ROCC STUDY GUIDE 100% VERIFIED ANSWERS 2024/2025 CORRECT STUDY SET, Exams of Health sciences

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ROCC STUDY GUIDE 100%

VERIFIED ANSWERS

2024/2025 CORRECT STUDY

SET

G

"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." 55875 insertion of ovoids and tandems is not used in brachytherapy In-situ, benign or malignant, Of uncertain histologic behavior To properly code a neoplasm it is necessary to determine from the record if the neoplasm is: D00. Which of the following is the correct diagnosis code for carcinoma in situ of the stomach, pylorus? The physician will be not held responsible for problems with the claim as the coder filed the claim 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? False claims act Which is the following is used by the government as the primary enforcement tool in fighting fraud and abuse? Wait 6 months and reaudit to determine if the problem still exists

If an audit reveals a pattern of repeated billing errors, which of the following should be provider not do: in the past 3 years 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____________________. Chief complaint ________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. Bill the appropriate level established pt office visit code If a patient returns for the follow up care 30 days after the completion of high dose remote brachy, the physician may: 99205, 99354 and two 99355s 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? 99222, POS 21 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 Weekly statement that is false 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 G6015 and 77263 can not be billed on the same date of service for a given course of therapy

this statement is true Physician 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 6 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 77295 May be billed twice per typical course of treatment is false Simple 77280 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. 77431 A pt seen for external beam tx. A 35 fraction course was planned. The pt received 2 frac as the entire course of therapy. What, if any is the appropriate coding for treatment management? 2 During a patient's six week course of treatment (30 frac) the physician reviews films, dosimetry, dose delivery, treatment parameters, and review pt set-up. The physician physically evaluated the pt (face to face meeting). All of the review and face to face evaluations are thoroughly documented in the patients charts. How many times can 77427 be billed for this scenario Brachytherapy (77770-77772) which of the following courses of therapy includes weekly treatment management No can you bill a weekly management code if the pt was only seen for 2 treatments

which of the following codes is unique to SRS Hyperthermia is not used as an adjunct to RAD therapy or Chemo this statement is false regarding Hypertermia procedure Rad therapy when given concurrently is listed separately This statement is true regarding Hypertermia the listed treatments include management during the course of therapy and follow up care for three months after completion This statement is true regarding Hypertermia Physics planning and interstitial insertion of temperature sensors and used of external or interstitial heat generating sources are included This statement is true regarding Hypertermia 77470 this can be billed with or without mod with 77372 on the same day 0438T following code best describes "transperineal placement of biodegradable material, periprostatic via needle single or multiple includes image guidance 77771 - TC An HDR pt has 3 channels put into place but only one of which is actually used for treatment, There are 6 dwell or stop positions overall. What is the correct delivery code 77772 Which is the following best defines "remote afterloading high dose rate radionuclide interstitial or intracavitary brachy includes basic dosimetry when preformed over 12 channels

Protons beams have a greater scatter than x-rays and cannot be delivered to the tumor volume without seriously harming surrounding health tissue or critical organs Which of the following is false statement in regards to Proton beam? Protons slow down much faster than x-rays which statement is true regarding the Proton Beam Protons deposit more energy as they slow down, culminating in an intensity and dose peak Which statement is true regarding the Proton Beam Protons are positively charged atomic particles Which statement is true regarding the Proton Beam 30 days after adding the location to notify Medicare When a practice adds a new location the practice has Up to 60 days A locum tenens arrangement for substitute physician to bill over the practice regular physicians name as if the regular physician performed the services for a periods of:

- otomy is a suffix meaning cutting into American Medical Association (AMA) The copyright for the CRT codebook is held by: T66.XXXD T66.XXXA T66.XXXS codes could be used to indicate prior conventional fractionated Radiation therapy 4 pt being treated for 22 frac how many 77427 can be billed Trachea Epiglottis and Larynx

Which is part of the respiratory system C79.49, C pt presents with prostate CA is treated and released from care. The pt returns 8 mn later with a secondary CA of the spinal column. what is the proper DX coding when the pt presents for secondary malignant neoplasm of the spinal cord? Cartilage of the ear Dx code D14.0 excludes which of the following: 77336 technical only C50. DX code would provide the medical necessity for billing the CPT code 19296 cpt code 19296 Placement of radiotherapy afterloading expandable catheter (single or multichannel) into the breast ... Physician self referral Law/stark Law The _______prohibits a physician from making a referral to an entity with which the physician or any member of the of the physicians immediate family has a financial relationship if the referral is for a the furnishing of designated health services unless the financial relationship fits into exception set forth in the statute or implementing regulations Number of previous visits Which of the following is not considered a "component" in defining the level of an E/M service: 99221 best represents Initial hospital care per day for the evaluation and management of a pt, which requires these 3 key components: A detailed or comprehensive history a detailed examination and medical decision making that is straightforward or low complexity

not bill an eval and management code for the follow up visit if a pt returns for a follow up visit in 60 days after completion of external beam rad therapy without any new problems the physician may: 77261 - 77263 which of the following code cannot be billed with or without modifier on the same date with G intermediate clinical treatment planning requires 3 or more converging ports, 2 separate treatment areas, multi blocks or special time dose constraints This statement is true the treatment plan is always created prior to the start of treatment This statement is true the physician must produce a written document of the treatment plan and it must be signed and dated by the physician this statement is true C71.2-Brain in POS 11 the following dx code supports the medical necessity for ICD-10 PCS procedure D0003ZZ-Brain In PT 1x77263 complex clinical tx plan for both prostate and bone a prostate pt begins a course of treatment to the prostate and Metastatic disease to the bone. what is a billable event for the bones clinical treatment plan 77261 77262 or 77263 based on the complexity the physician decides to stop the prostate course of treatment and do an end of treatment summary before starting the bone course what billable event for the bone clinical treatment plan. True or false if a complex physics plan is preformed by the physician then the treatment devices used are also complex this statement is false

