ROCC EXAM LATEST EXAM 2025 | ALL QUESTIONS
AND CORRECT ANSWERS | VERIFIED ANSWERS |
GRADED A+ | NEWEST EXAM (JUST RELEASED)
Which of the following is not considered a "key component" in selecting the
level of E/M service?
Examination
History
Medical decision making 195
Nature of presenting problem ---------CORRECT ANSWER-----------------
Nature of presenting problem
Which of the following E/M services (if submitted to Medicare) would result
in a denial?
99252, 99214, 99233, or 99366 ---------CORRECT ANSWER-----------------
99252
_____ is a type of external radiation therapy used to deliver large doses of
radiation to the tumor and surrounding tissue during surgery.
Proton beam therapy
Intraoperative radiation
Iodine 125
Immune therapy ---------CORRECT ANSWER-----------------Intraoperative
radiation
A physician in your professional practice evaluates a new prostate patient.
The visit lasts a total of two hours. Your physician documents this well as
far as the time is concerned, yet fails to document the overall history and
physical. What is the best course of action to meet billing compliance?
Bill a level V new patient office or other outpatient visit (99205)
Bill a level IV new patient office or other outpatient visit (99204)
Do not bill the visit at all
,Score the H&P and bill as documented ---------CORRECT ANSWER----------
-------Score the H&P and bill as documented
When counseling and/or coordination of care dominates (more than 50%)
the physician/patient and/or family encounter (face-to-face time in the office
or other outpatient setting or floor/unit time in the hospital or nursing
facility),:
Then the highest level E/M can always be charged.
The physician must bill the level of E/M service supported by the key
components and time is not a factor
Then time may be considered the key or controlling factor to qualify for a
particular level of E/M services.
Time is the determining factor and documentation is not necessary. ---------
CORRECT ANSWER-----------------Then time may be considered the key or
controlling factor to qualify for a particular level of E/M services.
Which of the following is not considered part of family history:
Diseases of family members that may be hereditary or place the patient at
risk
The health status or cause of death of parents, siblings and children
Patient and family education
Specific diseases related to problems identified in the Chief Complaint or
History of the Present Illness, and/or System Review) ---------CORRECT
ANSWER-----------------Patient and family education
,Clinically a lung cancer patient that is currently under external beam
treatment is too sick to continue with treatment. The physician places the
patient on hold but expects him to return every third day for a visit. What is
the billable event for the return visits?
The appropriate level new patient visit code
Not billable event as it falls under weekly management (77427)
The appropriate level established patient visit code
The appropriate level consultation code) ---------CORRECT ANSWER--------
---------Not billable event as it falls under weekly management (77427)
77261-77263 are considered
Technical codes only
Global codes
Professional codes only
All of the above ---------CORRECT ANSWER-----------------Professional
codes only
Which of the following would not typically be considered a complex
treatment plan:
Bone mets - open field
Brain cancer involving stereotactic services
Prostate cancer requiring IMRT treatment
Brachytherapy seed implant case ---------CORRECT ANSWER-----------------
Bone mets - open field
A patient presents for external beam radiation therapy. The radiation
oncologistperforms a consult, planning and workup. The clinical treatment
plan is a complex treatment plan. After 2 months of treatment the physician
decides to create another clinical treatment plan (there has been no major
change in the patient's anatomy or tumor volume) using IMRT (including
associated charges such as treatment devices, dosimetry, etc...) Which of
the following is the proper billing scenario?
, Refund the first clinical treatment plan to the patient and payer and bill the
second clinical treatment plan.
Bill the second clinical treatment plan and all associated charges with it
Do not bill the second clinical treatment plan, but you can bill any technical
charges associated with it
Do not bill the second clinical treatment plan ---------CORRECT ANSWER--
---------------Do not bill the second clinical treatment plan
A patient presents to a freestanding center. The decision is made to treat
the patient brachytherapy and external beam radiation therapy during the
same course of therapy. Which of the following represents the appropriate
billing scenario:
Bill one clinical treatment plan that incorporates both methods of treatment
Bill one clinical treatment plan for the brachytherapy procedures and one
plan for the external beam procedures
Bill one clinical treatment plan and a -59 modifier
Bill one clinical treatment plan and a -76 modifier ---------CORRECT
ANSWER-----------------Bill one clinical treatment plan that incorporates both
methods of treatment
A patient has one stereotactic radiosurgery treatment to the right lung.
What is the
appropriate treatment management code, assuming the chart is properly
documented.
77427, 77431, 77432, or 77435 ---------CORRECT ANSWER-----------------
77435
Which of the following represents the most common order of procedures in
radiation
therapy?
