Therapy
Physical /Speech
Occupational
Spinal Manipulation
ET F10
100

Name the standard policy limit for therapy visits.

What are 25 visits?

100

List the TOS codes for Physical Therapy.

What are PT1, PT2 and PT3?
100

Name the procedure code for occupational therapy.

What is 97XXX?

100

Name the procedure code for spinal manipulation.

What is 98XXX?

100

Name 2 things that need to match for the Episode of Care. 

What are the diagnosis codes and provider TIN?

200

Name the screen to check if reduced payments are needed.

What is CH F10?

200

Name the Informational override for visits 1-20.

What is 903?

200

List the TOS codes for occupational therapy.

What are OT1, OT2 and OT3?

200

Name the edit prompted after CCR review. 

What is CLAIM REVIEWED BY CCR?

200

Name the EOC TYP codes needed for ET F10.

What are P01, P02 and P03?

300
Name action codes used for over 4 modalities billed.

What are W54, W55 and W56?

300

List the TOS codes for speech therapy.

What are ST# and ST$?

300

Name the informational override for 21-25 visits.

What is 733?

300

Name the action code to pend for medical records in New York. 

What is X13?

300

Name one thing found in the ET F10.

what are the details of DOS, Claim ID, how many visits by provider and how many visits allowed?
400

Name 2 types of therapy with procedure code 97XXX.

What are physical therapy and occupational therapy?

400

Name the action code used to deny Speech Therapy. 

What is W48?

400

What claim level override is used to allow claim.

What is CC....AO?

400

List the TOS codes for spinal manipulation.

What are MP1, MP2, MP3, MO1, MO2 and MO3?

400

Name action code the claim denies with to check ET F10.

What is W05?

500

List the 4 types of Therapy.

What are physical, occupational, spinal manipulation and speech therapy?

500

Name the action code used for the 26th visit claim. 

What is 924?

500

Name 3 CCR decisions.

What are allow, deny and pend?

500

Name the CCI provisions.

What are SHORT TERM REHAB, SPINAL MANIP and THERAPY ADMIN? 

500

Name the edit the prompts to check in ET F10.

What is THERAPY REFERRAL CRITERIA MET?