QA / BHA / BINGO

This bingo card has a free space and 46 words: Initial adjuster contact within 1 business day, IW/Provider/Employer contact within 2 business days, Initial Assessment completed within 5 business days, IW follow-up within 2 days of office visit, Provider follow-up within 1 day of office visit, Adjuster update within 1 day of appointment findings, PT/OT updates every 14 days, Monthly IW contact documented, CM Analysis includes treatment plan assessment, POA addresses medication management, POA addresses psychosocial barriers, Templates completed per PMA standards, Network providers properly documented, Treatment requests properly facilitated, Healthwise education documented, Ongoing IW education documented, Job description shared with all providers, RTW negotiation based on ODG guidelines, Employer collaboration for RTW documented, Transitional duty options explored, Special Handling Instructions followed, Comorbidities properly documented, ODG benchmarks referenced, Functional improvement documented, LASER techniques documented when appropriate, Include ICD-10 codes with diagnosis,, Include CPT codes for procedures,, Document medication compliance,, Document employer accommodation status,, Share job description with ALL providers,, Use only approved abbreviations,, Behavioral Health Alert properly documented, ICD-10 code included with diagnosis, Concise description of behavioral issue (1-2 lines), Specific actions with exact dates documented, Confounding factors updated, Alert addressed within 24 hours, LASER technique used with resistant IW, Healthwise resources provided for behavioral health, Motivational interviewing technique documented, Psychosocial barriers to recovery identified, Proper template format used (!bha), Active listening techniques documented, Impact of worry on recovery documented, Concentration difficulties noted and Symptom progression monitoring plan documented.

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QA / BH BINGO