ROCC STUDY QUESTION WITH COMPLETED
ANSWERS SCORED A+
WHAT IS EXTERNAL BEAM RADIATION THERAPY (EBRT) Answer - A BEAM OF
RADIATION IS DIRECTED THROUGH THE SKIN TO THE TUMOR OR TARGET
REGION AND THE IMMEDIATE SURROUNDING AREA TO DESTROY CANCER CELL
WHAT IS THE GOAL OF RADIATION Answer - TO GET A SUFFICIENTLY HIGH
DOSE OF RADIATION INTO THE BODY TO KILL CANCER CELL WHILE SPARING
THE SURROUNDING HEALTHY TISSUE FROM DAMAGE
HOW CAN RADIATION BE DELIVERED Answer - EXTERNALLY, INTERNALLY AND
THROUGH SURFACE APPLICATIONS.
WHAT MACHINES ARE USED TO DELIVER EBRT Answer - MOST COMMON TYPE
IS A LINAC. X-RAYS OR ELEIT PRODUCES A BEAM OF HIGH-ENERGY OR
ELECTRONS
WHAT ARE THE TECHNIQUES OF EBRT Answer - 3-D CONFORMAL
IMRT
SRS
SBRT
WHT IS IGRT Answer - INTEGRATES DEVICES THAT ENSURE PRECISION IN THE
DELIVERY OF RADIATION THERAPY TECHNIQUES SUCH AS IMRT AND SBRT. IT
IMPROVE TARGETING OF RADIATION BEAMS.
,WHAT IMAGES ARE USED PRIOR TO RADIATION THERAPY TREATMENT Answer
- X-RAY
ULTRASOUND
CT GUIDED
MRI GUIDED
WHAT IS PARTICAL BEAM THERAPY Answer - ELECTRON, PROTON AND
NEUTRON BEAM ARE PARTICLA-BASED RADIATION THAT USES SUBATOMIC
PARTICLES CALLED (ELECTRONS, PROTONS, OR NEUTRONS RATHER THAN X-
RAYS (PHOTONS)
PARTICAL BEAM DEPOSIT THEIR RADIATION ENERGY AS THEY SLOW DOWN
WHAT ARE ELECTRONS Answer - ELECTRONS HAVE A NEGATIVE CHARGE
WHAT IS PROTONS Answer - PROTONS HAVE A POSITIVE CHARGE
WHAT ARE NEUTRONS Answer - NEUTRONS HAS NO ELECTRICAL CHARGE
WHAT IS BRACHYTHERAPY Answer - AN INTERNAL RADIATION THERAPY. IT
INVOLVES PLACING RADIATION SOURCES OR DEVICES THAT EMIT IONIZING
RADIATION IN CLOSE PROXIMITY OF THE TUMOR. LARGE DOSES OF RADIATION
ARE DELIVERED DIRECTLY TO THE CANCER CELLLS WITH MINIMAL EXPOSURE
TO NORMAL TISSUE
WHAT ARE BRACHYTHERAPY TREATMENT AREAS Answer - BREAST
COLORECTAL
GYN
HEAD AND NECK
,PANCREAS
PROSTAT
SARCOMAS
RECURRENT CANCER
SKIND
WHAT IS HIGH DOSE RATE BRACHY Answer - A HIGH INTENSITY RADIOACTIVE
SOURCE THAT IS MOVED REMOTELY FROM THE HDR UNIT INTO THE PATIENTS
BODY VIA CATHETERS.
HDR BRACHYTHERAPY CAN BE PERFORMED ON THE SKIN SURFACE OR AT THE
DEEPER LEVEL VIA INTERSTITIAL OR INTRACAVITARY TECHNIQUES
WHAT IS MICROSPHERE BRACHYTHERAPY Answer - MICROSPHERE THERAPY IS
A FORM OF LDR SEALED SOURCE BRACHYTHERAPY. GLASS OR RESIN ARE
EMBEDDED WITH YITRIUM 90 AND INJECTED INTRA-ARTERIALLY INTO
TUMORS. USED MAINLY FOR LIVER TUMORS.
