Patient Service Specialist Basics
This gets entered when the patient is below 18 years old.
Human Resources Manager
Who is Danielle Gombas?
This is the acronym for RACE
What is Rescue, Alarm, Contain, Extinguish
This is done prior to a patient coming in for therapy services. It helps the PSS determine how much the patient will owe for their services.
What is verify benefits?
In 1969, this massive music festival in upstate New York defined an era of peace, love, and rock and roll.
What is Woodstock?
A patient's spouse calls and wants to speak to you about their schedule. You check this to make sure you can speak to them.
What is the billing disclosure?
Marketing Coordinator/Insurance Analyst
Who is Quetcy Vazquez?
This is the acronym for PASS
What is Pull, Aim, Squeeze, Sweep/Spray?
If a patient was injured while at work, they must complete our intake paperwork and this additional form.
In 1982, this iconic Spielberg film featured a homesick alien with a glowing finger and a love for Reese’s Pieces.
What is E.T. the Extra-Terrestrial?
This is where you go to collect deductibles, co-insurance and copays
What is Over The Counter?
Centralized Scheduling Supervisor
Who is Yamile Villamil?
We get this certification biannual to ensure we can properly help in the case of an emergency
What is CPR?
This form is given to patient's to complete in order for you to request authorization for UHC Medicare and AARP Medicare patients.
What is a Patient Summary Form?
In The Princess Diaries, Mia Thermopolis finds out that she is the crown princess of this (fictional) country.
What is Genovia?
When a patient cannot attend their scheduled visit, the PSS performs this task.
What is rescheduling an appointment?
Director of Business Administrative Operations
Who is Annie Morales?
Besides wearing Kessler uniform (scrubs tops, polos, fleece with proper branding and black pants), this must be worn on a daily basis.
What is nametag?
This portal is used to submit Humana authorizations
The start of the 1977 Star Wars movie informed us it all happened “a long time ago in” this place?
What is a galaxy far, far away?
A patient completes this before coming in for their appointment. It includes their medical history and allows them to upload a copy of their insurance card.
What is Digital Intake?
ReVital Program Director
Who is Alina Hedya?
This is how often Joint Commission comes and visits Kessler
These are the CPT codes entered when requesting authorization.
This medical drama has been on air since 2005 and follow Meredith Grey's career
What is Grey's Anatomy?
A federal law designed to protect patient privacy and secure medical records
What is HIPAA? (Health Insurance Portability and Accountability Act)
Clinical Coordinator
Who is Amy Kalb?
These need to be broken down and recycled and NOT present in any of our centers
What are boxes?
This is sent to a doctor when a Medicare patient's plan of care does not come back signed in a timely manner
What is a Delayed Certification Letter?
This is the acronym for GOAT
What is Greatest of All Time?
This platform is used for patients to confirm their appointments. They will get calls, texts and emails 24 hours prior and 2 hours before their appointment.
What is Luma?
Director of Clinical Education
Who is Michele Beltram?
Joint Commission should not see your forms hanging up with any of this
What is tape?
This third party is used to submit for authorization for our Wellpoint insurances.
What is Therapy Network of NJ?
This movie won Best Picture at the 2024 Academy Awards
What is Oppenheimer?
This worklist is use to track and manage incoming referral sources
What is Referral Management Module (RMM)?
Director of Outpatient Administrative Services
Who is Rosa Romano?
We use these two criteria when identifying a patient.
When a patient changes/loses their job and remains on their employer's insurance plan they are participating with this health insurance law.
What is Cobra?
She is the Queen of Pop
Who is Madonna?
This Outcome Measure is sent to patient's 7 days prior to their initial evaluations, then every 2 weeks (week 2,4,6,8,10 and 12) then once a month for 3 months (month 4, month 5, month 6) THEN one year from their initial evaluation
What is Patient IQ?
Vice President of Kessler Rehabilitation Center
Who is Pat Judd
I should not answer with this phrase when Joint Commission asks me a question.
What is "I don't know"?
These forms are used when submitting for authorization for an auto claim.
What are Attending Provider Treatment Plan (APTP), 21 Day Letter, RX, initial evaluation and plan of care.
The first iPhone launched this year
What is 2007?
This professional skill helps ensure effective communication with patients and coworkers.
What is Vital Communications?
President, Hospital Outpatient Based Services
Who is Bill Anastassatos?
A document that allows an individual to plan ahead for health care decisions in the event of loss of decision making capacity.
What is Advanced Directive? (The patient will be informed that advanced directives will not be honored in the outpatient setting)
This tool is used when a patient changes from a Managed care case to Medicare case while continuing to treat.
What is a Total Time Calculator Tool?
GTL stands for this and comes from the reality show Jersey Shore