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WGU C425 OA ACTUAL EXAM TEST QUESTIONS & ANSWERS (A+ GRADED 100- VERIFIED) 2025

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WGU C425 OA ACTUAL EXAM TEST QUESTIONS & ANSWERS (A+ GRADED 100- VERIFIED) 2025WGU C425 OA ACTUAL EXAM TEST QUESTIONS & ANSWERS (A+ GRADED 100- VERIFIED) 2025

Institution
WGU C425 OA
Course
WGU C425 OA

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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

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Institution
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WGU C425 OA

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