Initialadjustercontactwithin 1business dayNetworkprovidersproperlydocumentedPOAaddressespsychosocialbarriersODGbenchmarksreferencedMotivationalinterviewingtechniquedocumentedICD-10 codeincludedwithdiagnosisRTWnegotiationbased onODGguidelinesIW follow-up within2 days ofoffice visitIncludeICD-10codes withdiagnosis,InitialAssessmentcompletedwithin 5business daysDocumentemployeraccommodationstatus,Templatescompletedper PMAstandardsBehavioralHealth AlertproperlydocumentedHealthwiseresourcesprovided forbehavioralhealthComorbiditiesproperlydocumentedConcentrationdifficultiesnotedAdjusterupdate within1 day ofappointmentfindingsIncludeCPT codesforprocedures,Impact ofworry onrecoverydocumentedSpecialHandlingInstructionsfollowedConfoundingfactorsupdatedLASERtechniqueused withresistant IWFunctionalimprovementdocumentedMonthly IWcontactdocumentedAlertaddressedwithin 24hoursTransitionaldutyoptionsexploredCM AnalysisincludestreatmentplanassessmentTreatmentrequestsproperlyfacilitatedPOAaddressesmedicationmanagementShare jobdescriptionwith ALLproviders,Employercollaborationfor RTWdocumentedJobdescriptionshared withall providersPsychosocialbarriers torecoveryidentifiedProviderfollow-upwithin 1 dayof office visitDocumentmedicationcompliance,Propertemplateformatused (!bha)LASERtechniquesdocumentedwhenappropriateSpecificactions withexact datesdocumentedPT/OTupdatesevery 14daysUse onlyapprovedabbreviations,Ongoing IWeducationdocumentedActivelisteningtechniquesdocumentedSymptomprogressionmonitoringplandocumentedIW/Provider/Employercontact within 2business daysConcisedescriptionof behavioralissue (1-2lines)HealthwiseeducationdocumentedInitialadjustercontactwithin 1business dayNetworkprovidersproperlydocumentedPOAaddressespsychosocialbarriersODGbenchmarksreferencedMotivationalinterviewingtechniquedocumentedICD-10 codeincludedwithdiagnosisRTWnegotiationbased onODGguidelinesIW follow-up within2 days ofoffice visitIncludeICD-10codes withdiagnosis,InitialAssessmentcompletedwithin 5business daysDocumentemployeraccommodationstatus,Templatescompletedper PMAstandardsBehavioralHealth AlertproperlydocumentedHealthwiseresourcesprovided forbehavioralhealthComorbiditiesproperlydocumentedConcentrationdifficultiesnotedAdjusterupdate within1 day ofappointmentfindingsIncludeCPT codesforprocedures,Impact ofworry onrecoverydocumentedSpecialHandlingInstructionsfollowedConfoundingfactorsupdatedLASERtechniqueused withresistant IWFunctionalimprovementdocumentedMonthly IWcontactdocumentedAlertaddressedwithin 24hoursTransitionaldutyoptionsexploredCM AnalysisincludestreatmentplanassessmentTreatmentrequestsproperlyfacilitatedPOAaddressesmedicationmanagementShare jobdescriptionwith ALLproviders,Employercollaborationfor RTWdocumentedJobdescriptionshared withall providersPsychosocialbarriers torecoveryidentifiedProviderfollow-upwithin 1 dayof office visitDocumentmedicationcompliance,Propertemplateformatused (!bha)LASERtechniquesdocumentedwhenappropriateSpecificactions withexact datesdocumentedPT/OTupdatesevery 14daysUse onlyapprovedabbreviations,Ongoing IWeducationdocumentedActivelisteningtechniquesdocumentedSymptomprogressionmonitoringplandocumentedIW/Provider/Employercontact within 2business daysConcisedescriptionof behavioralissue (1-2lines)Healthwiseeducationdocumented

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