09A.

when treating a pregnant woman dx with brst CA what code would be first interstitial radiation source application Which is the following is not a method to deliver external beam RAD TX interstitial radiation source application the following is not a method to deliver external beam radiation treatment Comprehensive Error Rate testing (CERT) ______ randomly selects a small sample of Medicare FFS Claims, then reviews the claims and medical records from the providers who submitted claims for compliance with medicare coverage coding and billing rules When a pt returns fro a secondary neoplasm, the first listed DX should be for the TX that is provided at the time of service True Therapist signed documentation of tx delivery Which of the following is not considered documentation to support the IMRT physics planning TRue If there are standing orders that requires simulations, simulations can be preformed and billed without the physicians signature False IMRT is related to the energy level used 77300x an IMRT pt is approaching a reduction in field size at 4500 cGy. The pt will have 4 fields 77300x6 and 77334x

A pt is being treated with external beam radiation therapy. The physician is treating 6 fields. Which represents dose calculations and MLCs? G In a freestanding center a pt is treated to the brain with IMRT and the lung 3D conformal in the same session what codes would be billed out 77435 If a patient is treated with 77373 which of the following is the appropriate treatment management code 5 In a freestanding center, a head and neck pt has to have two(2) week break. How many 77427 are billable if 5 progress notes are documented in the chart. As long as there has been a distinct break in therapy sessions and the fractions are of a character usually furnished on different days Multiple fractions representing 2 or more external beam Rad Therapy (EBRT) tx session furnished on the same day be may be counted separately. 77435 If G0340 is used to document the radiation treatment, which of the following codes may be used as the treatment management code? 77371 Which of the following codes is used to reflect SRS delivery using Cobalt-60? 77295 Which of the following is not a Stereotactic neurosurgeon radiosurgery code? G Treatment management code 77432 would be used with all of the following except?

Which of the following codes would be used for the third session of an image guided SRS robotic treatment delivery 19301, 19297 A female patient presents with BRST CA. The physician recommends a partial mastectomy and placement of a radiotherapy after loading expandable catheter using image guidance. The partial mastectomy and placement of the catheter are done at the same time. What is the correct coding scenario. 77290 77280 Verification of source placement is captured in with these 2 codes Simulation there are specific Brachytherapy codes for all the following except Clinical brachytherapy ____________requires the use of either natural or man-made radioelements applied into or around a treatment field of interest 57155 Which of the following codes best reflects "insertion of uterine tandems and/or viginal ovoids for clinical brachytherapy." 77422 ______is the code to use for "high energy neutron radiation treatment delivery; single treatment area using a single port or parallel-opposed ports with no blocks or simple blocking" The freestanding center will bill Medicare for the professional charges, the hospital will bill Medicare for the technical charges and then the freestanding center will invoice the hospital for the technical charges

A Medicare hospital inpatient is transported to a freestanding center, given radiation therapy treatment and transported back to the hospital. How should the freestanding center handle billing of professional and technical services? Anytime a patient is treated A freestanding cancer center is a rural setting treats an average of 16 patients per day. How often does a physician need to be present under current Medicare Guidelines Centigray _____is the preferred measurement of the amount of radiation dose absorbed by the body (cGy= Rad). An add on code The symbol "+" indicates the following: 22 A physician owns a freestanding center and also performs services at a nearby hospital. What is the correct place of service code for a new pt evaluation performed by the physician at the hospital assuming the patients is being seen for outpatient services 77771 If the brachytherapy physics plan is 77317, what is the appropriate treatment delivery code: 77523 Select the code that best represents the following, "proton treatment delivery to one or more treatment areas utilizing two or more ports or one o more tangential /oblique ports, with custom blocks and compensators: 26 When the physician component of a global code is reported separately, the service may be identified by adding modifier ______to the usual procedure number C00-D

The Neoplasm codes are located in which set of codes D10-D3A Benign neoplasms are found in which series of codes: D All radiation therapy in patient procedure codes begin with what character Merkel Cell Carcinoma of the lip Which of the following is excluded from diagnosis code COO? Balance Billing ______refers to the practice of billing Medicare beneficiaries for the difference between the total provider charges and the Medicare part B allowable payment. Nature of presenting problem Which of the following is not considered a "key component" in selecting the level of E/M service? 99252 Which of the following E/M services (if submitted to Medicare) would result in a denial? Intraoperative radiation _______is a type of external radiation therapy used to deliver large doses of radiation to the tumor and surrounding tissues during surgery. Score the H&P and bill as documented A physician is your professional practice evaluates a new prostate patient. The visit lasts a total of 2 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?