A1510. Level II Preadmission Screening and Resident Review (PASRR) Conditions

Step-by-Step Coding Guide for Section A1510: Level II Preadmission Screening and Resident Review (PASRR) Conditions in MDS 3.0

Objective: This guide aims to help MDS coordinators and healthcare professionals accurately code Section A1510, which focuses on documenting the results of the Level II Preadmission Screening and Resident Review (PASRR) for residents with serious mental illness and/or intellectual disability. This section ensures that residents receive the necessary services and supports in accordance with federal requirements.

Step 1: Review PASRR Level II Evaluation Results

• Key Action: Start by reviewing the Level II PASRR evaluation results for the resident. This evaluation determines the resident's need for specialized services or nursing facility care due to serious mental illness and/or intellectual disability.

Step 2: Understand the Coding Categories

• Key Action: Familiarize yourself with the coding categories for Section A1510, which indicate whether the resident has:
  • No serious mental illness and/or intellectual disability.
  • Serious mental illness.
  • Intellectual disability.
  • Both serious mental illness and intellectual disability.

Step 3: Code Based on PASRR Level II Findings

• Key Action: Accurately code the resident's condition in Section A1510 based on the findings from the Level II PASRR evaluation. Ensure your coding reflects whether the resident has a serious mental illness, intellectual disability, both, or neither.

Step 4: Document Recommendations for Specialized Services

• Key Action: If the Level II PASRR evaluation recommends specialized services for the resident, document these recommendations clearly in the resident's care plan, ensuring they align with the coding in Section A1510.

Step 5: Coordinate Care Planning

• Key Action: Work with the interdisciplinary team to integrate the PASRR Level II evaluation recommendations into the resident's comprehensive care plan, ensuring that all necessary specialized services are provided.

Step 6: Continuous Monitoring and Reevaluation

• Key Action: Regularly monitor the resident's condition and the effectiveness of the specialized services. Be prepared to coordinate a reevaluation if the resident's condition changes significantly.

Common Errors to Avoid:

• Misinterpreting PASRR Level II evaluation results.
• Failing to update the resident's care plan with specialized service recommendations.
• Incorrectly coding the resident's mental illness and/or intellectual disability status.

Best Practices:

• Keep open lines of communication with the team responsible for conducting PASRR evaluations to clarify findings and recommendations.
• Educate the care team about the importance of PASRR findings in developing effective care plans.
• Regularly review and update care plans to reflect any changes in the resident's needs or PASRR status.

The Step-by-Step Coding Guide for item A1510 in MDS 3.0 Section A is based on the Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual, Version 1.18.11, dated October 2023. Please note that healthcare guidelines, policies, and regulations can undergo frequent updates. Therefore, healthcare professionals must ensure they are referencing the most current version of the MDS 3.0 manual. This guide aims to assist with understanding and applying the coding procedures as outlined in the referenced manual version. However, in cases where there are updates or changes to the manual after the mentioned date, users should refer to the latest version of the manual for the most accurate and up-to-date information. The guide should not substitute for professional judgment and the consultation of the latest regulatory guidelines in the healthcare field.