ROCC EXAM QUESTIONS WITH ACTUAL CORRECT
DETAILED ANSWERS ALREADY GRADED A+
Which of the following codes best represents "intra-fraction localization and tracking of target
or patient motion during delivery of radiation therapy (e.g., 3D positional tracking, gating, 3D
surface tracking), each fraction of treatment."
77338, 77295, G6017, or 77399 - ANSWERS-G6017
Which of the following statements about clinical brachytherapy is false?
The supervision of radioeiements and dose interpretation are performed solely by the
therapeutic radiologist.
For insertion of ovoids and tandems, use 55875
Clinical Brachytherapy requires the use of either natural or man-made radioeiements applied
into or around a treatment field of interest.
Services 77750-77799 include admission to the hospital and daily visits. - ANSWERS-For
insertion of ovoids and tandems, use 55875
To properly code a neoplasm it is necessary to determine from the record if the neoplasm is:
Of uncertain histologic behavior, In-situ, Benign or malignant, or All of the above - ANSWERS-All
of the above
Which of the following is the correct diagnosis code for carcinoma in situ of the stomach,
pylorus?
(D00.2, D00.1, C16.4, C16.9) - ANSWERS-D00.2
,A physician makes rough, illegible notes regarding a patient's diagnosis. The treatment notes are
clear and easy to follow. A coder assumes the diagnosis based on the treatment prescription,
codes the claim form and files the claim. Which of the following is not a possibility in this
scenario?
Denials may result if the diagnosis code is wrong
A false claim may be filed
The patient may experience additional fears or stress when the patient sees the diagnosis is
different from what was discussed with the physician.
The physician will not be held responsible for problems with the claim as the coder filed the
claim. - ANSWERS-The physician will not be held responsible for problems with the claim as the
coder filed the claim.
Which of the following is used by the government as the primary enforcement tool in fighting
fraud and abuse?
HIPPA, False claims act, Money laundering, or Denials - ANSWERS-False Claims Act
If an audit reveals a pattern of repeated billing errors, which of the following should the
provider not do:
Wait 6 months and reaudit to determine if the problem still exists Determine and take the
necessary steps to ensure the billing error doesn't recur
Obtain legal advice from a health law attorney to determine possible responsibilities
Conduct training with involved personnel to ensure that everyone is aware of the risk area -
ANSWERS-Wait 6 months and re-audit to determine if the problem still exists
According to the CPT, a new patient is one who has not received any professional services from
the physician or another physician of the same specialty and subspecialty who belongs to the
same group practice__________. - ANSWERS-In the past 3 years
,_____ is a concise statement describing the symptom, problem, condition, diagnosis or other
factor that is the reason for, the encounter, usually stated in the patient's words.
Nature of presenting problem, Chief complaint, History of present illness, or Counseling -
ANSWERS-Chief Complaint
If a patient returns for follow up care 30 days after the completion of high dose remote
brachytherapy, the physician may:
Bill the appropriate level new patient evaluation and management code
Add a modifier to the first evaluation and management code billed and submit it with the date
of service for the last evaluation and management visit
Not bill an evaluation and management code for the follow up visit Bill the appropriate level
established patient office visit code - ANSWERS-Bill the appropriate level established patient
office visit code
A physician evaluates a new breast cancer patient. The 62 year old female patient
presents along with her 62 year old husband and 38 year old daughter for the visit. The visit is
well documented and supports a level 5 evaluation (99205). The patient is also considering
chemotherapy and has several other medical issues that must be discussed in considering
radiation oncology. The husband is very emotional and distraught at the fear of losing his wife
and wants detailed conversations about the care he will need to provide for his wife during
treatment. The 38 year old daughter is very concerned about herself and her 12 year old
daughter. The visit lasts for 3 hours. What Is the best coding scenario to represent this visit?
99215,
99205 and 99354,
99205 99354 and two 99355s,
99205 - ANSWERS-99205, 99354 and two 99355s
A freestanding center physician is asked to look at a patient who has been admitted to the
nearby hospital. The physician leaves his freestanding center and drives to the hospital to see
the patient. The physician evaluates the patient and decides the patient is a candidate for
radiation oncology. The physician performs a well documented comprehensive history,
, comprehensive exam and medical decision making of moderate complexity. What are the
correct evaluation and management code and place of service (POS) code for the encounter?
99212 POSH,
99222 POSH,
99212 POS 21,
99222 POS 21 - ANSWERS-99222, POS 21
Which of the following is a false statement?
If a new problem occurs and a new area must be planned, the existing clinical treatment plan
can be modified but a new plan should not be billed.
For weekly management treatments, daily treatment must be reported in consecutive calendar
days. Patients cannot skip days during treatment unless it is for a weekend or holiday.
Each new course of radiation therapy will require a new clinical treatment planning procedure
to be performed.
Routine boost or cone down is not to be billed with a new clinical treatment planning code. -
ANSWERS-For weekly management treatments, daily treatment must be reported in
consecutive calendar days. Patients cannot skip days during treatment unless it is for a weekend
or holiday.
G6015 and 77263 cannot be billed on the same date of service for a given course of therapy. -
ANSWERS-True
The ____ is ultimately responsible for the clinical interpretation and acceptability of the patient
related physics services and verifies the medical appropriateness of the plan of treatment as
initially developed.
