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