A1500.Preadmission Screening and Resident Review (PASRR) , Step-by-Step

Step-by-Step Coding Guide for Section A1500: Preadmission Screening and Resident Review (PASRR) in MDS 3.0

Objective: This guide is designed to help MDS coordinators and healthcare professionals accurately code Section A1500, which pertains to the Preadmission Screening and Resident Review (PASRR) in the MDS 3.0. The PASRR is a federal requirement designed to ensure that individuals are not inappropriately placed in nursing homes for long-term care and that they receive the necessary care for their mental health and intellectual disability needs.

Step 1: Understand PASRR Requirements

• Key Action: Familiarize yourself with federal and state-specific PASRR requirements. Understand that PASRR involves two levels of screening for individuals with mental illness, intellectual disability, or related conditions.

Step 2: Identify if PASRR Screening Was Completed

• Key Action: Determine whether the resident underwent a Level I PASRR screening prior to admission. This initial screening identifies individuals who may require a more detailed Level II evaluation.

Step 3: Determine Level II Evaluation Requirement

• Key Action: Based on the Level I screening, identify if a Level II evaluation was required. A Level II evaluation is more comprehensive and determines the need for specialized services.

Step 4: Document PASRR Status

• Key Action: Accurately code the resident's PASRR status in Section A1500. Indicate whether the resident has completed the PASRR Level I and/or Level II evaluations and the outcomes.

Step 5: Review PASRR Documentation

• Key Action: Ensure that documentation supporting the PASRR screening, and any evaluations are included in the resident's medical record. This may include forms, evaluation results, and recommendations for care or specialized services.

Step 6: Update Care Plan Accordingly

• Key Action: Utilize PASRR findings to inform the resident's care plan. Ensure that any recommended specialized services or adjustments to care are clearly documented and implemented.

Step 7: Continuous Monitoring and Reevaluation

• Key Action: Monitor the resident's condition and needs. Understand that changes in the resident's mental health or intellectual disability status may require reevaluation under PASRR.

Common Errors to Avoid:

• Failing to document PASRR screening and evaluations accurately.
• Overlooking the implementation of recommended specialized services in the care plan.

Best Practices:

• Maintain open communication with state PASRR authorities to ensure compliance and up-to-date knowledge of requirements.
• Regularly review the resident's care plan to incorporate PASRR recommendations and adapt to any changes in the resident's condition.

The Step-by-Step Coding Guide for item A1500 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.