1500UB04RetroPASSRMSPQuestionnaireCWFBOMManualTOCABNTripleCheckFormRemitAuthor-izationProfileFaceSheetRB CashReceiptsRegisterPPSExceptionReportADRResidentCensusHistoryReportMedicareCreditBalanceReportWriteOffFormSNFCBClaimsAnalysisVOFPBStatementNOMNCCredit/RateChangeFormCWF1500UB04RetroPASSRMSPQuestionnaireCWFBOMManualTOCABNTripleCheckFormRemitAuthor-izationProfileFaceSheetRB CashReceiptsRegisterPPSExceptionReportADRResidentCensusHistoryReportMedicareCreditBalanceReportWriteOffFormSNFCBClaimsAnalysisVOFPBStatementNOMNCCredit/RateChangeFormCWF

Billing Bingo - 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. 1500
  2. UB04
  3. Retro
  4. PASSR
  5. MSP Questionnaire
  6. CWF
  7. BOM Manual TOC
  8. ABN
  9. Triple Check Form
  10. Remit
  11. Author- ization
  12. Profile Face Sheet
  13. RB Cash Receipts Register
  14. PPS Exception Report
  15. ADR
  16. Resident Census History Report
  17. Medicare Credit Balance Report
  18. Write Off Form
  19. SNFCB Claims Analysis
  20. VOF
  21. PB Statement
  22. NOMNC
  23. Credit/Rate Change Form
  24. CWF