WGU C425 Healthcare Delivery Systems, Regulation, and
g g g g g g g
Compliance-Exam Questions and Answers Rated A+
g g g g g
AgnewgmovementgknowngasgthegMentalgHealthgReformgbecamegpopulargthroughoutgthegcountr
ygatgthegendgofgtheg19thgcentury.gWhichginitiativegdidgthisgreformgaccomplishgforghealthgcare?
A. Itgprovidedghealthginsurancegforgmentalghealth
B. Itgrecognizedgthatgobesitygwasgagmentalgdisorder
C. Itgstatedgthatgmentalghealthgtreatmentgwasgprimarygcare
D. Itgaddressedgthegneedgtogimprovegmentalghealthgtreatment.g✔✔D
ThegfederalggovernmentgamendedgthegSocialgSecuritygActging1965gtogprovidegMedicaregandgMe
dicaidgprograms.gForgwhichgpopulationgweregthesegprogramsgoriginallygdesignedgtogprovidegben
efits?
A. Elderlygandgpoor
B. infantsgandgelderly
C. infantsgandgmothers
D. Militarygandgdependantsg✔✔A
Ing2010,gPresidentgObamagsignedgintoglawgthegPatientgProtectiongandgAffordablegCaregAct.gWha
tgwasgtheginitialgintendedgimpactgofgthisgAct?
A. Togenduregthatgelderlygwillghavegaccessgtoghealthgcare
,B. Togensuregthatgcaregiversgwillghavegaccessgtoghealthgcare
C. Togenduregthatguninsuredgindividualsghavegaccessgtoghealthgcare
D. Togenduregthatgmilitarygpersonnelgwillghavegaccessgtoghealthgcareg✔✔C
WhichgimportantgchangegingthegUSghealthcaregsystemgwasgmadegwithgthegenactmentgofgthegS
ocialgSecuritygAct?
A. Itgensuredgpatientsghaveghealthgcaregandgfunding
B. Itggrantedgveteransgaccessgtoghealthcaregservices
C. ItgallowedgstatesgtogdecidegifgtheygwantgtogpaygforgMedicare
D. Itgfundedgpaymentsgthroughgthegfederalggovernmentgandgthegstatesg✔✔D
WhygisgthegfederallygsponsoredghealthginsurancegprogramgknowngasgMedicaregimportantgingth
egdevelopmentgofgdeliverygofgcaregingthegU.S.?
A. Itgprovidesglow-incomegcitizensgwithgbenefitsgforgprescriptions.
B. Itgprovidesgpersonsgundergageg65gwithgaccessgtoghealthcaregservices.
C. Itgprovidesgunderprivilegedgpopulationsgwithgcoveragegforgmedicalgservices.
D. Itgprovidesgpersonsgovergageg65gwithgbenefitsgforginpatientghospitalgservices.g✔✔D
,Medicaidgisgagstate-
managedgandgduallygfundedgprogram.gStatesghavegsomegflexibilitygongwhichgMedicaidgbenefitsgt
ogcovergasglonggasgthegstategmeetsgbasicgfederalgrequirements.gWhatgdoesgthisgstate-
rungprogramgensure?
A. Childrengandgthegelderlygreceiveghealthgcare
B. Servicesgaregnotglimitedgbasedgongmedicalgnecessity
C. BasicghealthcaregcoveragegisgavailablegtogU.S.gcitizensgovergthegagegofg65
D. People'sgconstitutionalgrightgtogprivacygisgnotgviolatedgingrunninggthisgprogramg✔✔B
Medicaidgprovidesghealthcaregservicesgtogagspecifiedgpopulation.gWhichgstatementgaccuratelygd
escribesgMedicaidgregulations?
A. Itgcangbeginterruptedgwithoutgnotification.
B. Itgisglimitedgtogvisitsgforgprimarygphysicians.
C. Itgisgavailablegtogindividualsgwhogmeetgincomegguidelines.
D. Itgrequiresgthatgstatesgprovidegprescriptiongdruggcoverage.g✔✔C
ThegimplementationgofgthegAffordablegCaregActgseeksgtogprovideghealthginsurancegtogmillionsgof
guninsuredgAmericans.gHowghasgthisgActgimpactedghealthcaregdelivery?
A. Medicaidghasgbeengexpandedgingeachgstate.
B. Universalghealthginsurancegisgnowgavailable.
, C. Lifetimeglimitsgongcoverageghavegbeengremoved.
D. Employersgaregrequiredgtogofferginsurancegtogemployees.g✔✔C
ThegPatientgProtectiongandgAffordablegCaregActgwillgimpactgtheghealthcaregdeliverygsystemgin
gmanygways.gOnegchangegwasgallowinggstatesgtogamendgtheirgMedicaidgprogram.gWhichgchan
gegdidgthegPatientgProtectiongandgAffordablegCaregActgprogramgsupport?
A. Quality
B. Coverage
C. Providergoptions
D. Reimbursementg ✔✔B
Agdoctorgisgsettinggupgagnewgpracticegandgwantsgtogreceivegfederalgreimbursement.gThegdoctorg
contactsgthegCentergforgMedicaregandgMedicaidgServicesgforgassistance.gWhichgkindgofginforma
tiongisgprovidedgbygthisgagency?
