Measure 408 – Opioid Therapy Follow-up Evaluation

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 408 requires documentation that a patient 18 years or older prescribed opiates for longer than six weeks duration had a follow-up evaluation conducted at least every three months during the opioid therapy.

 

NOTE: Only include patients that have at least six weeks of opioid therapy through September 30 of the performance period to allow for a follow-up evaluation at least 90 days after opioid therapy.

 

This documentation may be found in the patient’s medical record. The relevant document should be made available to the auditor for the patient requested.

 

What should we document for this measure?

For this measure, you must document for the follow-up evaluation the following:

  • Pain intensity and level of functioning,
  • Assessments of progress toward achieving therapeutic goals,
  • Presence of adverse events,
  • Adherence to prescribed therapies.