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