I. Treatment
AND CORRECT ANSWERS | VERIFIED ANSWERS |
GRADED A+ | NEWEST EXAM (JUST RELEASED)
Which of the following is not considered a "key component" in selecting the
level of E/M service?
Examination
History
Medical decision making 195
Nature of presenting problem ---------CORRECT ANSWER-----------------
Nature of presenting problem
Which of the following E/M services (if submitted to Medicare) would result
in a denial?
99252, 99214, 99233, or 99366 ---------CORRECT ANSWER-----------------
99252
_____ is a type of external radiation therapy used to deliver large doses of
radiation to the tumor and surrounding tissue during surgery.
Proton beam therapy
Intraoperative radiation
Iodine 125
Immune therapy ---------CORRECT ANSWER-----------------Intraoperative
radiation
A physician in your professional practice evaluates a new prostate patient.
The visit lasts a total of two hours. Your physician documents this well as
far as the time is concerned, yet fails to document the overall history and
physical. What is the best course of action to meet billing compliance?
Bill a level V new patient office or other outpatient visit (99205)
Bill a level IV new patient office or other outpatient visit (99204)
Do not bill the visit at all
,Score the H&P and bill as documented ---------CORRECT ANSWER----------
-------Score the H&P and bill as documented
When counseling and/or coordination of care dominates (more than 50%)
the physician/patient and/or family encounter (face-to-face time in the office
or other outpatient setting or floor/unit time in the hospital or nursing
facility),:
Then the highest level E/M can always be charged.
The physician must bill the level of E/M service supported by the key
components and time is not a factor
Then time may be considered the key or controlling factor to qualify for a
particular level of E/M services.
Time is the determining factor and documentation is not necessary. ---------
CORRECT ANSWER-----------------Then time may be considered the key or
controlling factor to qualify for a particular level of E/M services.
Which of the following is not considered part of family history:
Diseases of family members that may be hereditary or place the patient at
risk
The health status or cause of death of parents, siblings and children
Patient and family education
Specific diseases related to problems identified in the Chief Complaint or
History of the Present Illness, and/or System Review) ---------CORRECT
ANSWER-----------------Patient and family education
,Clinically a lung cancer patient that is currently under external beam
treatment is too sick to continue with treatment. The physician places the
patient on hold but expects him to return every third day for a visit. What is
the billable event for the return visits?
The appropriate level new patient visit code
Not billable event as it falls under weekly management (77427)
The appropriate level established patient visit code
The appropriate level consultation code) ---------CORRECT ANSWER--------
---------Not billable event as it falls under weekly management (77427)
77261-77263 are considered
Technical codes only
Global codes
Professional codes only
All of the above ---------CORRECT ANSWER-----------------Professional
codes only
Which of the following would not typically be considered a complex
treatment plan:
Bone mets - open field
Brain cancer involving stereotactic services
Prostate cancer requiring IMRT treatment
Brachytherapy seed implant case ---------CORRECT ANSWER-----------------
Bone mets - open field
A patient presents for external beam radiation therapy. The radiation
oncologistperforms a consult, planning and workup. The clinical treatment
plan is a complex treatment plan. After 2 months of treatment the physician
decides to create another clinical treatment plan (there has been no major
change in the patient's anatomy or tumor volume) using IMRT (including
associated charges such as treatment devices, dosimetry, etc...) Which of
the following is the proper billing scenario?
, Refund the first clinical treatment plan to the patient and payer and bill the
second clinical treatment plan.
Bill the second clinical treatment plan and all associated charges with it
Do not bill the second clinical treatment plan, but you can bill any technical
charges associated with it
Do not bill the second clinical treatment plan ---------CORRECT ANSWER--
---------------Do not bill the second clinical treatment plan
A patient presents to a freestanding center. The decision is made to treat
the patient brachytherapy and external beam radiation therapy during the
same course of therapy. Which of the following represents the appropriate
billing scenario:
Bill one clinical treatment plan that incorporates both methods of treatment
Bill one clinical treatment plan for the brachytherapy procedures and one
plan for the external beam procedures
Bill one clinical treatment plan and a -59 modifier
Bill one clinical treatment plan and a -76 modifier ---------CORRECT
ANSWER-----------------Bill one clinical treatment plan that incorporates both
methods of treatment
A patient has one stereotactic radiosurgery treatment to the right lung.
What is the
appropriate treatment management code, assuming the chart is properly
documented.
77427, 77431, 77432, or 77435 ---------CORRECT ANSWER-----------------
77435
Which of the following represents the most common order of procedures in
radiation
therapy?
I. Treatment
