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Lacroix Healthcare Consulting Lacroix Healthcare Consulting offers training in the MDS 3.0 RAI Process, Medicare PDPM and Medicaid PDPM.

10/17/2026

If COPD and shortness of breath while lying flat are being coded on the MDS, make sure your team knows what the record needs to support.

This is an area receiving significant audit attention, and simply documenting that the head of the bed was elevated is not enough on its own.

The medical record should support what the resident experienced during the 7-day lookback period, including observed symptoms, staff-reported symptoms, or documentation that the resident avoids lying flat because of shortness of breath and what interventions were used.

📣 Share this with your MDS and clinical teams. This is one they’ll want to have on their radar. What are you seeing in your facility when it comes to documenting shortness of breath while lying flat? 👇

Follow Lacroix Healthcare Consulting for more practical MDS guidance and industry insight.

Note - Always refer to the RAI Manual.

10/16/2026

MDS Coordinators, this is one to keep on your radar 💡 COPD, asthma, and chronic lung conditions require more than a diagnosis on the chart to support active coding on the MDS.

One detail worth keeping in mind: the 7-day and 60-day lookback periods both matter, and the documentation needs to support the diagnosis and its treatment.

📌 Save this as a reminder for your next MDS review and share it with your clinical team. Are your teams consistently connecting the diagnosis, treatment, and supporting documentation across both lookback periods? 👇

Follow Lacroix Healthcare Consulting for more MDS education, coding guidance, and practical insight for skilled nursing professionals.

Note - Always refer to the RAI Manual.

📌 Still sorting through the October 1 RAI Manual updates and CMS changes? Get clear, practical guidance with the on-dema...
10/15/2026

📌 Still sorting through the October 1 RAI Manual updates and CMS changes? Get clear, practical guidance with the on-demand replay of From Submissions to Stars.

For just $29, you’ll receive the one-hour webinar recording and companion resources, including an FY2027 ICD-10 diagnosis checklist, to help your team understand and apply the MDS-related updates.

In one focused hour, we broke down the key updates your team needs to understand and put into practice:

• CASPER reports in iQIES
• Five-Star MDS-based quality measure updates
• MDS 3.0 RAI Manual v1.20.11 updates
• Skilled Nursing Facility Value-Based Purchasing updates
• Skilled Nursing Facility Quality Reporting Program updates
• FY2027 ICD-10 Code Checklist: SNF PDPM/MDS Impact

Stay informed, prepare your team, and move forward with confidence on the key 2026 changes, including important RAI Manual updates.

Comment “LINK” and we will send you the details directly or email us at [email protected]

10/12/2026

When it comes to I0020B, are you using the right source to validate your primary diagnosis?

Primary diagnosis selection can have a direct impact on how the MDS drives PDPM, which makes knowing where to verify that diagnosis especially important. The bigger takeaway? Your resources matter. The RAI Manual, CMS mapping tools, and ICD-10 guidance should be part of your team’s regular MDS toolkit.

📌 Save this for your next MDS review and share it with your MDS team.What resource does your team rely on most when validating a primary diagnosis? 👇

Follow Lacroix Healthcare Consulting for more MDS education, industry insight, and practical guidance for skilled nursing professionals.

10/09/2026

Skilled nursing facilities, add this to your routine iQIES checks.

CMS QRP validation audits are becoming part of the ongoing compliance landscape, making it important to know where audit notices appear and how quickly your team needs to respond.

With chart selection, submission deadlines, and final reports all tied to the process, staying organized before a notice arrives can make a difference.

📣 Share this update with your MDS, clinical, and compliance teams so everyone knows to keep an eye on iQIES. Has your facility built regular iQIES checks into its workflow? 👇

Follow Lacroix Healthcare Consulting for timely industry updates and practical guidance to help your team stay prepared.

Real MDS help when you need it. 🔍 Lacroix Healthcare Consulting provides auditing services to make sure your facility me...
10/07/2026

Real MDS help when you need it. 🔍 Lacroix Healthcare Consulting provides auditing services to make sure your facility meets all regulatory requirements, so you receive accurate payments from Medicare, Medicaid, and third-party insurance companies.

Our PDPM, MDS and EMR integrity audits, along with RAI regulatory compliance support, help keep your skilled nursing facility on the right path. We offer onsite or remote service and can customize our plans based on the needs of your facility.

📞 Contact us for a consultation: 225-305-0025
🌐 www.lacroixhealthcare.org

LacroixHealthcare

10/06/2026

Missed “From Submissions to Stars”? Catch the Replay! 🔄

If you missed our recent webinar, From Submissions to Stars, you can still catch up. The recording and companion resources—including a FY2027 ICD-10 diagnosis checklist—are available to help your team understand the October updates.

In one focused hour, we broke down the updates your team needs to know:
• CASPER reports in iQIES
• Five-Star MDS-based quality measure updates
• MDS 3.0 RAI Manual v1.20.11 updates
• Skilled Nursing Facility Value-Based Purchasing updates
• Skilled Nursing Facility Quality Reporting Program updates
• FY2027 ICD-10 Code checklist: SNF PDPM/MDS Impact

Stay informed and keep your team in the loop for the key 2026 changes, including important RAI Manual updates. Watch the replay, download the resources, and share them with your interdisciplinary team.

Ready to catch up? Access the recording and tools today.

10/05/2026

The way falls with major injury are measured is changing💡 Beginning in January 2027, the Five-Star measure will transition to a hybrid model incorporating MDS and claims data. That makes what happens after a fall even more important for facilities to understand now.

The bigger takeaway? Your fall documentation, clinical follow-up, MDS, and claims data need to tell the same story.

📌 Save this update and share it with your MDS, clinical, and quality teams. Follow Lacroix Healthcare Consulting for the updates, education, and practical insight your team needs to stay ahead of what’s changing in long-term care.

And tell us: Does your facility have a process for following a fall all the way through the resident’s outcome?👇

Happy MDS New Year! 🎉 October 1 brings updated MDS guidance, and for MDS teams, that means it’s time to get familiar wit...
10/01/2026

Happy MDS New Year! 🎉 October 1 brings updated MDS guidance, and for MDS teams, that means it’s time to get familiar with what changed and make sure those changes are reflected in your day-to-day processes. A few things to put on your team’s radar:

• Review the change tables and coding clarifications.
• Update your facility tools, policies, and education materials.
• Make sure your interdisciplinary team understands the changes.
• Review documentation and coding practices against the latest guidance.

📌 Save this post for your October 1 checklist and share it with your MDS and interdisciplinary team.

Did you miss our recent webinar covering the October 1 changes? We can help. Contact Lacroix Healthcare Consulting for additional details. The recorded training and resource tools will also be shared with paid registrants and promoted again soon.

09/25/2026

Isolation on Section O is going to be audited. Are you sure your documentation supports it? ✅

This is one of those MDS topics where the diagnosis alone does not determine whether isolation can be coded.

All four requirements have to be met, and the medical record has to clearly support what was ordered, when isolation began and ended, the resident’s room status, and how services were provided during the isolation period.

And there are important exclusions that can change the answer entirely.

UTI. Wounds. Pneumonia. C. diff. The details matter, and assumptions can create coding and compliance risk.

Save this video for your next MDS review and share it with your clinical, MDS, and compliance teams. This is one your facility needs to understand before the audit comes.

Please Note: Always refer to the RAI Manual and CDC guidelines.

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