Adjusterupdate within1 day ofappointmentfindingsFunctionalimprovementdocumentedDocumentemployeraccommodationstatus,InitialAssessmentcompletedwithin 5business daysProviderfollow-upwithin 1 dayof office visitMotivationalinterviewingtechniquedocumentedActivelisteningtechniquesdocumentedHealthwiseeducationdocumentedHealthwiseresourcesprovided forbehavioralhealthDocumentmedicationcompliance,Jobdescriptionshared withall providersIW/Provider/Employercontact within 2business daysRTWnegotiationbased onODGguidelinesNetworkprovidersproperlydocumentedConcentrationdifficultiesnotedLASERtechniqueused withresistant IWBehavioralHealth AlertproperlydocumentedEmployercollaborationfor RTWdocumentedOngoing IWeducationdocumentedPsychosocialbarriers torecoveryidentifiedInitialadjustercontactwithin 1business dayUse onlyapprovedabbreviations,POAaddressesmedicationmanagementPropertemplateformatused (!bha)LASERtechniquesdocumentedwhenappropriateShare jobdescriptionwith ALLproviders,TransitionaldutyoptionsexploredCM AnalysisincludestreatmentplanassessmentAlertaddressedwithin 24hoursICD-10 codeincludedwithdiagnosisPOAaddressespsychosocialbarriersSymptomprogressionmonitoringplandocumentedTemplatescompletedper PMAstandardsPT/OTupdatesevery 14daysConfoundingfactorsupdatedTreatmentrequestsproperlyfacilitatedSpecialHandlingInstructionsfollowedIW follow-up within2 days ofoffice visitConcisedescriptionof behavioralissue (1-2lines)Monthly IWcontactdocumentedComorbiditiesproperlydocumentedImpact ofworry onrecoverydocumentedIncludeCPT codesforprocedures,Specificactions withexact datesdocumentedIncludeICD-10codes withdiagnosis,ODGbenchmarksreferencedAdjusterupdate within1 day ofappointmentfindingsFunctionalimprovementdocumentedDocumentemployeraccommodationstatus,InitialAssessmentcompletedwithin 5business daysProviderfollow-upwithin 1 dayof office visitMotivationalinterviewingtechniquedocumentedActivelisteningtechniquesdocumentedHealthwiseeducationdocumentedHealthwiseresourcesprovided forbehavioralhealthDocumentmedicationcompliance,Jobdescriptionshared withall providersIW/Provider/Employercontact within 2business daysRTWnegotiationbased onODGguidelinesNetworkprovidersproperlydocumentedConcentrationdifficultiesnotedLASERtechniqueused withresistant IWBehavioralHealth AlertproperlydocumentedEmployercollaborationfor RTWdocumentedOngoing IWeducationdocumentedPsychosocialbarriers torecoveryidentifiedInitialadjustercontactwithin 1business dayUse onlyapprovedabbreviations,POAaddressesmedicationmanagementPropertemplateformatused (!bha)LASERtechniquesdocumentedwhenappropriateShare jobdescriptionwith ALLproviders,TransitionaldutyoptionsexploredCM AnalysisincludestreatmentplanassessmentAlertaddressedwithin 24hoursICD-10 codeincludedwithdiagnosisPOAaddressespsychosocialbarriersSymptomprogressionmonitoringplandocumentedTemplatescompletedper PMAstandardsPT/OTupdatesevery 14daysConfoundingfactorsupdatedTreatmentrequestsproperlyfacilitatedSpecialHandlingInstructionsfollowedIW follow-up within2 days ofoffice visitConcisedescriptionof behavioralissue (1-2lines)Monthly IWcontactdocumentedComorbiditiesproperlydocumentedImpact ofworry onrecoverydocumentedIncludeCPT codesforprocedures,Specificactions withexact datesdocumentedIncludeICD-10codes withdiagnosis,ODGbenchmarksreferenced

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