(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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Transitional duty options explored
Concise description of behavioral issue (1-2 lines)
Concentration difficulties noted
Include CPT codes for procedures
Confounding factors updated
5.
Include ICD-10 codes with diagnosis
Proper template format used (!bha)
Adjuster update within 1 day of appointment findings
Psychosocial barriers to recovery identified
10.
Behavioral Health Alert properly documented
Active listening techniques documented
12.
Specific actions with exact dates documented
4.
Concentration difficulties noted
14.
Concise description of behavioral issue (1-2 lines)
Use only approved abbreviations,
31.
Motivational interviewing technique documented
9.
Healthwise education documented
15.
Initial Assessment completed within 5 business days
Alert addressed within 24 hours
Contact adjuster within 1 business day
PT/OT updates every 14 days
Impact of worry on recovery documented
CM Analysis includes treatment plan assessment
RTW negotiation based on ODG guidelines
Use only approved abbreviations,
Include CPT codes for procedures,
Follow up with IW within 2 days post-OV
Healthwise education documented
Treatment requests properly facilitated
Healthwise resources provided for behavioral health
Specific actions with exact dates documented
Proper template format used (!bha)
11.
Treatment requests properly facilitated
Confounding factors updated
Create specific Plan of Action
Symptom progression monitoring plan documented
Functional improvement documented
24.
Share job description with ALL providers,
Special Handling Instructions followed
Use LASER framework with resistant IW
ODG benchmarks referenced
Monthly IW contact documented
8.
Symptom progression monitoring plan documented
15.
Adjuster update within 1 day of appointment findings
6.
Include CPT codes for procedures,
27.
Monthly IW contact documented
Job description shared with all providers
Concentration difficulties noted
LASER techniques documented when appropriate
Initial Assessment completed within 5 business days
3.
Network providers properly documented
Special Handling Instructions followed
21.
Transitional duty options explored
Treatment requests properly facilitated
14.
Initial adjuster contact within 1 business day
Include ICD-10 codes with diagnosis,
RTW negotiation based on ODG guidelines
18.
Document employer accommodation status,
29.
Impact of worry on recovery documented
13.
Provider follow-up within 1 day of office visit
Adjuster update within 1 day of appointment findings
IW follow-up within 2 days of office visit
Alert addressed within 24 hours
6.
Initial Assessment completed within 5 business days
Document current functionality
Templates completed per PMA standards
Document medication compliance,
Healthwise education documented
Specific actions with exact dates documented
Healthwise resources provided for behavioral health
8.
Document PT updates every 14 days
Document RTW progress against ODG
Confounding factors updated
IW follow-up within 2 days of office visit
Comorbidities properly documented
Special Handling Instructions followed
Impact of worry on recovery documented
Share job description with ALL providers,
Psychosocial barriers to recovery identified
Motivational interviewing technique documented
Initial adjuster contact within 1 business day
Follow up on ancillary services
Job description shared with all providers
17.
POA addresses psychosocial barriers
11.
Active listening techniques documented
Document employer accommodation status,
Proper template format used (!bha)
Include ICD-10 codes with diagnosis,
LASER technique used with resistant IW
7.
Initial adjuster contact within 1 business day
1.
Translate medical terms to layman's terms
Network providers properly documented
13.
Share job description with ALL providers,
30.
Document CM Analysis in OV note
IW/Provider/Employer contact within 2 business days
Use only approved abbreviations,
Share job description with provider
Employer collaboration for RTW documented
Document medication compliance,
28.
Comorbidities properly documented
Document MED for narcotic prescriptions
POA addresses psychosocial barriers
IW/Provider/Employer contact within 2 business days
Document employer accommodation status
Complete Initial Assessment within 5 days
PT/OT updates every 14 days
IW/Provider/Employer contact within 2 business days
2.
ICD-10 code included with diagnosis
Symptom progression monitoring plan documented
Templates completed per PMA standards
12.
Functional improvement documented
Network providers properly documented
Alert addressed within 24 hours
Include CPT codes for procedures,
Document employer accommodation status,
POA addresses medication management
10.
Use only approved abbreviations
Ongoing IW education documented
16.
POA addresses medication management
Behavioral Health Alert properly documented
Templates completed per PMA standards
Behavioral Health Alert properly documented
1.
Employer collaboration for RTW documented
19.
ODG benchmarks referenced
Functional improvement documented
Ongoing IW education documented
Document ODG benchmarks
Active listening techniques documented
Motivational interviewing technique documented
LASER technique used with resistant IW
RTW negotiation based on ODG guidelines
Comorbidities properly documented
22.
Document IW education with Healthwise
Include ICD-10 codes with diagnosis,
26.
Document network status of providers
Healthwise resources provided for behavioral health
Concise description of behavioral issue (1-2 lines)
3.
CM Analysis includes treatment plan assessment
IW follow-up within 2 days of office visit
4.
ICD-10 code included with diagnosis
CM Analysis includes treatment plan assessment
9.
POA addresses medication management
ICD-10 code included with diagnosis
2.
Document RTW barriers
Document medication compliance
Provider follow-up within 1 day of office visit
Document medication compliance,
Provider follow-up within 1 day of office visit
5.
