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