Applicability of Limitation on Liability Provision to Claims for

120.3 - Applicability of Limitation on Liability Provision to Claims for Outpatient Physical Therapy Services Furnished by Clinics (Rev. 1186, Issued: 02-23-07; Effective: 01-01-06; Implementation: 05-23-07) A – General The limitation on liability provision is applicable to claims for items or services furnished by a physician-directed outpatient physical therapy (OPT) clinic that are denied on the basis of §1862(a)(1). The limitation on liability determination for OPT clinic claims will be made by contractors at the initial determination level, in accordance with §120.4. The procedures discussed in §120.2, second bullet , for determining a physician’s/supplier’s liability will be followed when processing this category of claims.