WGU D052 Navigating Care Across the Continuum | 270 Questions and Correct Solutions 2025

Social Security Act governs what governs funding and requirements for Medicare, Medicaid, CHIP, and more. HIPAA and the HITECH Act protect what? protect patient privacy, requiring healthcare organizations to implement measures to keep patient records secure. The False Claims Act makes it illegal to file a false claim for funds from a federal program. The Patient Protection and Affordable Care Act implemented what? implemented new requirements for insurance, Medicaid, and more. The Drug Enforcement Administration and the Food and Drug Administration regulate what? regulate the creation and distribution of medication. The Department of Health and Human Services and the Office of the Inspector General help protect against what?. Fraud True or False. Medicare and Medicaid regulations occur at both state and federal levels. True Occupational Safety and Health Administration and the Equal Employment Opportunity Commission oversee What?? regulations. Workplace regulations KNOW your shared decision and patient centered models !! FOr this class (from FB page) Mike ArmstrongAdvocate for patient safety after having a blood test mis-read that showed he had leukemia. Donated over 15 million dollars to John Hopkins to develop programs for patient safety and diagnostic excellence. Common reason for data breaches of PHI criminal attacks (cyber attacks) HIPAA security rule covers what PHI (electronic format) of medical records When considering the regulatory requirements for healthcare, which agencies primarily oversee the use of medication? FDA and DEA Medicare and Medicaid focus on specific groups of people. Individuals over the age of 65 and disabled individuals are the current focus of what? Medicare Medicare = Federal coverage for people over 65, certain people under 65 with disabilities and people of any age with end stage renal disease Medicaid = Cooperative federal and state healthcare coverage for low-income adults, pregnant women, and children Medicare part Part A Part B Part C Part D Part A-Hospital Insurance Part B-Medical Insurance Part C- Medicare Advantage (HMO includes A&B) Part D- Prescription Drug Qualified Medicare Beneficiary (QMB) Program: Helps pay premiums, deductibles, coinsurance, and copayments for Part A, Part B, or both programs Specified Low-Income Medicare Beneficiary (SLMB) Program: Helps pay Part B premiumsQualifying Individual (QI) Program: Helps pay Part B premiums Qualified Disabled Working Individual (QDWI) Program: Pays the Part A premium for certain disabled and working beneficiaries who have disabilities Medicar