5/13/25, 10:52 AM WGU C425 OA ACTUAL EXAM TEST QUESTIONS & ANSWERS (A+ GRADED 100% VERIFIED) 2025 LATEST!! Flashcard…
WGU C425 OA ACTUAL EXAM TEST QUESTIONS
& ANSWERS (A+ GRADED 100% VERIFIED) 2025
LATEST!!
Save
Terms in this set (54)
Which of the following is There are more specialty physicians than primary
true in regards to health physicians.
care today in the United
States?
There are more primary
care physicians than
specialty physicians.
Primary care receives a
higher reimbursement in
professional fees.
There are more specialty
physicians than primary
physicians.
Outpatient care is slowly
decreasing.
What triggered the Prospective payment system
downsizing phase in the
U.S. hospital industry
during the 1980s?
Hill-Burton Act
Managed care
Prospective payment
system
Medicare and Medicaid
https://quizlet.com/1043348879/wgu-c425-oa-actual-exam-test-questions-answers-a-graded-100-verified-2025-latest-flash-cards/?new 1/26
,5/13/25, 10:52 AM WGU C425 OA ACTUAL EXAM TEST QUESTIONS & ANSWERS (A+ GRADED 100% VERIFIED) 2025 LATEST!! Flashcard…
Designated Related Reduce the length of stay for hospitalized patients
Groups (DRG) -based
reimbursement
necessitated hospitals to
do what?
Admit new patients at a
faster rate than before
Admit a greater number
of Medicare patients than
before
Reduce the length of stay
for hospitalized patients
Admit a smaller number
of Medicare patients than
before
In which type of Gatekeeping
utilization management is
a primary care physician's
opinion necessary in
referring or not referring
a patient to a specialist?
Concurrent
Retrospective
Gatekeeping
Precertification
What is one aspect in Responsibility for delivery of services
which managed care
differs from conventional
insurance?
Collection of premiums
Assumption of risk
Responsibility for delivery
of services
Payments to providers
https://quizlet.com/1043348879/wgu-c425-oa-actual-exam-test-questions-answers-a-graded-100-verified-2025-latest-flash-cards/?new 2/26
, 5/13/25, 10:52 AM WGU C425 OA ACTUAL EXAM TEST QUESTIONS & ANSWERS (A+ GRADED 100% VERIFIED) 2025 LATEST!! Flashcard…
What is the purpose of It enables a facility to serve Medicare clients.
Skilled Nursing Facilities
(SNF) certification?
It enables a facility to be
operated as a skilled
nursing facility.
It is required to legally
operate a nursing home.
It enables a facility to
serve Medicare clients.
It enables a facility to
serve both Medicare and
Medicaid clients.
What is the main goal of Promote independence
long-term care as it
relates to a patient's
function?
Restore function
Provide assistance
Promote independence
Adapt to change
https://quizlet.com/1043348879/wgu-c425-oa-actual-exam-test-questions-answers-a-graded-100-verified-2025-latest-flash-cards/?new 3/26
WGU C425 OA ACTUAL EXAM TEST QUESTIONS
& ANSWERS (A+ GRADED 100% VERIFIED) 2025
LATEST!!
Save
Terms in this set (54)
Which of the following is There are more specialty physicians than primary
true in regards to health physicians.
care today in the United
States?
There are more primary
care physicians than
specialty physicians.
Primary care receives a
higher reimbursement in
professional fees.
There are more specialty
physicians than primary
physicians.
Outpatient care is slowly
decreasing.
What triggered the Prospective payment system
downsizing phase in the
U.S. hospital industry
during the 1980s?
Hill-Burton Act
Managed care
Prospective payment
system
Medicare and Medicaid
https://quizlet.com/1043348879/wgu-c425-oa-actual-exam-test-questions-answers-a-graded-100-verified-2025-latest-flash-cards/?new 1/26
,5/13/25, 10:52 AM WGU C425 OA ACTUAL EXAM TEST QUESTIONS & ANSWERS (A+ GRADED 100% VERIFIED) 2025 LATEST!! Flashcard…
Designated Related Reduce the length of stay for hospitalized patients
Groups (DRG) -based
reimbursement
necessitated hospitals to
do what?
Admit new patients at a
faster rate than before
Admit a greater number
of Medicare patients than
before
Reduce the length of stay
for hospitalized patients
Admit a smaller number
of Medicare patients than
before
In which type of Gatekeeping
utilization management is
a primary care physician's
opinion necessary in
referring or not referring
a patient to a specialist?
Concurrent
Retrospective
Gatekeeping
Precertification
What is one aspect in Responsibility for delivery of services
which managed care
differs from conventional
insurance?
Collection of premiums
Assumption of risk
Responsibility for delivery
of services
Payments to providers
https://quizlet.com/1043348879/wgu-c425-oa-actual-exam-test-questions-answers-a-graded-100-verified-2025-latest-flash-cards/?new 2/26
, 5/13/25, 10:52 AM WGU C425 OA ACTUAL EXAM TEST QUESTIONS & ANSWERS (A+ GRADED 100% VERIFIED) 2025 LATEST!! Flashcard…
What is the purpose of It enables a facility to serve Medicare clients.
Skilled Nursing Facilities
(SNF) certification?
It enables a facility to be
operated as a skilled
nursing facility.
It is required to legally
operate a nursing home.
It enables a facility to
serve Medicare clients.
It enables a facility to
serve both Medicare and
Medicaid clients.
What is the main goal of Promote independence
long-term care as it
relates to a patient's
function?
Restore function
Provide assistance
Promote independence
Adapt to change
https://quizlet.com/1043348879/wgu-c425-oa-actual-exam-test-questions-answers-a-graded-100-verified-2025-latest-flash-cards/?new 3/26
