(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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Initial Assessment completed within 5 business days
Translate medical terms to layman's terms
Specific actions with exact dates documented
IW follow-up within 2 days of office visit
ICD-10 code included with diagnosis
2.
Specific actions with exact dates documented
LASER technique used with resistant IW
7.
Alert addressed within 24 hours
Employer collaboration for RTW documented
Healthwise education documented
Healthwise resources provided for behavioral health
Alert addressed within 24 hours
Symptom progression monitoring plan documented
Motivational interviewing technique documented
9.
Templates completed per PMA standards
Functional improvement documented
Employer collaboration for RTW documented
Include CPT codes for procedures,
27.
Transitional duty options explored
20.
Share job description with ALL providers,
Ongoing IW education documented
Healthwise resources provided for behavioral health
Job description shared with all providers
17.
ODG benchmarks referenced
Initial adjuster contact within 1 business day
Employer collaboration for RTW documented
19.
PT/OT updates every 14 days
7.
Follow up with IW within 2 days post-OV
ICD-10 code included with diagnosis
Contact adjuster within 1 business day
Document CM Analysis in OV note
Use only approved abbreviations,
31.
CM Analysis includes treatment plan assessment
9.
Provider follow-up within 1 day of office visit
5.
Document medication compliance,
28.
Impact of worry on recovery documented
Use only approved abbreviations,
Document medication compliance,
ODG benchmarks referenced
Initial Assessment completed within 5 business days
3.
Document RTW progress against ODG
Ongoing IW education documented
Confounding factors updated
5.
POA addresses psychosocial barriers
Adjuster update within 1 day of appointment findings
6.
Psychosocial barriers to recovery identified
10.
Initial adjuster contact within 1 business day
1.
LASER technique used with resistant IW
Psychosocial barriers to recovery identified
Behavioral Health Alert properly documented
Include CPT codes for procedures
Document IW education with Healthwise
Concentration difficulties noted
14.
Monthly IW contact documented
ICD-10 code included with diagnosis
IW/Provider/Employer contact within 2 business days
2.
POA addresses medication management
Confounding factors updated
Document PT updates every 14 days
Provider follow-up within 1 day of office visit
Concise description of behavioral issue (1-2 lines)
Document ODG benchmarks
Proper template format used (!bha)
11.
Impact of worry on recovery documented
POA addresses psychosocial barriers
11.
Concentration difficulties noted
RTW negotiation based on ODG guidelines
18.
Adjuster update within 1 day of appointment findings
Special Handling Instructions followed
Treatment requests properly facilitated
14.
Active listening techniques documented
12.
POA addresses medication management
Special Handling Instructions followed
21.
CM Analysis includes treatment plan assessment
Healthwise education documented
Job description shared with all providers
Document MED for narcotic prescriptions
ODG benchmarks referenced
23.
Use only approved abbreviations,
Include ICD-10 codes with diagnosis
Include CPT codes for procedures,
Provider follow-up within 1 day of office visit
Document network status of providers
Proper template format used (!bha)
Initial adjuster contact within 1 business day
CM Analysis includes treatment plan assessment
Network providers properly documented
Document medication compliance,
Special Handling Instructions followed
Share job description with provider
Comorbidities properly documented
Concentration difficulties noted
Templates completed per PMA standards
Symptom progression monitoring plan documented
15.
LASER techniques documented when appropriate
25.
Functional improvement documented
24.
Behavioral Health Alert properly documented
PT/OT updates every 14 days
Concise description of behavioral issue (1-2 lines)
3.
Contact provider within 1 day of OV
Share job description with ALL providers,
IW/Provider/Employer contact within 2 business days
Active listening techniques documented
Transitional duty options explored
Concise description of behavioral issue (1-2 lines)
Treatment requests properly facilitated
Include ICD-10 codes with diagnosis,
26.
Monthly IW contact documented
8.
LASER techniques documented when appropriate
Specific actions with exact dates documented
4.
Document employer accommodation status,
Monthly IW contact documented
Confounding factors updated
Network providers properly documented
13.
Alert addressed within 24 hours
6.
Document medication compliance
RTW negotiation based on ODG guidelines
POA addresses psychosocial barriers
Include CPT codes for procedures,
Active listening techniques documented
Network providers properly documented
Initial Assessment completed within 5 business days
Templates completed per PMA standards
12.
IW/Provider/Employer contact within 2 business days
LASER technique used with resistant IW
Comorbidities properly documented
22.
Psychosocial barriers to recovery identified
Healthwise education documented
15.
Follow up on ancillary services
Transitional duty options explored
Share job description with ALL providers,
30.
Symptom progression monitoring plan documented
Job description shared with all providers
Use LASER framework with resistant IW
Motivational interviewing technique documented
Document current functionality
Include ICD-10 codes with diagnosis,
Document RTW barriers
Adjuster update within 1 day of appointment findings
RTW negotiation based on ODG guidelines
Functional improvement documented
LASER techniques documented when appropriate
POA addresses medication management
10.
Proper template format used (!bha)
Healthwise resources provided for behavioral health
8.
