On-Demand Webinar: No Script, No Limits - Open Q&A with AAPACN Nurse Experts - June 2026-Recording: No Script, No Limits

Video Transcription

Video Summary

The webinar featured APACN experts Jennifer Labbe, Lauren Stenson, and Jesse McGill answering a wide range of questions on MDS coding, quality measures, staffing, retention, and care planning.<br /><br />Key topics included iQIES reports and claims-based quality measures, traumatic fracture coding, active diagnosis documentation, and how look-back periods affect QM triggers. The panel clarified that many coding decisions depend on clinical documentation, timing, and resident-specific circumstances rather than assumptions or “fishing” for diagnoses.<br /><br />Jennifer addressed ICD-10 and MDS questions such as when aftercare codes are inappropriate for traumatic fractures, how to determine whether diagnoses like COPD or diabetes are active, vaccine refusal coding, weight loss related to physician-prescribed treatments, and how to handle issues like wounds, abscesses, and rejection of care.<br /><br />Jesse explained quality-measure logic, including the discharge function score’s role in Five Star, the antipsychotic hybrid measure update cycle, fall measures, documentation expectations for ADLs and GG coding, and how to interpret unplanned discharges. He also discussed the limitations of AI in MDS work, emphasizing that nurse judgment and resident-centered assessment remain essential.<br /><br />Lauren focused on staffing, retention, culture change, and leadership alignment. She emphasized shared accountability, direct feedback, coaching, psychological safety, and the importance of not allowing technically skilled staff to undermine team culture.<br /><br />Overall, the webinar stressed that accurate documentation, clinical judgment, resident preferences, and strong interdisciplinary teamwork are central to compliance and quality care.

Keywords

MDS coding

quality measures

iQIES reports

ICD-10 coding

traumatic fracture coding

active diagnosis documentation

look-back periods

claims-based measures

Five Star rating

staffing retention

care planning

resident-centered assessment

interdisciplinary teamwork