Therapist, Dosimetrist, Physician, or Physicist - ANSWERS-Physician
A patient presents for an IMRT course of therapy. The therapy is expected to last 7 weeks for a
total of 35 fractions. The total course of therapy ends during the 7^^ week at 32 fractions. The
DETAILED ANSWERS ALREADY GRADED A+
Which of the following codes best represents "intra-fraction localization and tracking of target
or patient motion during delivery of radiation therapy (e.g., 3D positional tracking, gating, 3D
surface tracking), each fraction of treatment."
77338, 77295, G6017, or 77399 - ANSWERS-G6017
Which of the following statements about clinical brachytherapy is false?
The supervision of radioeiements and dose interpretation are performed solely by the
therapeutic radiologist.
For insertion of ovoids and tandems, use 55875
Clinical Brachytherapy requires the use of either natural or man-made radioeiements applied
into or around a treatment field of interest.
Services 77750-77799 include admission to the hospital and daily visits. - ANSWERS-For
insertion of ovoids and tandems, use 55875
To properly code a neoplasm it is necessary to determine from the record if the neoplasm is:
Of uncertain histologic behavior, In-situ, Benign or malignant, or All of the above - ANSWERS-All
of the above
Which of the following is the correct diagnosis code for carcinoma in situ of the stomach,
pylorus?
(D00.2, D00.1, C16.4, C16.9) - ANSWERS-D00.2
,A physician makes rough, illegible notes regarding a patient's diagnosis. The treatment notes are
clear and easy to follow. A coder assumes the diagnosis based on the treatment prescription,
codes the claim form and files the claim. Which of the following is not a possibility in this
scenario?
Denials may result if the diagnosis code is wrong
A false claim may be filed
The patient may experience additional fears or stress when the patient sees the diagnosis is
different from what was discussed with the physician.
The physician will not be held responsible for problems with the claim as the coder filed the
claim. - ANSWERS-The physician will not be held responsible for problems with the claim as the
coder filed the claim.
Which of the following is used by the government as the primary enforcement tool in fighting
fraud and abuse?
HIPPA, False claims act, Money laundering, or Denials - ANSWERS-False Claims Act
If an audit reveals a pattern of repeated billing errors, which of the following should the
provider not do:
Wait 6 months and reaudit to determine if the problem still exists Determine and take the
necessary steps to ensure the billing error doesn't recur
Obtain legal advice from a health law attorney to determine possible responsibilities
Conduct training with involved personnel to ensure that everyone is aware of the risk area -
ANSWERS-Wait 6 months and re-audit to determine if the problem still exists
According to the CPT, a new patient is one who has not received any professional services from
the physician or another physician of the same specialty and subspecialty who belongs to the
same group practice__________. - ANSWERS-In the past 3 years
,_____ is a concise statement describing the symptom, problem, condition, diagnosis or other
factor that is the reason for, the encounter, usually stated in the patient's words.
Nature of presenting problem, Chief complaint, History of present illness, or Counseling -
ANSWERS-Chief Complaint
If a patient returns for follow up care 30 days after the completion of high dose remote
brachytherapy, the physician may:
Bill the appropriate level new patient evaluation and management code
Add a modifier to the first evaluation and management code billed and submit it with the date
of service for the last evaluation and management visit
Not bill an evaluation and management code for the follow up visit Bill the appropriate level
established patient office visit code - ANSWERS-Bill the appropriate level established patient
office visit code
A physician evaluates a new breast cancer patient. The 62 year old female patient
presents along with her 62 year old husband and 38 year old daughter for the visit. The visit is
well documented and supports a level 5 evaluation (99205). The patient is also considering
chemotherapy and has several other medical issues that must be discussed in considering
radiation oncology. The husband is very emotional and distraught at the fear of losing his wife
and wants detailed conversations about the care he will need to provide for his wife during
treatment. The 38 year old daughter is very concerned about herself and her 12 year old
daughter. The visit lasts for 3 hours. What Is the best coding scenario to represent this visit?
99215,
99205 and 99354,
99205 99354 and two 99355s,
99205 - ANSWERS-99205, 99354 and two 99355s
A freestanding center physician is asked to look at a patient who has been admitted to the
nearby hospital. The physician leaves his freestanding center and drives to the hospital to see
the patient. The physician evaluates the patient and decides the patient is a candidate for
radiation oncology. The physician performs a well documented comprehensive history,
, comprehensive exam and medical decision making of moderate complexity. What are the
correct evaluation and management code and place of service (POS) code for the encounter?
99212 POSH,
99222 POSH,
99212 POS 21,
99222 POS 21 - ANSWERS-99222, POS 21
Which of the following is a false statement?
If a new problem occurs and a new area must be planned, the existing clinical treatment plan
can be modified but a new plan should not be billed.
For weekly management treatments, daily treatment must be reported in consecutive calendar
days. Patients cannot skip days during treatment unless it is for a weekend or holiday.
Each new course of radiation therapy will require a new clinical treatment planning procedure
to be performed.
Routine boost or cone down is not to be billed with a new clinical treatment planning code. -
ANSWERS-For weekly management treatments, daily treatment must be reported in
consecutive calendar days. Patients cannot skip days during treatment unless it is for a weekend
or holiday.
G6015 and 77263 cannot be billed on the same date of service for a given course of therapy. -
ANSWERS-True
The ____ is ultimately responsible for the clinical interpretation and acceptability of the patient
related physics services and verifies the medical appropriateness of the plan of treatment as
initially developed.
Therapist, Dosimetrist, Physician, or Physicist - ANSWERS-Physician
A patient presents for an IMRT course of therapy. The therapy is expected to last 7 weeks for a
total of 35 fractions. The total course of therapy ends during the 7^^ week at 32 fractions. The
