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Icd-10-Cm Coding
Skilled Nursing Facilities
Medicare
Quality Measures
MDS
Long-Term Care
AAPACN
Appendix PP Updates
AAPACN Annual Conference
Tardive Dyskinesia
Long-Stay Antipsychotic Re-Specification Measure
MDS Coding
Nurse Assessment Coordinators
CMS
Medicare Part A
Medicare Advantage
Quality Improvement Organization
Curriculum Development
Healthcare Appeals
Documentation Practices

The LTC NAC Chat is a podcast brought to you by the American Association of Post-Acute Care Nursing (AAPACN). Our experts and guest speakers cover the hottest topics and breaking news in long-term care.

PublishesTwice monthlyEpisodes68Founded8 years ago
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MedicineHealth & Fitness

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Artwork for LTC NAC Chat

Latest Episodes

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 Jessie McGill, RN, BSN, RAC-MT, RAC-MTA, senior curriculum development specialist for AAPACN, discuss the Five-Star man... more

In this LTC NAC Chat podcast episode, AAPACN Diamond Business Partner eBrief and Leigh Ann Frick, PT, MBA, RAC-CT, owner and president of Care Navigation Consulting LLC, discuss PDPM, incontinence, and the missing link between clinical management and... more

In this LTC NAC Chat podcast episode, Jessie McGill, RN, BSN, RAC-MT, RAC-MTA and Jennifer LaBay, RN, RAC-MT, RAC-MTA, CRC, curriculum development specialists for AAPACN, discuss interrupted stays and the questions nurse assessment coordinators have ... more

In this LTC NAC Chat podcast episode provided by AAPACN Diamond Business Partner, eBrief, Dr. Richard Stefanacci and Amy Chidester, MS, LNHA explore why one of the most common challenges in skilled nursing is often one of the least discussed.The conv... more

Key Facts

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Recent Guests

Richard Stefanacci
Professor with Thomas Jefferson University in Public Health; clinician-researcher discussed incontinence management
Thomas Jefferson University
Episode: Beyond the Brief: The Hidden Clinical Impact of Incontinence in SNFs
Amy Chidester
Gerontologist and advisor with eBREIF
eBREIF
Episode: Beyond the Brief: The Hidden Clinical Impact of Incontinence in SNFs
Sarah Becker
Proactive LTC Consulting expert discussed with CMS updates and injury definitions
Proactive LTC Consulting
Episode: Falls with Major Injury: New CMS Guidance, Coding Clarity, and QAPI Strategies for SNFs
Christine Twombly
Proactive LTC Consulting expert accompanying Sarah in breaking down impact on quality measures and QAPI
Proactive LTC Consulting
Episode: Falls with Major Injury: New CMS Guidance, Coding Clarity, and QAPI Strategies for SNFs
Lauren Stenson
Curriculum Development Specialist for AAPACN
AAPACN
Episode: Aligned at the Top: The DNS/Administrator Partnership
Janine Lehman
Director of Clinical and Legal Nursing Consulting
Proactive LTC Consulting
Episode: AAPACN 2026 Conference Highlight: The MDS in Court – How Does Yours Standup? with Janine Lehman
Jennifer LaBay
Curriculum Development Specialist for Aapacn
American Association of Post-Acute Care Nursing (AAPACN)
Episode: SNF ABN: When to Use This Medicare Beneficiary Notice and Why
Diane Darling
Pharm D for Medical Affairs at Neurocrin Biosciences
Neurocrin Biosciences
Episode: Burden and Impact of Tardive Dyskinesia (TD) in Older Adults and in the Long-Term Care Setting
Denise Winzeler
Director of Education and Certification Strategy for Aapacn
American Association of Post-Acute Care Nursing
Episode: Appendix PP Updates: Admission, Transfer, and Discharge

Hosts

Jessie McGill
Host and Senior Curriculum Development Specialist for AAPACN; expert on NAC education and CMS clarifications on enrollment and regulatory matters
Amy Stewart
Host of NAC/DON-focused conversations; oversees curriculum and policy discussions; regular host on NAC and DON content
Jennifer LaBay
Curriculum Development Specialist; guest hosting and expert in ICD-10 coding, MACs, and regulatory update discussions

Reviews

4.7 out of 5 stars from 22 ratings
  • Fantastic!!!

