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