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