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D223 RedFlagMania – WGU – Academic Year 2026–2027 – Test Exam with Verified Correct Answers

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This document includes a comprehensive test exam for the WGU D223 RedFlagMania course, featuring questions with verified correct answers. It is designed to help students review key fraud indicators, compliance concepts, and risk management principles assessed in the D223 exam.

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REDFLAGMANIA-WGU D223 TEST EXAM WITH 100%
CORRECTAND VERIFIED ANSWERS 2026-2027


Which of the followingiare examples of Social Determinants of Health
?-
answer (A) housing quality and transportation accessibility; educatio
n quality, job opportunities, and income bracket; nutritious foods acce
ssibility and physical activity opportunities


What is the primary goal of value-based care? -
answer (B) improve patient outcomesiand create a financially sustain
able healthcareisystem


Jett isia 26-year-
old African American male. He lives in Chicago, but the closest grocery
store is over two subway rides away. He commutes to his doctor's offi
ce in an affluent suburb outside of the city. Within the last month, Jett
was diagnosed with elevated cholesterol and StageiI blood pressure. H
e wasiprovided with a list of dietary recommendations for a low-
sodium and mediterranean diet. The food was difficult to find and wh
at he did find was pretty low in quality. Asitime goes on, he has only be
en feeling worse.
What SDOH should his healthcare providers have considered? -
answer Either:
(B) limitation of living in a food desert and limited access to high quali
ty food, care, and transportation

, or
(D) typical knowledge of high quality food, transportation, and careif
or their average patient


Pearl is a 64-year-
old caucasian female cancer survivor. She lives outsideiof Chicago in a f
ixed income household. Because she has Medicare, she has to travel ov
er an hour to see a primary care provider. Lately, she's been feelingiexh
austed and not like herself. Her healthcare team doesia routine exam, c
hecks her height and weight, but does not review her medicaliand med
ication history and past cancer treatment. The PCP suggests sheitakes
melatonin, providesihealthy diet recommendations,iand asks that she
returns in two weeks.
Given Pearl's situation, describe the implications of not providing valu
e-
based care. List all cost considerations you think the doctor should ha
ve madeibefore recommending melatonin and a two-week follow up. -
answer By not reviewing her medical history, they cannot determine i
f her current symptoms are a sign of a larger problem. This will likely c
ause the underlyingiissue to become worse and increase her cost of car
e. Thisisuggestsifollow-
up visits and the addition of melatonin would increaseiout-of-
pocket costs for the patient.


Explain how considering patients' SDOH could influence the care you
provide to them. -
answer It doesn't grade thisiquestion so you can make something up

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