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