WGU C425 / WGU C425 HEALTHCARE DELIVERY
REGULATION AND CPMPLIANCE OA EXAM PREP
COMPLETE ACTUAL EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS WITH RATIONALES (MOST TEST
QUESTIONS) A NEW UPDATED VERSION
2024|GUARANTEED PASS A+
Which important change in the U.S. healthcare system was made with
the enactment of the Social Security Act? - Answer-It funded payments
through the federal government and the states.
Why is the federally sponsored health insurance program known as
Medicare important in the development of delivery of care in the U.S.?
- Answer-It provides persons over age 65 with benefits for inpatient
hospital services.
Medicaid is a state-managed and dually funded program. States have
some flexibility on which Medicaid benefits to cover as long as the state
meets basic federal requirements.
What does this state-run program ensure? - Answer-Services are not
limited based on medical necessity
Medicaid provides healthcare services to a specified population.
,Which statement accurately describes Medicaid regulations? - Answer-
It is available to individuals who meet income guidelines.
The implementation of the Affordable Care Act seeks to provide health
insurance to millions of uninsured Americans.
How has this Act impacted healthcare delivery? - Answer-Lifetime limits
on coverage have been removed.
The Patient Protection and Affordable Care Act will impact the
healthcare delivery system in many ways. One change was allowing
states to amend their Medicaid program.
Which change did the Patient Protection and Affordable Care Act
program support? - Answer-Coverage
A doctor is setting up a new practice and wants to receive federal
reimbursement. The doctor contacts the Center for Medicare and
Medicaid Services for assistance.
Which kind of information is provided by this agency? - Answer-
Parameters of the diagnostic-related groups
A 40-year-old individual without children and a limited income is
concerned about the new Affordable Healthcare Act. The individual
,wants to know about eligibility for healthcare services at a reduced
cost.
Which agency should this individual contact? - Answer-Department of
Health and Human Services
A doctor wants to help patients understand which products are safe.
The doctor decides to use information provided by the FDA.
Which two products are regulated by this organization?
Choose 2 answers - Answer-Vaccines ordered by doctors to be used in a
study
Medications that are in the developmental process
A new movement known as the Mental Health Reform became popular
throughout the country at the end of the 19th century.
Which initiative did this reform accomplish for health care? - Answer-It
addressed the need to improve mental health treatment.
The federal government amended the Social Security Act in 1965 to
provide Medicare and Medicaid programs.
, For which population were these programs originally designed to
provide benefits? - Answer-Elderly and poor
In 2010, President Obama signed into law the Patient Protection and
Affordable Care Act.
What was the initial intended impact of this Act? - Answer-To ensure
that uninsured individuals have access to health care
Patients presenting to the emergency department (ED) broadly fall into
one of three categories:•
emergency conditions- requires immediate attention as is potentially
harmful and/or life threatening•
urgent conditions- requires attention within a few hours with longer
delays potentially leading to greater harm to the patient•
non-urgent conditions- do not require resources of the emergency
department.
Which graph accurately depicts the proportion of care delivered in an
urban emergency department? - Answer-38% EMERGENCY
48% URGENT
14% NONURGENT
Match the service provided with the type of hospital that provides the
service.
REGULATION AND CPMPLIANCE OA EXAM PREP
COMPLETE ACTUAL EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS WITH RATIONALES (MOST TEST
QUESTIONS) A NEW UPDATED VERSION
2024|GUARANTEED PASS A+
Which important change in the U.S. healthcare system was made with
the enactment of the Social Security Act? - Answer-It funded payments
through the federal government and the states.
Why is the federally sponsored health insurance program known as
Medicare important in the development of delivery of care in the U.S.?
- Answer-It provides persons over age 65 with benefits for inpatient
hospital services.
Medicaid is a state-managed and dually funded program. States have
some flexibility on which Medicaid benefits to cover as long as the state
meets basic federal requirements.
What does this state-run program ensure? - Answer-Services are not
limited based on medical necessity
Medicaid provides healthcare services to a specified population.
,Which statement accurately describes Medicaid regulations? - Answer-
It is available to individuals who meet income guidelines.
The implementation of the Affordable Care Act seeks to provide health
insurance to millions of uninsured Americans.
How has this Act impacted healthcare delivery? - Answer-Lifetime limits
on coverage have been removed.
The Patient Protection and Affordable Care Act will impact the
healthcare delivery system in many ways. One change was allowing
states to amend their Medicaid program.
Which change did the Patient Protection and Affordable Care Act
program support? - Answer-Coverage
A doctor is setting up a new practice and wants to receive federal
reimbursement. The doctor contacts the Center for Medicare and
Medicaid Services for assistance.
Which kind of information is provided by this agency? - Answer-
Parameters of the diagnostic-related groups
A 40-year-old individual without children and a limited income is
concerned about the new Affordable Healthcare Act. The individual
,wants to know about eligibility for healthcare services at a reduced
cost.
Which agency should this individual contact? - Answer-Department of
Health and Human Services
A doctor wants to help patients understand which products are safe.
The doctor decides to use information provided by the FDA.
Which two products are regulated by this organization?
Choose 2 answers - Answer-Vaccines ordered by doctors to be used in a
study
Medications that are in the developmental process
A new movement known as the Mental Health Reform became popular
throughout the country at the end of the 19th century.
Which initiative did this reform accomplish for health care? - Answer-It
addressed the need to improve mental health treatment.
The federal government amended the Social Security Act in 1965 to
provide Medicare and Medicaid programs.
, For which population were these programs originally designed to
provide benefits? - Answer-Elderly and poor
In 2010, President Obama signed into law the Patient Protection and
Affordable Care Act.
What was the initial intended impact of this Act? - Answer-To ensure
that uninsured individuals have access to health care
Patients presenting to the emergency department (ED) broadly fall into
one of three categories:•
emergency conditions- requires immediate attention as is potentially
harmful and/or life threatening•
urgent conditions- requires attention within a few hours with longer
delays potentially leading to greater harm to the patient•
non-urgent conditions- do not require resources of the emergency
department.
Which graph accurately depicts the proportion of care delivered in an
urban emergency department? - Answer-38% EMERGENCY
48% URGENT
14% NONURGENT
Match the service provided with the type of hospital that provides the
service.
