A1010D: Race - Asian Indian, Step-by-Step

Step-by-Step Coding Guide for Item Set A1010D: Race - Asian Indian

1. Review of Medical Records

Start by reviewing the resident's admission or registration forms where demographic data is recorded. Look for the resident’s self-reported race or race reported by family members or legal representatives at the time of admission.

2. Understanding Definitions

Race: A social construct used to group people with shared physical or social qualities into categories.
Asian Indian: Refers to individuals whose origins are from the Indian subcontinent, including the countries of India, Pakistan, and Bangladesh.

3. Coding Instructions

For A1010D, code "1" if the resident identifies as Asian Indian. This includes any documentation where the resident or their representative has indicated this racial background.

4. Coding Tips

Verify the race information through multiple sources if available (e.g., admission form, resident interview). If there is ambiguity or multiple racial identities are reported, follow the facility’s policy for prioritizing racial identification for coding purposes.

5. Documentation

Clearly document the resident’s racial identification in the demographic section of the resident’s medical record. Include the source of information (self-report, family report, etc.).

6. Common Errors to Avoid

• Misclassification of race due to assumptions based on name or appearance.
• Inaccurate recording where multiple racial backgrounds are reported. Ensure the primary racial identity as reported by the resident or their representative is recorded in A1010D.

7. Practical Application

Example: A new resident, Mrs. Sharma, is admitted to the facility. On her admission form, she self-identifies as Asian Indian. In her medical record under demographic data, code “1” in item set A1010D, confirming her race as Asian Indian.

Please note that the information provided in this guide for MDS 3.0 Item set A1010D was originally based on the CMS's RAI Version 3.0 Manual, October 2023 edition. Every effort will be made to update it to the most current version. The MDS 3.0 Manual is typically updated every October. If there are no changes to the Item Set, there will be no changes to this guide. This guidance is intended to assist healthcare professionals, particularly new nurses or MDS coordinators, in understanding and applying the correct coding procedures for this specific item within MDS 3.0. 

The guide is not a substitute for professional judgment or the facility’s policies. It is crucial to stay updated with any changes or updates in the MDS 3.0 manual or relevant CMS regulations. The guide does not cover all potential scenarios and should not be used as a sole resource for MDS 3.0 coding. 

Additionally, this guide refrains from handling personal patient data and does not provide medical or legal advice. Users are responsible for ensuring compliance with all applicable laws and regulations in their respective practices.