1|Page
ROCC EXAM NEWEST 2025/2026 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (100% VERIFIED ANSWERS) |ALREADY GRADED
A+| ||PROFESSOR VERIFIED||
The ____ prohibits a physician from making a referral to an entity
with which thephysician or any member of the physician's
immediate family has a financial relationship if the referral Is for
the furnishing of designated health services, unless the financial
relationship fits into an exception set forth in the statute or
implementing regulations.
Red Flags Rules
Physician self referral law/Stark Law
Anti-kickback statute
HIPPA - ANSWER-Physician self referral law/Stark Law
Which of the following is not considered a "compliance" issue?
Two employees (a nurse and a coder) are in the break room of a
practice. One casually mentions a celebrity (by name) had come
to the practice for cancer treatment- The other employee is
surprised by this information and a 15 minute conversation is held
,2|Page
regarding the nature of the celebrity's diagnosis and the impact on
the celebrity's acting career.
A hardworking employee, who is behind in her work, takes a stack
of patient files home to finish coding claim forms so she can be
caught up the next day.
An employee is scheduled for a lunch break but is in the middle of
entering patient demographics into the billing computer. She turns
the papers over, but leaves them on her desk when she goes to
lunch for an hour.
A facility is expecting an outside auditor to arrive on site to review
medical charts. The auditor requests a list of diagnosis codes. An
employee - ANSWER-An employee is scheduled for a lunch
break but is in the middle of entering patient demographics into
the billing computer. She turns the papers over, but leaves them
on her desk when she goes to lunch for an hour.
Which of the following is not considered a "component" in defining
the level of an E/M Service:
Number of previous visits
Medical decision making
Counseling
,3|Page
Nature of presenting problem - ANSWER-Number of previous
visits
Which of the following best represents "Initial hospital care, per
day for the evaluation and management of a patient, which
requires these 3 key components: a detailed or comprehensive
history; a detailed or comprehensive examination; and medical
decision making that is straightforward or of low complexity."
99231, 99214, 99201, or 99221 - ANSWER-99221
If a patient returns for a follow up visit 60 days after the
completion of external beam radiation therapy without any new
problems, 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 office consultation evaluation and
, 4|Page
management code - ANSWER-Not bill an evaluation and
management code for the follow up visit
Which of the following codes cannot be billed (with or without a
modifier) on the same date with G6015?
77470, 77338, 77370, or 77261 - ANSWER-77261
Which of the following statements is false?
The treatment plan is always created prior to the start of
treatment.
The physician must produce a written document (electronic or
hard copy) of the treatment plan and it must be signed and dated
by the physician
Intermediate clinical treatment planning requires 3 or more
converging ports, 2 separate treatment areas, multiple blocks, or
special time dose constraints
ROCC EXAM NEWEST 2025/2026 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (100% VERIFIED ANSWERS) |ALREADY GRADED
A+| ||PROFESSOR VERIFIED||
The ____ prohibits a physician from making a referral to an entity
with which thephysician or any member of the physician's
immediate family has a financial relationship if the referral Is for
the furnishing of designated health services, unless the financial
relationship fits into an exception set forth in the statute or
implementing regulations.
Red Flags Rules
Physician self referral law/Stark Law
Anti-kickback statute
HIPPA - ANSWER-Physician self referral law/Stark Law
Which of the following is not considered a "compliance" issue?
Two employees (a nurse and a coder) are in the break room of a
practice. One casually mentions a celebrity (by name) had come
to the practice for cancer treatment- The other employee is
surprised by this information and a 15 minute conversation is held
,2|Page
regarding the nature of the celebrity's diagnosis and the impact on
the celebrity's acting career.
A hardworking employee, who is behind in her work, takes a stack
of patient files home to finish coding claim forms so she can be
caught up the next day.
An employee is scheduled for a lunch break but is in the middle of
entering patient demographics into the billing computer. She turns
the papers over, but leaves them on her desk when she goes to
lunch for an hour.
A facility is expecting an outside auditor to arrive on site to review
medical charts. The auditor requests a list of diagnosis codes. An
employee - ANSWER-An employee is scheduled for a lunch
break but is in the middle of entering patient demographics into
the billing computer. She turns the papers over, but leaves them
on her desk when she goes to lunch for an hour.
Which of the following is not considered a "component" in defining
the level of an E/M Service:
Number of previous visits
Medical decision making
Counseling
,3|Page
Nature of presenting problem - ANSWER-Number of previous
visits
Which of the following best represents "Initial hospital care, per
day for the evaluation and management of a patient, which
requires these 3 key components: a detailed or comprehensive
history; a detailed or comprehensive examination; and medical
decision making that is straightforward or of low complexity."
99231, 99214, 99201, or 99221 - ANSWER-99221
If a patient returns for a follow up visit 60 days after the
completion of external beam radiation therapy without any new
problems, 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 office consultation evaluation and
, 4|Page
management code - ANSWER-Not bill an evaluation and
management code for the follow up visit
Which of the following codes cannot be billed (with or without a
modifier) on the same date with G6015?
77470, 77338, 77370, or 77261 - ANSWER-77261
Which of the following statements is false?
The treatment plan is always created prior to the start of
treatment.
The physician must produce a written document (electronic or
hard copy) of the treatment plan and it must be signed and dated
by the physician
Intermediate clinical treatment planning requires 3 or more
converging ports, 2 separate treatment areas, multiple blocks, or
special time dose constraints
