WGU C425 OA ACTUAL EXAM TEST
QUESTIONS & ANSWERS (A+ GRADED 100%
VERIFIED) 2025 LATEST!!
Save
Students also studied
Flashcard sets Study guides
Ambulatory Care Nursing Certificati... ATI med surg proctored exam WGU D115 Unit 3 DIS
54 terms Teacher 212 terms 19 terms
Mbugua_Sam Preview Emmanuel_Kihunyu Preview spiritford
Which of the following is true in There are more specialty physicians than primary physicians.
regards to health 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 downsizing Prospective payment system
phase in the U.S. hospital
industry during the 1980s?
Hill-Burton Act
Managed care
Prospective payment system
Medicare and Medicaid
, Designated Related Groups Reduce the length of stay for hospitalized patients
(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 utilization Gatekeeping
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 which Responsibility for delivery of services
managed care differs from
conventional insurance?
Collection of premiums
Assumption of risk
Responsibility for delivery of
services
Payments to providers
What is the purpose of Skilled It enables a facility to serve Medicare clients.
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.
See an expert-written answer!
What is the main goal of long- Promote independence
term care as it relates to a
patient's function?
Restore function
Provide assistance
Promote independence
Adapt to change