Adjusterupdate within1 day ofappointmentfindingsPT/OTupdatesevery 14daysSpecificactions withexact datesdocumentedConcisedescriptionof behavioralissue (1-2lines)Propertemplateformatused (!bha)ICD-10 codeincludedwithdiagnosisPsychosocialbarriers torecoveryidentifiedIW follow-up within2 days ofoffice visitRTWnegotiationbased onODGguidelinesImpact ofworry onrecoverydocumentedLASERtechniquesdocumentedwhenappropriateODGbenchmarksreferencedComorbiditiesproperlydocumentedDocumentmedicationcompliance,IncludeCPT codesforprocedures,Providerfollow-upwithin 1 dayof office visitDocumentemployeraccommodationstatus,Share jobdescriptionwith ALLproviders,POAaddressesmedicationmanagementActivelisteningtechniquesdocumentedNetworkprovidersproperlydocumentedTransitionaldutyoptionsexploredOngoing IWeducationdocumentedUse onlyapprovedabbreviations,Jobdescriptionshared withall providersBehavioralHealth AlertproperlydocumentedMotivationalinterviewingtechniquedocumentedAlertaddressedwithin 24hoursHealthwiseeducationdocumentedTreatmentrequestsproperlyfacilitatedConfoundingfactorsupdatedMonthly IWcontactdocumentedEmployercollaborationfor RTWdocumentedSpecialHandlingInstructionsfollowedFunctionalimprovementdocumentedTemplatescompletedper PMAstandardsIncludeICD-10codes withdiagnosis,ConcentrationdifficultiesnotedLASERtechniqueused withresistant IWCM AnalysisincludestreatmentplanassessmentInitialAssessmentcompletedwithin 5business daysInitialadjustercontactwithin 1business dayPOAaddressespsychosocialbarriersSymptomprogressionmonitoringplandocumentedIW/Provider/Employercontact within 2business daysHealthwiseresourcesprovided forbehavioralhealthAdjusterupdate within1 day ofappointmentfindingsPT/OTupdatesevery 14daysSpecificactions withexact datesdocumentedConcisedescriptionof behavioralissue (1-2lines)Propertemplateformatused (!bha)ICD-10 codeincludedwithdiagnosisPsychosocialbarriers torecoveryidentifiedIW follow-up within2 days ofoffice visitRTWnegotiationbased onODGguidelinesImpact ofworry onrecoverydocumentedLASERtechniquesdocumentedwhenappropriateODGbenchmarksreferencedComorbiditiesproperlydocumentedDocumentmedicationcompliance,IncludeCPT codesforprocedures,Providerfollow-upwithin 1 dayof office visitDocumentemployeraccommodationstatus,Share jobdescriptionwith ALLproviders,POAaddressesmedicationmanagementActivelisteningtechniquesdocumentedNetworkprovidersproperlydocumentedTransitionaldutyoptionsexploredOngoing IWeducationdocumentedUse onlyapprovedabbreviations,Jobdescriptionshared withall providersBehavioralHealth AlertproperlydocumentedMotivationalinterviewingtechniquedocumentedAlertaddressedwithin 24hoursHealthwiseeducationdocumentedTreatmentrequestsproperlyfacilitatedConfoundingfactorsupdatedMonthly IWcontactdocumentedEmployercollaborationfor RTWdocumentedSpecialHandlingInstructionsfollowedFunctionalimprovementdocumentedTemplatescompletedper PMAstandardsIncludeICD-10codes withdiagnosis,ConcentrationdifficultiesnotedLASERtechniqueused withresistant IWCM AnalysisincludestreatmentplanassessmentInitialAssessmentcompletedwithin 5business daysInitialadjustercontactwithin 1business dayPOAaddressespsychosocialbarriersSymptomprogressionmonitoringplandocumentedIW/Provider/Employercontact within 2business daysHealthwiseresourcesprovided forbehavioralhealth

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