TransitionaldutyoptionsexploredRTWnegotiationbased onODGguidelinesDocumentemployeraccommodationstatus,Use onlyapprovedabbreviations,InitialAssessmentcompletedwithin 5business daysIncludeICD-10codes withdiagnosis,CM AnalysisincludestreatmentplanassessmentTreatmentrequestsproperlyfacilitatedShare jobdescriptionwith ALLproviders,Jobdescriptionshared withall providersICD-10 codeincludedwithdiagnosisIW/Provider/Employercontact within 2business daysPOAaddressesmedicationmanagementLASERtechniqueused withresistant IWHealthwiseeducationdocumentedConcentrationdifficultiesnotedInitialadjustercontactwithin 1business daySpecialHandlingInstructionsfollowedPsychosocialbarriers torecoveryidentifiedDocumentmedicationcompliance,Alertaddressedwithin 24hoursImpact ofworry onrecoverydocumentedPT/OTupdatesevery 14daysComorbiditiesproperlydocumentedPOAaddressespsychosocialbarriersIW follow-up within2 days ofoffice visitConfoundingfactorsupdatedActivelisteningtechniquesdocumentedFunctionalimprovementdocumentedIncludeCPT codesforprocedures,Adjusterupdate within1 day ofappointmentfindingsEmployercollaborationfor RTWdocumentedMonthly IWcontactdocumentedSymptomprogressionmonitoringplandocumentedTemplatescompletedper PMAstandardsOngoing IWeducationdocumentedBehavioralHealth AlertproperlydocumentedMotivationalinterviewingtechniquedocumentedLASERtechniquesdocumentedwhenappropriateNetworkprovidersproperlydocumentedHealthwiseresourcesprovided forbehavioralhealthPropertemplateformatused (!bha)ODGbenchmarksreferencedSpecificactions withexact datesdocumentedProviderfollow-upwithin 1 dayof office visitConcisedescriptionof behavioralissue (1-2lines)TransitionaldutyoptionsexploredRTWnegotiationbased onODGguidelinesDocumentemployeraccommodationstatus,Use onlyapprovedabbreviations,InitialAssessmentcompletedwithin 5business daysIncludeICD-10codes withdiagnosis,CM AnalysisincludestreatmentplanassessmentTreatmentrequestsproperlyfacilitatedShare jobdescriptionwith ALLproviders,Jobdescriptionshared withall providersICD-10 codeincludedwithdiagnosisIW/Provider/Employercontact within 2business daysPOAaddressesmedicationmanagementLASERtechniqueused withresistant IWHealthwiseeducationdocumentedConcentrationdifficultiesnotedInitialadjustercontactwithin 1business daySpecialHandlingInstructionsfollowedPsychosocialbarriers torecoveryidentifiedDocumentmedicationcompliance,Alertaddressedwithin 24hoursImpact ofworry onrecoverydocumentedPT/OTupdatesevery 14daysComorbiditiesproperlydocumentedPOAaddressespsychosocialbarriersIW follow-up within2 days ofoffice visitConfoundingfactorsupdatedActivelisteningtechniquesdocumentedFunctionalimprovementdocumentedIncludeCPT codesforprocedures,Adjusterupdate within1 day ofappointmentfindingsEmployercollaborationfor RTWdocumentedMonthly IWcontactdocumentedSymptomprogressionmonitoringplandocumentedTemplatescompletedper PMAstandardsOngoing IWeducationdocumentedBehavioralHealth AlertproperlydocumentedMotivationalinterviewingtechniquedocumentedLASERtechniquesdocumentedwhenappropriateNetworkprovidersproperlydocumentedHealthwiseresourcesprovided forbehavioralhealthPropertemplateformatused (!bha)ODGbenchmarksreferencedSpecificactions withexact datesdocumentedProviderfollow-upwithin 1 dayof office visitConcisedescriptionof behavioralissue (1-2lines)

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.


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