Patient Service Specialist Basics
Who's Who of Shared Services
Joint Commission
Insurance
Pop Culture
100
This gets entered when the patient is below 18 years old.
What is a guarantor?
100
Human Resources Manager
Who is Danielle Gombas?
100
This is the acronym for RACE
What is Rescue, Alarm, Contain, Extinguish
100
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?
100
In 1969, this massive music festival in upstate New York defined an era of peace, love, and rock and roll.
What is Woodstock?
200
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?
200
Marketing Coordinator/Insurance Analyst
Who is Quetcy Vazquez?
200
This is the acronym for PASS
Pull, Aim, Squeeze, Sweep/Spray
200
If a patient was injured while at work, they must complete our intake paperwork and this additional form.
What is a Worker's Compensation Questionnaire?
200
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?
300
This is where you go to collect deductibles, co-insurance and copays
What is Over The Counter?
300
We get this certification biannual to ensure we can properly help in the case of an emergency
What is CPR?
300
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?
300
In The Princess Diaries, Mia Thermopolis finds out that she is the crown princess of this (fictional) country.
What is Genovia?
400
When a patient cannot attend their scheduled visit, the PSS performs this task.
What is rescheduling an appointment?
400
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?
400
This portal is used to submit Humana authorizations
What is Cohere?
400
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?
500
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?
500
These are the CPT codes entered when requesting authorization.
What are 97110, 97112, 97116, 97140, 97150, 97530 and 97161, 97162, 97163, 97164?
500
Ice Spice & this singer whose fans are called Barbz are fittingly on the Barbie soundtrack with “Barbie World”
Who is Nicki Minaj?
600
This federal regulation requires of patient health information.
What is HIPAA?
600
Director of Sales Learning and Development
Who is Denise Calloway?
700
Centralized Scheduling Supervisor
Who is Yamile Villamil?
700
This third party is used to submit for authorization for our Wellpoint insurances.
What is Therapy Network of NJ?
800
Director of Outpatient Administrative Services
Who is Rosa Romano?
800
We use these two criteria when identifying a patient.
What is their full name and date of birth?
800
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?
900
Vice President of Kessler Rehabilitation Center
Who is Pat Judd
900
I should not answer with this phrase when Joint Commission asks me a question.
What is "I don't know"?
900
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.
1000
This professional skill helps ensure effective communication with patients and coworkers.
What is Vital Communications?
1000
President, Hospital Outpatient Based Services
Who is Bill Anastassatos?
1000
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)
1000
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?