PT/OTupdatesevery 14daysHealthwiseresourcesprovided forbehavioralhealthActivelisteningtechniquesdocumentedTreatmentrequestsproperlyfacilitatedSymptomprogressionmonitoringplandocumentedHealthwiseeducationdocumentedTransitionaldutyoptionsexploredConfoundingfactorsupdatedIncludeICD-10codes withdiagnosis,InitialAssessmentcompletedwithin 5business daysPsychosocialbarriers torecoveryidentifiedEmployercollaborationfor RTWdocumentedInitialadjustercontactwithin 1business daySpecificactions withexact datesdocumentedICD-10 codeincludedwithdiagnosisODGbenchmarksreferencedFunctionalimprovementdocumentedPropertemplateformatused (!bha)Jobdescriptionshared withall providersRTWnegotiationbased onODGguidelinesPOAaddressespsychosocialbarriersConcisedescriptionof behavioralissue (1-2lines)POAaddressesmedicationmanagementAlertaddressedwithin 24hoursLASERtechniquesdocumentedwhenappropriateMotivationalinterviewingtechniquedocumentedDocumentmedicationcompliance,Monthly IWcontactdocumentedOngoing IWeducationdocumentedImpact ofworry onrecoverydocumentedBehavioralHealth AlertproperlydocumentedAdjusterupdate within1 day ofappointmentfindingsCM AnalysisincludestreatmentplanassessmentUse onlyapprovedabbreviations,ComorbiditiesproperlydocumentedIncludeCPT codesforprocedures,ConcentrationdifficultiesnotedProviderfollow-upwithin 1 dayof office visitShare jobdescriptionwith ALLproviders,Templatescompletedper PMAstandardsSpecialHandlingInstructionsfollowedIW/Provider/Employercontact within 2business daysIW follow-up within2 days ofoffice visitDocumentemployeraccommodationstatus,LASERtechniqueused withresistant IWNetworkprovidersproperlydocumentedPT/OTupdatesevery 14daysHealthwiseresourcesprovided forbehavioralhealthActivelisteningtechniquesdocumentedTreatmentrequestsproperlyfacilitatedSymptomprogressionmonitoringplandocumentedHealthwiseeducationdocumentedTransitionaldutyoptionsexploredConfoundingfactorsupdatedIncludeICD-10codes withdiagnosis,InitialAssessmentcompletedwithin 5business daysPsychosocialbarriers torecoveryidentifiedEmployercollaborationfor RTWdocumentedInitialadjustercontactwithin 1business daySpecificactions withexact datesdocumentedICD-10 codeincludedwithdiagnosisODGbenchmarksreferencedFunctionalimprovementdocumentedPropertemplateformatused (!bha)Jobdescriptionshared withall providersRTWnegotiationbased onODGguidelinesPOAaddressespsychosocialbarriersConcisedescriptionof behavioralissue (1-2lines)POAaddressesmedicationmanagementAlertaddressedwithin 24hoursLASERtechniquesdocumentedwhenappropriateMotivationalinterviewingtechniquedocumentedDocumentmedicationcompliance,Monthly IWcontactdocumentedOngoing IWeducationdocumentedImpact ofworry onrecoverydocumentedBehavioralHealth AlertproperlydocumentedAdjusterupdate within1 day ofappointmentfindingsCM AnalysisincludestreatmentplanassessmentUse onlyapprovedabbreviations,ComorbiditiesproperlydocumentedIncludeCPT codesforprocedures,ConcentrationdifficultiesnotedProviderfollow-upwithin 1 dayof office visitShare jobdescriptionwith ALLproviders,Templatescompletedper PMAstandardsSpecialHandlingInstructionsfollowedIW/Provider/Employercontact within 2business daysIW follow-up within2 days ofoffice visitDocumentemployeraccommodationstatus,LASERtechniqueused withresistant IWNetworkprovidersproperlydocumented

QA / BHA / BINGO - Call List

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