Therapy
Name the standard policy limit for therapy visits.
What are 25 visits?
List the TOS codes for Physical Therapy.
Name the procedure code for occupational therapy.
What is 97XXX?
Name the procedure code for spinal manipulation.
What is 98XXX?
Name 2 things that need to match for the Episode of Care.
What are the diagnosis codes and provider TIN?
Name the screen to check if reduced payments are needed.
What is CH F10?
Name the Informational override for visits 1-20.
What is 903?
List the TOS codes for occupational therapy.
What are OT1, OT2 and OT3?
Name the edit prompted after CCR review.
What is CLAIM REVIEWED BY CCR?
Name the EOC TYP codes needed for ET F10.
What are P01, P02 and P03?
What are W54, W55 and W56?
List the TOS codes for speech therapy.
What are ST# and ST$?
Name the informational override for 21-25 visits.
What is 733?
Name the action code to pend for medical records in New York.
What is X13?
Name one thing found in the ET F10.
Name 2 types of therapy with procedure code 97XXX.
What are physical therapy and occupational therapy?
Name the action code used to deny Speech Therapy.
What is W48?
What claim level override is used to allow claim.
What is CC....AO?
List the TOS codes for spinal manipulation.
What are MP1, MP2, MP3, MO1, MO2 and MO3?
Name action code the claim denies with to check ET F10.
What is W05?
List the 4 types of Therapy.
What are physical, occupational, spinal manipulation and speech therapy?
Name the action code used for the 26th visit claim.
What is 924?
Name 3 CCR decisions.
What are allow, deny and pend?
Name the CCI provisions.
What are SHORT TERM REHAB, SPINAL MANIP and THERAPY ADMIN?
Name the edit the prompts to check in ET F10.
What is THERAPY REFERRAL CRITERIA MET?