(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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Employer collaboration for RTW documented
Document employer accommodation status,
Document IW education with Healthwise
Job description shared with all providers
17.
IW/Provider/Employer contact within 2 business days
Adjuster update within 1 day of appointment findings
Initial adjuster contact within 1 business day
Alert addressed within 24 hours
LASER techniques documented when appropriate
Alert addressed within 24 hours
6.
Motivational interviewing technique documented
Create specific Plan of Action
Impact of worry on recovery documented
Network providers properly documented
Specific actions with exact dates documented
4.
Ongoing IW education documented
16.
Initial Assessment completed within 5 business days
Comorbidities properly documented
22.
Templates completed per PMA standards
12.
Active listening techniques documented
12.
Psychosocial barriers to recovery identified
LASER techniques documented when appropriate
25.
RTW negotiation based on ODG guidelines
Proper template format used (!bha)
Include ICD-10 codes with diagnosis,
Document employer accommodation status
Document ODG benchmarks
Monthly IW contact documented
Document medication compliance,
Include CPT codes for procedures,
IW follow-up within 2 days of office visit
4.
Complete Initial Assessment within 5 days
Concise description of behavioral issue (1-2 lines)
Document employer accommodation status,
29.
Include ICD-10 codes with diagnosis
ODG benchmarks referenced
23.
CM Analysis includes treatment plan assessment
Concentration difficulties noted
Employer collaboration for RTW documented
19.
Motivational interviewing technique documented
9.
Healthwise resources provided for behavioral health
Templates completed per PMA standards
Include ICD-10 codes with diagnosis,
Document MED for narcotic prescriptions
Initial adjuster contact within 1 business day
Psychosocial barriers to recovery identified
IW/Provider/Employer contact within 2 business days
ODG benchmarks referenced
ICD-10 code included with diagnosis
RTW negotiation based on ODG guidelines
18.
Share job description with ALL providers,
Include ICD-10 codes with diagnosis,
26.
Use only approved abbreviations,
31.
Symptom progression monitoring plan documented
Treatment requests properly facilitated
LASER technique used with resistant IW
Use LASER framework with resistant IW
POA addresses psychosocial barriers
Healthwise education documented
Include CPT codes for procedures
POA addresses medication management
10.
Provider follow-up within 1 day of office visit
Treatment requests properly facilitated
POA addresses medication management
Motivational interviewing technique documented
Document PT updates every 14 days
Document psychosocial barriers
Special Handling Instructions followed
Specific actions with exact dates documented
Concise description of behavioral issue (1-2 lines)
Confounding factors updated
Follow up on ancillary services
CM Analysis includes treatment plan assessment
9.
Symptom progression monitoring plan documented
Symptom progression monitoring plan documented
15.
IW follow-up within 2 days of office visit
Proper template format used (!bha)
Functional improvement documented
Specific actions with exact dates documented
Behavioral Health Alert properly documented
Include CPT codes for procedures,
Monthly IW contact documented
Job description shared with all providers
Employer collaboration for RTW documented
Proper template format used (!bha)
11.
Impact of worry on recovery documented
Special Handling Instructions followed
21.
Concentration difficulties noted
Active listening techniques documented
Follow up with IW within 2 days post-OV
Use only approved abbreviations,
ODG benchmarks referenced
Network providers properly documented
Job description shared with all providers
Document CM Analysis in OV note
Document current functionality
Initial Assessment completed within 5 business days
3.
PT/OT updates every 14 days
7.
Use only approved abbreviations,
Network providers properly documented
13.
Transitional duty options explored
20.
Active listening techniques documented
Templates completed per PMA standards
Document employer accommodation status,
Ongoing IW education documented
Concentration difficulties noted
14.
Use only approved abbreviations
Behavioral Health Alert properly documented
1.
Confounding factors updated
5.
Initial Assessment completed within 5 business days
Comorbidities properly documented
PT/OT updates every 14 days
Contact provider within 1 day of OV
Functional improvement documented
24.
Document RTW progress against ODG
Document network status of providers
POA addresses medication management
Behavioral Health Alert properly documented
Functional improvement documented
Psychosocial barriers to recovery identified
10.
Share job description with ALL providers,
30.
Share job description with ALL providers,
Adjuster update within 1 day of appointment findings
Confounding factors updated
Comorbidities properly documented
ICD-10 code included with diagnosis
PT/OT updates every 14 days
Monthly IW contact documented
8.
Document medication compliance,
28.
Share job description with provider
Adjuster update within 1 day of appointment findings
6.
RTW negotiation based on ODG guidelines
LASER techniques documented when appropriate
Healthwise education documented
15.
ICD-10 code included with diagnosis
2.
Treatment requests properly facilitated
14.
Transitional duty options explored
CM Analysis includes treatment plan assessment
LASER technique used with resistant IW
7.
Special Handling Instructions followed
POA addresses psychosocial barriers
Include CPT codes for procedures,
27.
IW/Provider/Employer contact within 2 business days
2.
IW follow-up within 2 days of office visit
Impact of worry on recovery documented
13.
POA addresses psychosocial barriers
11.
Document medication compliance,
Concise description of behavioral issue (1-2 lines)
3.
Provider follow-up within 1 day of office visit
5.
Alert addressed within 24 hours
Healthwise resources provided for behavioral health
8.
Healthwise education documented
Transitional duty options explored
Contact adjuster within 1 business day
Initial adjuster contact within 1 business day
1.
Healthwise resources provided for behavioral health