WHAT IS RADIOPHARMACEUTICALS Answer - RADIOACTIVE IODINE CAPSULES
HAVE BEEN USED TO TREAT THYROID CANCER AND INTRAVENOUS
RADIOACTIVE RADIUM, STRONTIUM AND SAMARIUM HAVE BEEN USED TO
TREAT BONE METASTESES
EVALUATION AND MANAGEMENT CODES Answer - NEW PATIENT 99202-99205
ESTABLISHED PATIENT 99211-99215
INPATIENT CONSULT 99221-99223
INPATIENT ESTABLISH 99231-99233
PROLONGED MEDICARE G2212
PROLONGED COMMERCIAL 99417
, WHAT ARE THE TX MANAGEMENT CODES AND WHEN TO APPLY THEM Answer
- 77427- PER 5 FX OF EBRT
77431- ONLY 1 TO 2 FX OF EBRT
77432- SRS CRANIAL
77435- PER 5 FX OF SBRT
IF A PT RECEIVES EBRT AND BRACHYTHERAPY, WHO AND WHEN CAN A
FOLLOW- UP BE BILLED Answer - IF THERE ARE TWO DIFFERNET PHYSICIANS
TREATING WITH EBRT AND BRACHY. THE PHYSICIAN WHO DOES THE EBRT
CANNOT BILL FOR 90 DAYS, BUT THE PHYSICIAN WHO PERFORMS
BRACHYTHERAPY IS NOT SUBJECTED TO THE GLOBAL 90 DAY RULE
WHAT ARE YOUR ISODOSE PLAN CODES Answer - 77306- SIMPLE
77307-COMPLEX
(DOSE CALCS ARE INCLUDED WITH CODES)
WHAT ARE THE BRACHYTHERAPY CODES Answer - 77316
77318
WHICH OF THE FOLLOWING STATEMENTS ABOUT CLINICAL BRACHYTHERAPY IS
FALSE Answer - FOR INSERTION OF OVOIDS AND TANDEMS, USE 55875
WHICH OF THE FOLLOWING IS THE CORRECT DIAGNOSIS CODE FOR
CARCINOMA IN SITU OF THE STOMACH, PYLORUS Answer - D00.2
WHICH OF THE FOLLOWING IS USED BY THE GOVERNMENT AS THE PRIMARY
ENFORCEMENT TOOL IN FIGHT FRAUD AND ABUSE Answer - FALSE CLAIMS
ACT
ANSWERS SCORED A+
WHAT IS EXTERNAL BEAM RADIATION THERAPY (EBRT) Answer - A BEAM OF
RADIATION IS DIRECTED THROUGH THE SKIN TO THE TUMOR OR TARGET
REGION AND THE IMMEDIATE SURROUNDING AREA TO DESTROY CANCER CELL
WHAT IS THE GOAL OF RADIATION Answer - TO GET A SUFFICIENTLY HIGH
DOSE OF RADIATION INTO THE BODY TO KILL CANCER CELL WHILE SPARING
THE SURROUNDING HEALTHY TISSUE FROM DAMAGE
HOW CAN RADIATION BE DELIVERED Answer - EXTERNALLY, INTERNALLY AND
THROUGH SURFACE APPLICATIONS.
WHAT MACHINES ARE USED TO DELIVER EBRT Answer - MOST COMMON TYPE
IS A LINAC. X-RAYS OR ELEIT PRODUCES A BEAM OF HIGH-ENERGY OR
ELECTRONS
WHAT ARE THE TECHNIQUES OF EBRT Answer - 3-D CONFORMAL
IMRT
SRS
SBRT
WHT IS IGRT Answer - INTEGRATES DEVICES THAT ENSURE PRECISION IN THE
DELIVERY OF RADIATION THERAPY TECHNIQUES SUCH AS IMRT AND SBRT. IT
IMPROVE TARGETING OF RADIATION BEAMS.
