IncompleteSLA andSLAComplianceMAPDPDPDiagnosisReviewIncompleteNotesOveractiveBladder(OAB)Defaultduration -12/31/13SharedVerbiageNF, ST,TCSE,QLStrength ofrecommendationis III andevidence isinconclusive orineffectiveBEERsListPARequiredand BvsDStrength ofrecommendationis class I, IIa, IIbwith any efficacyor III if evidencefavor efficacyNot FDA-approvedUrgencyand casetypeStep-TherapyTransitionalOverrideDecisionNotesNon-FormularyGridIncompleteMedicallyacceptedindicationBronchospasmrelated toCOPDMA-OnlyNon-FormularyIncompleteSLA andSLAComplianceMAPDPDPDiagnosisReviewIncompleteNotesOveractiveBladder(OAB)Defaultduration -12/31/13SharedVerbiageNF, ST,TCSE,QLStrength ofrecommendationis III andevidence isinconclusive orineffectiveBEERsListPARequiredand BvsDStrength ofrecommendationis class I, IIa, IIbwith any efficacyor III if evidencefavor efficacyNot FDA-approvedUrgencyand casetypeStep-TherapyTransitionalOverrideDecisionNotesNon-FormularyGridIncompleteMedicallyacceptedindicationBronchospasmrelated toCOPDMA-OnlyNon-Formulary

Medicare Overview/Incomplete/NF/ST/Off-Label - Call List

(Print) Use this randomly generated list as your call list when playing the game. There is no need to say the BINGO column name. Place some kind of mark (like an X, a checkmark, a dot, tally mark, etc) on each cell as you announce it, to keep track. You can also cut out each item, place them in a bag and pull words from the bag.


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  1. Incomplete SLA and SLA Compliance
  2. MAPD
  3. PDP
  4. Diagnosis Review
  5. Incomplete Notes
  6. Overactive Bladder (OAB)
  7. Default duration - 12/31/13
  8. Shared Verbiage
  9. NF, ST, TCSE, QL
  10. Strength of recommendation is III and evidence is inconclusive or ineffective
  11. BEERs List
  12. PA Required and BvsD
  13. Strength of recommendation is class I, IIa, IIb with any efficacy or III if evidence favor efficacy
  14. Not FDA-approved
  15. Urgency and case type
  16. Step-Therapy
  17. Transitional Override
  18. Decision Notes
  19. Non-Formulary Grid
  20. Incomplete
  21. Medically accepted indication
  22. Bronchospasm related to COPD
  23. MA-Only
  24. Non-Formulary