Question: Is a Pure Wick catheter coded as an external catheter?   Answer from Scott Heichel RN, RAC-MT, RAC-CTA, DNS-CT, QCP, ICC, IPCO: Yes, this would meet the definition of an external catheter in the RAI User’s Manual.  EXTERNAL CATHETERDevice attached to the shaft of the penis like a condom, …

Q&A: When assessing a fall with an injury to the head, such as a laceration, bruise, or hematoma, would this automatically be considered a major injury?  

Question: When assessing a fall with an injury to the head, such as a laceration, bruise, or hematoma, would this automatically be considered a major injury?   Answer from Jessie McGill RN, BSN, RAC-MTA, RAC-CTA and Scott Heichel RN, RAC-MT, RAC-CTA, DNS-CT, QCP, ICC, IPCO: The RAI User’s Manual definition for …

Follow Up Q&A for AAPACN Sept. 28, 2025 Webinar – Ready or Not: Oct. 1, 2025 MDS Changes

In this LTC NAC Chat podcast episode, Jennifer LaBay, RN, RAC-MT, RAC-MTA, QCP, CRC, curriculum development specialist for AAPACN, and Jessie McGill, RN, BSN, RAC-MT, RAC-MTA, senior curriculum development specialist for AAPACN, answer some follow-up questions from the recent AAPACN webinar, “Ready or Not: Oct. 1, 2025 MDS Changes,” hosted …

ICD-10-CM Coding Convention Terminology Quick Reference Guide

The ICD-10-CM Coding Convention Terminology Quick Reference Guide provides a concise reference to key ICD-10-CM coding terminology and conventions for long-term care nurse assessment coordinators and coders. This guide simplifies complex terms and coding rules including clear definitions of common terms, a list of important abbreviations, and key coding conventions. …

TIP: COVID-19 Recommendations Updated

The Centers for Disease Control and Prevention (CDC) recently updated guidance for the COVID-19 vaccine administration and the adult immunization schedule. The CDC’s Adult Immunization Schedule webpage was updated Oct. 7, 2025, which changed the color coding of the COVID-19 vaccination for all adult age groups to blue. This indicates …