ROCC STUDY GUIDE QUESTIONS AND ANSWERS
"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." - CORRECT
ANSWER✅✅✅G6017
insertion of ovoids and tandems is not used in brachytherapy - CORRECT ANSWER✅✅✅55875
To properly code a neoplasm it is necessary to determine from the record if the neoplasm is: - CORRECT
ANSWER✅✅✅In-situ, benign or malignant, Of uncertain histologic behavior
Which of the following is the correct diagnosis code for carcinoma in situ of the stomach, pylorus? -
CORRECT ANSWER✅✅✅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? - CORRECT
ANSWER✅✅✅The physician will be not held responsible for problems with the claim as the coder
filed the claim
Which is the following is used by the government as the primary enforcement tool in fighting fraud and
abuse? - CORRECT ANSWER✅✅✅False claims act
If an audit reveals a pattern of repeated billing errors, which of the following should be provider not do:
- CORRECT ANSWER✅✅✅Wait 6 months and reaudit to determine if the problem still exists
According to the CPT, a new pt 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____________________. - CORRECT ANSWER✅✅✅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. - CORRECT
ANSWER✅✅✅Chief complaint
, If a patient returns for the follow up care 30 days after the completion of high dose remote brachy, the
physician may: - CORRECT ANSWER✅✅✅Bill the appropriate level established pt office visit code
a physician evaluates a new breast cancer pt. The 62 yr old female pt along with her husband and
daughter for a visit. The visit is well documented and supports a level 5 evaluation (99205). The pt is also
considering chemo and has several other medical issues that must be discussed in considering Rad Onc.
The visit last 3 hours. What is the best coding scenario o represent this? - CORRECT
ANSWER✅✅✅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 pt. The
physician evaluates the pt and decides the pt is a candidate for rad oncology. The Physician performs a
well documented comprehensive history, exam and medical decision making of moderate complexity.
what is the correct POS and encounter - CORRECT ANSWER✅✅✅99222, POS 21
Weekly management treatments, daily treatment must be reported in consecutive calendar days. PT
cannot skip days during treatment unless it is for a weekend or Holiday - CORRECT
ANSWER✅✅✅Weekly statement that is false
this statement is true - CORRECT ANSWER✅✅✅G6015 and 77263 can not be billed on the same
date of service for a given course of therapy
the_______is ultimately responsible for the clinical interpretation and acceptability of the pt related
physics services and verifies the medical appropriateness of the plan of tx as initially developed -
CORRECT ANSWER✅✅✅Physician
Pt presents for IMRT tx. Therapy is expected to last 7 weeks total of 35 frac. The total course of tx ends
during the 7^^week at 32 frac. how many 77336 can be billed - CORRECT ANSWER✅✅✅6
May be billed twice per typical course of treatment is false - CORRECT ANSWER✅✅✅77295
a clinical sim for block check verification was performed on an IMRT case. Only the isocenter was
checked for proper placement; there were verification images of all actual fields taken. What is the
correct level of complexity for this type simulation. - CORRECT ANSWER✅✅✅Simple 77280
"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." - CORRECT
ANSWER✅✅✅G6017
insertion of ovoids and tandems is not used in brachytherapy - CORRECT ANSWER✅✅✅55875
To properly code a neoplasm it is necessary to determine from the record if the neoplasm is: - CORRECT
ANSWER✅✅✅In-situ, benign or malignant, Of uncertain histologic behavior
Which of the following is the correct diagnosis code for carcinoma in situ of the stomach, pylorus? -
CORRECT ANSWER✅✅✅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? - CORRECT
ANSWER✅✅✅The physician will be not held responsible for problems with the claim as the coder
filed the claim
Which is the following is used by the government as the primary enforcement tool in fighting fraud and
abuse? - CORRECT ANSWER✅✅✅False claims act
If an audit reveals a pattern of repeated billing errors, which of the following should be provider not do:
- CORRECT ANSWER✅✅✅Wait 6 months and reaudit to determine if the problem still exists
According to the CPT, a new pt 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____________________. - CORRECT ANSWER✅✅✅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. - CORRECT
ANSWER✅✅✅Chief complaint
, If a patient returns for the follow up care 30 days after the completion of high dose remote brachy, the
physician may: - CORRECT ANSWER✅✅✅Bill the appropriate level established pt office visit code
a physician evaluates a new breast cancer pt. The 62 yr old female pt along with her husband and
daughter for a visit. The visit is well documented and supports a level 5 evaluation (99205). The pt is also
considering chemo and has several other medical issues that must be discussed in considering Rad Onc.
The visit last 3 hours. What is the best coding scenario o represent this? - CORRECT
ANSWER✅✅✅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 pt. The
physician evaluates the pt and decides the pt is a candidate for rad oncology. The Physician performs a
well documented comprehensive history, exam and medical decision making of moderate complexity.
what is the correct POS and encounter - CORRECT ANSWER✅✅✅99222, POS 21
Weekly management treatments, daily treatment must be reported in consecutive calendar days. PT
cannot skip days during treatment unless it is for a weekend or Holiday - CORRECT
ANSWER✅✅✅Weekly statement that is false
this statement is true - CORRECT ANSWER✅✅✅G6015 and 77263 can not be billed on the same
date of service for a given course of therapy
the_______is ultimately responsible for the clinical interpretation and acceptability of the pt related
physics services and verifies the medical appropriateness of the plan of tx as initially developed -
CORRECT ANSWER✅✅✅Physician
Pt presents for IMRT tx. Therapy is expected to last 7 weeks total of 35 frac. The total course of tx ends
during the 7^^week at 32 frac. how many 77336 can be billed - CORRECT ANSWER✅✅✅6
May be billed twice per typical course of treatment is false - CORRECT ANSWER✅✅✅77295
a clinical sim for block check verification was performed on an IMRT case. Only the isocenter was
checked for proper placement; there were verification images of all actual fields taken. What is the
correct level of complexity for this type simulation. - CORRECT ANSWER✅✅✅Simple 77280
