Measure 178 – Rheumatoid Arthritis (RA): Functional Status Assessment

Audit Criteria

When we’re reviewing your clinicians’ data, it may be helpful to know what we are looking for in order for us to verify to CMS that your data is accurate and complete. Measure 178 requires documentation that a patient with a diagnosis of rheumatoid arthritis has received a functional status assessment at least once within 12 months. This measure may only be reported for each patient once during a performance period.

This documentation may be found in the patient’s medical record. Documentation should state whether there is a decline in functional status due to inflammation, mechanical damage, or both. The relevant document should be made available to the auditor for the patient requested.


What assessments are acceptable?

There is not an exhaustive list of acceptable assessments for this measure. Below is a list of possible functional status assessments for those with rheumatoid arthritis. The most important aspect of determining if whether the assessment is acceptable for meeting the measure requirements is whether the assessment is used to assess the patient’s prognosis and guide treatment and therapy decisions.

  • Functional Status Assessments for Rheumatoid Arthritis (Assessments with a * next to them are included in the Empower platform)
    • Health Assessment Questionnaire (HAQ)
    • Modified HAQ
    • HAQ-II*
    • American College of Rheumatology’s Classification of Functional Status in Rheumatoid Arthritis