    Any Stewart is awesome. A great podcast for ANY LTC NAC. Keep up the great work.

    Apple Podcasts
    5
    RL me
    United States5 years ago

Listeners Say

Key themes from listener reviews, highlighting what works and what could be improved about the show.

Guests provide concrete examples and resources valuable for operations and compliance.
Clear, practitioner-focused discussions that translate policy into actionable steps.
Strong host collaboration and practical tools for NAC teams.
Solid for listeners seeking regulatory clarity and coding accuracy in SNFs.

Talking Points

Recent interactions between the hosts and their guests.

Beyond the Brief: The Hidden Clinical Impact of Incontinence in SNFs
Q: What does evidence-based incontinence management look like in a skilled nursing facility, and what is a realistic starting point for a building that hasn't treated this as a clinical priority?
Evidence-based management starts with strong clinical leadership, a dedicated continence champion, a structured toileting protocol, careful medication review to reduce anticholinergic burden, and the use of technology to track patterns. A practical starting point is piloting a continence program in a single unit with clear roles, measurable outcomes, and a defined 90-day target, then expanding based on results.
Get To Know Your Medicare Administrative Contractor (MAC)
Q: What advice would you give SNFs for building a better relationship with their MAC and staying ahead of changes?
Advice includes getting on the MAC website, exploring regional MACs and their education programs, using newsletters and listservs, and recognizing that a facility may work with multiple MACs across jurisdictions, so proactive outreach and knowing the specific guidance for your building are essential.
Get To Know Your Medicare Administrative Contractor (MAC)
Q: What are some of the most common mistakes you see SNFs make when working with their MAC?
Common mistakes include not knowing who the MAC is or failing to work with them when questions arise; not understanding that each MAC may have its own nuances or required documentation, which can lead to misalignment on claims and reviews.
AAPACN and CMS Clarify Long-Stay Antipsychotic Measure Requirements
Q: How does a brief skilled Medicare Part A stay impact a resident who is Medicaid-enrolled for the exclusion period?
If Medicaid enrollment remains continuous for the entire exclusion period, the resident remains included even with a brief Part A stay; the critical factor is continuous enrollment in a single payer type, not the presence of short-term transitions.
AAPACN and CMS Clarify Long-Stay Antipsychotic Measure Requirements
Q: If a resident is enrolled in Medicare Part A and then part C during an exclusion period, would that resident be excluded or included based on CMS guidance?
CMS clarified that continuous enrollment must be true for at least one of the three options (Medicare Part A, Medicare Part C, or Medicaid) throughout the exclusion period, so a mere payer change does not automatically exclude; the key is whether enrollment remained continuous in one option.

Audience Metrics

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Frequently Asked Questions About LTC NAC Chat

What is LTC NAC Chat about and what kind of topics does it cover?

A practitioner-focused show centered on post-acute nursing care, with deep dives into coding, policy, quality measures, and regulatory changes that affect SNFs and NACs. Episodes frequently discuss ICD-10-CM coding, CMS rulemaking, Medicare parts and billing, MDS/PDPM implications, and practical tools for improving compliance, resident care, and operations. Noteworthy are the systematic, tool-based approaches, cross-disciplinary teamwork, and emphasis on translating member feedback into actionable guidance. The format typically combines expert guests with hands-on walkthroughs, case examples, and resources to support teams in improving care quality and regulatory alignment.

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Which podcasts are similar to LTC NAC Chat?

These podcasts share a similar audience with LTC NAC Chat:

1. LTC DON Chat
2. Dateline NBC
3. The Deck
4. Crime Junkie
5. What the Health? From KFF Health News

How many episodes of LTC NAC Chat are there?

LTC NAC Chat launched 8 years ago and published 68 episodes to date. You can find more information about this podcast including rankings, audience demographics and engagement in our podcast database.

How do I contact LTC NAC Chat?

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What guests have appeared on LTC NAC Chat?

Recent guests on LTC NAC Chat include:

1. Richard Stefanacci
2. Amy Chidester
3. Sarah Becker
4. Christine Twombly
5. Lauren Stenson
6. Janine Lehman
7. Jennifer LaBay
8. Diane Darling

To view more recent guests and their details, simply upgrade your Rephonic account. You'll also get access to a typical guest profile to help you decide if the show is worth pitching.

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