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