1|Page
ROCC EXAM LATEST 2026-2027 ACTUAL EXAM WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS (100% VERIFIED
ANSWERS) |ALREADY GRADED A+| ||PROFESSOR VERIFIED||
||BRANDNEW!!!||
records from the providers/suppliers who submitted the claims for
compliance with Medicare coverage, coding and billing rules.
National Correct Coding Initiatives (NCCl)
Medically Unlikely Edits (MUE)
Comprehensive Error Rate Testing (CERT)
Recovery Audit Contractor (RAC)) - ANSWER-Comprehensive
Error Rate Testing (CERT)
Which of the following is true?
The payer will assign the correct ICD-IO-CM code if the code
submitted is wrong.
The referring physician's diagnosis will always be the diagnosis
used to justify radiation therapy.
When a patient returns for a secondary neoplasm, the first listed
diagnosis should be for the treatment that is provided at the time
of the service.
,2|Page
A diagnosis of C61 will always necessitate external beam
treatment. - ANSWER-When a patient returns for a secondary
neoplasm, the first listed diagnosis should be for the treatment
that is provided at the time of the service.
Which of the following is not considered documentation in support
of IMRT physics
planning:
Documentation of dosimetric verification of treatment setup and
delivery, signed by the radiation oncologist and medical physics
Description of the number and location of each treatment
step/rotation or portal to accomplish the treatment plan
Therapist signed documentation of treatment delivery
Radiation oncologist review (signed and dated) of dose-volume
histograms for all targets and critical structures. - ANSWER-
Therapist signed documentation of treatment delivery
,3|Page
True or False: If there are standing orders that require
simulations, simulations can be performed and billed without the
physician's signature? - ANSWER-False
IMRT planning and delivery are clinically warranted when one or
more of the following
conditions exist except:
Dose de-escalation is pianned to deiiver radiation doses below
those commonly utilized for similar tumors with conventional
treatment.
The target volume is concave or convex, and critical normal
tissues are within or around that convexity or concavity.
The volume of interest must be covered with narrow margins to
adequately protect immediately adjacent structures.
An immediately adjacent area has been previously irradiated and
abutting portals must be established with high precision. -
ANSWER-Dose de-escalation is pianned to deiiver radiation
, 4|Page
doses below those commonly utilized for similar tumors with
conventional treatment.
True or False: IMRT is related to the energy level used -
ANSWER-False
An IMRT patient is approaching a reduction in field size at 4500
cGy. The patient will have 4 fields. Which of the following is the
correct coding for this scenario?
77301+ 77290+ 77338 and 77300x4
77300x4 and 1x77338
77290 + 77300 x 4 and 4 x 77334
77334x4 + 77300x4 - ANSWER-77300x4 and 1x77338
A patient is being treated with external beam radiation therapy.
The physician is treating 6 fields. Which of the following
represents the correct coding for the dose calculations and
MLCs?
77300 x 6 and 77334 x 6
77300 x 6 and 77338
ROCC EXAM LATEST 2026-2027 ACTUAL EXAM WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS (100% VERIFIED
ANSWERS) |ALREADY GRADED A+| ||PROFESSOR VERIFIED||
||BRANDNEW!!!||
records from the providers/suppliers who submitted the claims for
compliance with Medicare coverage, coding and billing rules.
National Correct Coding Initiatives (NCCl)
Medically Unlikely Edits (MUE)
Comprehensive Error Rate Testing (CERT)
Recovery Audit Contractor (RAC)) - ANSWER-Comprehensive
Error Rate Testing (CERT)
Which of the following is true?
The payer will assign the correct ICD-IO-CM code if the code
submitted is wrong.
The referring physician's diagnosis will always be the diagnosis
used to justify radiation therapy.
When a patient returns for a secondary neoplasm, the first listed
diagnosis should be for the treatment that is provided at the time
of the service.
,2|Page
A diagnosis of C61 will always necessitate external beam
treatment. - ANSWER-When a patient returns for a secondary
neoplasm, the first listed diagnosis should be for the treatment
that is provided at the time of the service.
Which of the following is not considered documentation in support
of IMRT physics
planning:
Documentation of dosimetric verification of treatment setup and
delivery, signed by the radiation oncologist and medical physics
Description of the number and location of each treatment
step/rotation or portal to accomplish the treatment plan
Therapist signed documentation of treatment delivery
Radiation oncologist review (signed and dated) of dose-volume
histograms for all targets and critical structures. - ANSWER-
Therapist signed documentation of treatment delivery
,3|Page
True or False: If there are standing orders that require
simulations, simulations can be performed and billed without the
physician's signature? - ANSWER-False
IMRT planning and delivery are clinically warranted when one or
more of the following
conditions exist except:
Dose de-escalation is pianned to deiiver radiation doses below
those commonly utilized for similar tumors with conventional
treatment.
The target volume is concave or convex, and critical normal
tissues are within or around that convexity or concavity.
The volume of interest must be covered with narrow margins to
adequately protect immediately adjacent structures.
An immediately adjacent area has been previously irradiated and
abutting portals must be established with high precision. -
ANSWER-Dose de-escalation is pianned to deiiver radiation
, 4|Page
doses below those commonly utilized for similar tumors with
conventional treatment.
True or False: IMRT is related to the energy level used -
ANSWER-False
An IMRT patient is approaching a reduction in field size at 4500
cGy. The patient will have 4 fields. Which of the following is the
correct coding for this scenario?
77301+ 77290+ 77338 and 77300x4
77300x4 and 1x77338
77290 + 77300 x 4 and 4 x 77334
77334x4 + 77300x4 - ANSWER-77300x4 and 1x77338
A patient is being treated with external beam radiation therapy.
The physician is treating 6 fields. Which of the following
represents the correct coding for the dose calculations and
MLCs?
77300 x 6 and 77334 x 6
77300 x 6 and 77338
