HealthwiseeducationdocumentedActivelisteningtechniquesdocumentedHealthwiseresourcesprovided forbehavioralhealthIncludeCPT codesforprocedures,Ongoing IWeducationdocumentedMotivationalinterviewingtechniquedocumentedCM AnalysisincludestreatmentplanassessmentPOAaddressesmedicationmanagementSpecialHandlingInstructionsfollowedPropertemplateformatused (!bha)TransitionaldutyoptionsexploredInitialadjustercontactwithin 1business dayConcentrationdifficultiesnotedAlertaddressedwithin 24hoursJobdescriptionshared withall providersBehavioralHealth AlertproperlydocumentedImpact ofworry onrecoverydocumentedMonthly IWcontactdocumentedConfoundingfactorsupdatedSymptomprogressionmonitoringplandocumentedIW follow-up within2 days ofoffice visitPOAaddressespsychosocialbarriersFunctionalimprovementdocumentedComorbiditiesproperlydocumentedEmployercollaborationfor RTWdocumentedSpecificactions withexact datesdocumentedDocumentmedicationcompliance,RTWnegotiationbased onODGguidelinesProviderfollow-upwithin 1 dayof office visitConcisedescriptionof behavioralissue (1-2lines)Documentemployeraccommodationstatus,LASERtechniquesdocumentedwhenappropriatePT/OTupdatesevery 14daysNetworkprovidersproperlydocumentedInitialAssessmentcompletedwithin 5business daysShare jobdescriptionwith ALLproviders,Templatescompletedper PMAstandardsPsychosocialbarriers torecoveryidentifiedTreatmentrequestsproperlyfacilitatedAdjusterupdate within1 day ofappointmentfindingsODGbenchmarksreferencedIncludeICD-10codes withdiagnosis,ICD-10 codeincludedwithdiagnosisUse onlyapprovedabbreviations,LASERtechniqueused withresistant IWIW/Provider/Employercontact within 2business daysHealthwiseeducationdocumentedActivelisteningtechniquesdocumentedHealthwiseresourcesprovided forbehavioralhealthIncludeCPT codesforprocedures,Ongoing IWeducationdocumentedMotivationalinterviewingtechniquedocumentedCM AnalysisincludestreatmentplanassessmentPOAaddressesmedicationmanagementSpecialHandlingInstructionsfollowedPropertemplateformatused (!bha)TransitionaldutyoptionsexploredInitialadjustercontactwithin 1business dayConcentrationdifficultiesnotedAlertaddressedwithin 24hoursJobdescriptionshared withall providersBehavioralHealth AlertproperlydocumentedImpact ofworry onrecoverydocumentedMonthly IWcontactdocumentedConfoundingfactorsupdatedSymptomprogressionmonitoringplandocumentedIW follow-up within2 days ofoffice visitPOAaddressespsychosocialbarriersFunctionalimprovementdocumentedComorbiditiesproperlydocumentedEmployercollaborationfor RTWdocumentedSpecificactions withexact datesdocumentedDocumentmedicationcompliance,RTWnegotiationbased onODGguidelinesProviderfollow-upwithin 1 dayof office visitConcisedescriptionof behavioralissue (1-2lines)Documentemployeraccommodationstatus,LASERtechniquesdocumentedwhenappropriatePT/OTupdatesevery 14daysNetworkprovidersproperlydocumentedInitialAssessmentcompletedwithin 5business daysShare jobdescriptionwith ALLproviders,Templatescompletedper PMAstandardsPsychosocialbarriers torecoveryidentifiedTreatmentrequestsproperlyfacilitatedAdjusterupdate within1 day ofappointmentfindingsODGbenchmarksreferencedIncludeICD-10codes withdiagnosis,ICD-10 codeincludedwithdiagnosisUse onlyapprovedabbreviations,LASERtechniqueused withresistant IWIW/Provider/Employercontact within 2business days

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