,WHAT IMAGES ARE USED PRIOR TO RADIATION THERAPY TREATMENT Answer
- X-RAY
ULTRASOUND
CT GUIDED
MRI GUIDED
WHAT IS PARTICAL BEAM THERAPY Answer - ELECTRON, PROTON AND
NEUTRON BEAM ARE PARTICLA-BASED RADIATION THAT USES SUBATOMIC
PARTICLES CALLED (ELECTRONS, PROTONS, OR NEUTRONS RATHER THAN X-
RAYS (PHOTONS)
PARTICAL BEAM DEPOSIT THEIR RADIATION ENERGY AS THEY SLOW DOWN
WHAT ARE ELECTRONS Answer - ELECTRONS HAVE A NEGATIVE CHARGE
WHAT IS PROTONS Answer - PROTONS HAVE A POSITIVE CHARGE
WHAT ARE NEUTRONS Answer - NEUTRONS HAS NO ELECTRICAL CHARGE
WHAT IS BRACHYTHERAPY Answer - AN INTERNAL RADIATION THERAPY. IT
INVOLVES PLACING RADIATION SOURCES OR DEVICES THAT EMIT IONIZING
RADIATION IN CLOSE PROXIMITY OF THE TUMOR. LARGE DOSES OF RADIATION
ARE DELIVERED DIRECTLY TO THE CANCER CELLLS WITH MINIMAL EXPOSURE
TO NORMAL TISSUE
WHAT ARE BRACHYTHERAPY TREATMENT AREAS Answer - BREAST
COLORECTAL
GYN
HEAD AND NECK
,PANCREAS
PROSTAT
SARCOMAS
RECURRENT CANCER
SKIND
WHAT IS HIGH DOSE RATE BRACHY Answer - A HIGH INTENSITY RADIOACTIVE
SOURCE THAT IS MOVED REMOTELY FROM THE HDR UNIT INTO THE PATIENTS
BODY VIA CATHETERS.
HDR BRACHYTHERAPY CAN BE PERFORMED ON THE SKIN SURFACE OR AT THE
DEEPER LEVEL VIA INTERSTITIAL OR INTRACAVITARY TECHNIQUES
WHAT IS MICROSPHERE BRACHYTHERAPY Answer - MICROSPHERE THERAPY IS
A FORM OF LDR SEALED SOURCE BRACHYTHERAPY. GLASS OR RESIN ARE
EMBEDDED WITH YITRIUM 90 AND INJECTED INTRA-ARTERIALLY INTO
TUMORS. USED MAINLY FOR LIVER TUMORS.
WHAT IS RADIOPHARMACEUTICALS Answer - RADIOACTIVE IODINE CAPSULES
HAVE BEEN USED TO TREAT THYROID CANCER AND INTRAVENOUS
RADIOACTIVE RADIUM, STRONTIUM AND SAMARIUM HAVE BEEN USED TO
TREAT BONE METASTESES
EVALUATION AND MANAGEMENT CODES Answer - NEW PATIENT 99202-99205
ESTABLISHED PATIENT 99211-99215
INPATIENT CONSULT 99221-99223
INPATIENT ESTABLISH 99231-99233
PROLONGED MEDICARE G2212
PROLONGED COMMERCIAL 99417
, WHAT ARE THE TX MANAGEMENT CODES AND WHEN TO APPLY THEM Answer
- 77427- PER 5 FX OF EBRT
77431- ONLY 1 TO 2 FX OF EBRT
77432- SRS CRANIAL
77435- PER 5 FX OF SBRT
IF A PT RECEIVES EBRT AND BRACHYTHERAPY, WHO AND WHEN CAN A
FOLLOW- UP BE BILLED Answer - IF THERE ARE TWO DIFFERNET PHYSICIANS
TREATING WITH EBRT AND BRACHY. THE PHYSICIAN WHO DOES THE EBRT
CANNOT BILL FOR 90 DAYS, BUT THE PHYSICIAN WHO PERFORMS
BRACHYTHERAPY IS NOT SUBJECTED TO THE GLOBAL 90 DAY RULE
WHAT ARE YOUR ISODOSE PLAN CODES Answer - 77306- SIMPLE
77307-COMPLEX
(DOSE CALCS ARE INCLUDED WITH CODES)
WHAT ARE THE BRACHYTHERAPY CODES Answer - 77316
77318
WHICH OF THE FOLLOWING STATEMENTS ABOUT CLINICAL BRACHYTHERAPY IS
FALSE Answer - FOR INSERTION OF OVOIDS AND TANDEMS, USE 55875
WHICH OF THE FOLLOWING IS THE CORRECT DIAGNOSIS CODE FOR
CARCINOMA IN SITU OF THE STOMACH, PYLORUS Answer - D00.2
WHICH OF THE FOLLOWING IS USED BY THE GOVERNMENT AS THE PRIMARY
ENFORCEMENT TOOL IN FIGHT FRAUD AND ABUSE Answer - FALSE CLAIMS
ACT