A. Guidelinesgforgprivateginsurance
B. Handoutsgforgpatient-relatedgdiagnosis
C. Recommendationsgforgpatientgconfidentiality
D. Parametersgofgthegdiagnostic-relatedggroupsg✔✔D
g g g g g g g
Compliance-Exam Questions and Answers Rated A+
g g g g g
AgnewgmovementgknowngasgthegMentalgHealthgReformgbecamegpopulargthroughoutgthegcountr
ygatgthegendgofgtheg19thgcentury.gWhichginitiativegdidgthisgreformgaccomplishgforghealthgcare?
A. Itgprovidedghealthginsurancegforgmentalghealth
B. Itgrecognizedgthatgobesitygwasgagmentalgdisorder
C. Itgstatedgthatgmentalghealthgtreatmentgwasgprimarygcare
D. Itgaddressedgthegneedgtogimprovegmentalghealthgtreatment.g✔✔D
ThegfederalggovernmentgamendedgthegSocialgSecuritygActging1965gtogprovidegMedicaregandgMe
dicaidgprograms.gForgwhichgpopulationgweregthesegprogramsgoriginallygdesignedgtogprovidegben
efits?
A. Elderlygandgpoor
B. infantsgandgelderly
C. infantsgandgmothers
D. Militarygandgdependantsg✔✔A
Ing2010,gPresidentgObamagsignedgintoglawgthegPatientgProtectiongandgAffordablegCaregAct.gWha
tgwasgtheginitialgintendedgimpactgofgthisgAct?
A. Togenduregthatgelderlygwillghavegaccessgtoghealthgcare
,B. Togensuregthatgcaregiversgwillghavegaccessgtoghealthgcare
C. Togenduregthatguninsuredgindividualsghavegaccessgtoghealthgcare
D. Togenduregthatgmilitarygpersonnelgwillghavegaccessgtoghealthgcareg✔✔C
WhichgimportantgchangegingthegUSghealthcaregsystemgwasgmadegwithgthegenactmentgofgthegS
ocialgSecuritygAct?
A. Itgensuredgpatientsghaveghealthgcaregandgfunding
B. Itggrantedgveteransgaccessgtoghealthcaregservices
C. ItgallowedgstatesgtogdecidegifgtheygwantgtogpaygforgMedicare
D. Itgfundedgpaymentsgthroughgthegfederalggovernmentgandgthegstatesg✔✔D
WhygisgthegfederallygsponsoredghealthginsurancegprogramgknowngasgMedicaregimportantgingth
egdevelopmentgofgdeliverygofgcaregingthegU.S.?
A. Itgprovidesglow-incomegcitizensgwithgbenefitsgforgprescriptions.
B. Itgprovidesgpersonsgundergageg65gwithgaccessgtoghealthcaregservices.
C. Itgprovidesgunderprivilegedgpopulationsgwithgcoveragegforgmedicalgservices.
D. Itgprovidesgpersonsgovergageg65gwithgbenefitsgforginpatientghospitalgservices.g✔✔D
,Medicaidgisgagstate-
managedgandgduallygfundedgprogram.gStatesghavegsomegflexibilitygongwhichgMedicaidgbenefitsgt
ogcovergasglonggasgthegstategmeetsgbasicgfederalgrequirements.gWhatgdoesgthisgstate-
rungprogramgensure?
A. Childrengandgthegelderlygreceiveghealthgcare
B. Servicesgaregnotglimitedgbasedgongmedicalgnecessity
C. BasicghealthcaregcoveragegisgavailablegtogU.S.gcitizensgovergthegagegofg65
D. People'sgconstitutionalgrightgtogprivacygisgnotgviolatedgingrunninggthisgprogramg✔✔B
Medicaidgprovidesghealthcaregservicesgtogagspecifiedgpopulation.gWhichgstatementgaccuratelygd
escribesgMedicaidgregulations?
A. Itgcangbeginterruptedgwithoutgnotification.
B. Itgisglimitedgtogvisitsgforgprimarygphysicians.
C. Itgisgavailablegtogindividualsgwhogmeetgincomegguidelines.
D. Itgrequiresgthatgstatesgprovidegprescriptiongdruggcoverage.g✔✔C
ThegimplementationgofgthegAffordablegCaregActgseeksgtogprovideghealthginsurancegtogmillionsgof
guninsuredgAmericans.gHowghasgthisgActgimpactedghealthcaregdelivery?
A. Medicaidghasgbeengexpandedgingeachgstate.
B. Universalghealthginsurancegisgnowgavailable.
, C. Lifetimeglimitsgongcoverageghavegbeengremoved.
D. Employersgaregrequiredgtogofferginsurancegtogemployees.g✔✔C
ThegPatientgProtectiongandgAffordablegCaregActgwillgimpactgtheghealthcaregdeliverygsystemgin
gmanygways.gOnegchangegwasgallowinggstatesgtogamendgtheirgMedicaidgprogram.gWhichgchan
gegdidgthegPatientgProtectiongandgAffordablegCaregActgprogramgsupport?
A. Quality
B. Coverage
C. Providergoptions
D. Reimbursementg ✔✔B
Agdoctorgisgsettinggupgagnewgpracticegandgwantsgtogreceivegfederalgreimbursement.gThegdoctorg
contactsgthegCentergforgMedicaregandgMedicaidgServicesgforgassistance.gWhichgkindgofginforma
tiongisgprovidedgbygthisgagency?
A. Guidelinesgforgprivateginsurance
B. Handoutsgforgpatient-relatedgdiagnosis
C. Recommendationsgforgpatientgconfidentiality
D. Parametersgofgthegdiagnostic-relatedggroupsg✔✔D
