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