QA / BH 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.

1. Initial Assessment completed within 5 business days
   3.
2. Confounding factors updated
   5.
3. Follow up on ancillary services
4. Contact provider within 1 day of OV
5. LASER techniques documented when appropriate
6. Active listening techniques documented
7. LASER technique used with resistant IW
8. Document employer accommodation status,
9. Monthly IW contact documented
   8.
10. Network providers properly documented
    13.
11. Initial Assessment completed within 5 business days
12. Concentration difficulties noted
    14.
13. Ongoing IW education documented
14. Document employer accommodation status,
    29.
15. Share job description with ALL providers,
16. IW follow-up within 2 days of office visit
    4.
17. Job description shared with all providers
18. Initial adjuster contact within 1 business day
19. Document employer accommodation status
20. Include CPT codes for procedures,
21. Comorbidities properly documented
    22.
22. Network providers properly documented
23. Contact adjuster within 1 business day
24. Active listening techniques documented
    12.
25. Concentration difficulties noted
26. LASER technique used with resistant IW
27. POA addresses medication management
    10.
28. Document PT updates every 14 days
29. Special Handling Instructions followed
30. Proper template format used (!bha)
31. Functional improvement documented
32. Document medication compliance,
33. Behavioral Health Alert properly documented
    1.
34. IW/Provider/Employer contact within 2 business days
    2.
35. IW/Provider/Employer contact within 2 business days
36. Document MED for narcotic prescriptions
37. Alert addressed within 24 hours
38. Proper template format used (!bha)
39. Include CPT codes for procedures
40. Include ICD-10 codes with diagnosis
41. Alert addressed within 24 hours
42. Include CPT codes for procedures,
43. Include ICD-10 codes with diagnosis,
44. ICD-10 code included with diagnosis
    2.
45. Impact of worry on recovery documented
46. RTW negotiation based on ODG guidelines
    18.
47. Healthwise education documented
    15.
48. Complete Initial Assessment within 5 days
49. Healthwise resources provided for behavioral health
    8.
50. Templates completed per PMA standards
    12.
51. Motivational interviewing technique documented
52. Use only approved abbreviations,
53. PT/OT updates every 14 days
54. Treatment requests properly facilitated
    14.
55. Adjuster update within 1 day of appointment findings
56. Initial adjuster contact within 1 business day
    1.
57. Confounding factors updated
58. Document employer accommodation status,
59. Psychosocial barriers to recovery identified
    10.
60. Concise description of behavioral issue (1-2 lines)
61. Healthwise resources provided for behavioral health
62. Active listening techniques documented
63. Symptom progression monitoring plan documented
64. Network providers properly documented
65. Treatment requests properly facilitated
66. Specific actions with exact dates documented
    4.
67. Healthwise education documented
68. Include ICD-10 codes with diagnosis,
    26.
69. Provider follow-up within 1 day of office visit
70. Monthly IW contact documented
71. ICD-10 code included with diagnosis
72. Initial adjuster contact within 1 business day
73. RTW negotiation based on ODG guidelines
74. Document medication compliance,
75. ODG benchmarks referenced
76. Impact of worry on recovery documented
    13.
77. Proper template format used (!bha)
    11.
78. POA addresses medication management
79. Adjuster update within 1 day of appointment findings
    6.
80. Behavioral Health Alert properly documented
81. POA addresses psychosocial barriers
82. Ongoing IW education documented
    16.
83. Document medication compliance
84. Symptom progression monitoring plan documented
    15.
85. ODG benchmarks referenced
86. Use LASER framework with resistant IW
87. Transitional duty options explored
88. CM Analysis includes treatment plan assessment
89. Functional improvement documented
90. Employer collaboration for RTW documented
    19.
91. Treatment requests properly facilitated
92. POA addresses medication management
93. PT/OT updates every 14 days
94. RTW negotiation based on ODG guidelines
95. Impact of worry on recovery documented
96. ODG benchmarks referenced
    23.
97. CM Analysis includes treatment plan assessment
98. Employer collaboration for RTW documented
99. Motivational interviewing technique documented
100. Document psychosocial barriers
101. Employer collaboration for RTW documented
102. Monthly IW contact documented
103. Comorbidities properly documented
104. LASER techniques documented when appropriate
     25.
105. Healthwise education documented
106. Concentration difficulties noted
107. Job description shared with all providers
     17.
108. Transitional duty options explored
     20.
109. Concise description of behavioral issue (1-2 lines)
110. Document RTW barriers
111. Document RTW progress against ODG
112. Use only approved abbreviations,
     31.
113. Document IW education with Healthwise
114. Share job description with ALL providers,
115. Document CM Analysis in OV note
116. Use only approved abbreviations,
117. Templates completed per PMA standards
118. Comorbidities properly documented
119. Functional improvement documented
     24.
120. PT/OT updates every 14 days
     7.
121. Transitional duty options explored
122. Motivational interviewing technique documented
     9.
123. Alert addressed within 24 hours
     6.
124. Psychosocial barriers to recovery identified
125. Share job description with ALL providers,
     30.
126. Concise description of behavioral issue (1-2 lines)
     3.
127. Behavioral Health Alert properly documented
128. Adjuster update within 1 day of appointment findings
129. IW follow-up within 2 days of office visit
130. POA addresses psychosocial barriers
     11.
131. POA addresses psychosocial barriers
132. LASER technique used with resistant IW
     7.
133. Follow up with IW within 2 days post-OV
134. Healthwise resources provided for behavioral health
135. Document current functionality
136. IW/Provider/Employer contact within 2 business days
137. Psychosocial barriers to recovery identified
138. Job description shared with all providers
139. Translate medical terms to layman's terms
140. Document medication compliance,
     28.
141. Provider follow-up within 1 day of office visit
     5.
142. Specific actions with exact dates documented
143. Create specific Plan of Action
144. ICD-10 code included with diagnosis
145. Provider follow-up within 1 day of office visit
146. Use only approved abbreviations
147. Symptom progression monitoring plan documented
148. Initial Assessment completed within 5 business days
149. LASER techniques documented when appropriate
150. Include ICD-10 codes with diagnosis,
151. CM Analysis includes treatment plan assessment
     9.
152. Document ODG benchmarks
153. Document network status of providers
154. Ongoing IW education documented
155. Confounding factors updated
156. Include CPT codes for procedures,
     27.
157. Special Handling Instructions followed
     21.
158. Specific actions with exact dates documented
159. Templates completed per PMA standards
160. IW follow-up within 2 days of office visit
161. Share job description with provider
162. Special Handling Instructions followed