WGU C425 / WGU C425 HEALTHCARE DELIVERY
REGULATION AND CPMPLIANCE OA EXAM PREP
COMPLETE ACTUAL EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS WITH RATIONALES (MOST TEST
QUESTIONS) A NEW UPDATED VERSION 2024|
GUARANTEED PASS A+
Which important change in the U.S. healthcare system was made with the
enactment of the Social Security Act? - ANSWER: It funded payments through the
federal government and the states.
Why is the federally sponsored health insurance program known as Medicare
important in the development of delivery of care in the U.S.? - ANSWER: It provides
persons over age 65 with benefits for inpatient hospital services.
Medicaid is a state-managed and dually funded program. States have some flexibility
on which Medicaid benefits to cover as long as the state meets basic federal
requirements.
What does this state-run program ensure? - ANSWER: Services are not limited based
on medical necessity
Medicaid provides healthcare services to a specified population.
Which statement accurately describes Medicaid regulations? - ANSWER: It is
available to individuals who meet income guidelines.
The implementation of the Affordable Care Act seeks to provide health insurance to
millions of uninsured Americans.
How has this Act impacted healthcare delivery? - ANSWER: Lifetime limits on
coverage have been removed.
The Patient Protection and Affordable Care Act will impact the healthcare delivery
system in many ways. One change was allowing states to amend their Medicaid
program.
Which change did the Patient Protection and Affordable Care Act program support? -
ANSWER: Coverage
A doctor is setting up a new practice and wants to receive federal reimbursement.
The doctor contacts the Center for Medicare and Medicaid Services for assistance.
, Which kind of information is provided by this agency? - ANSWER: Parameters of the
diagnostic-related groups
A 40-year-old individual without children and a limited income is concerned about
the new Affordable Healthcare Act. The individual wants to know about eligibility for
healthcare services at a reduced cost.
Which agency should this individual contact? - ANSWER: Department of Health and
Human Services
A doctor wants to help patients understand which products are safe. The doctor
decides to use information provided by the FDA.
Which two products are regulated by this organization?
Choose 2 answers - ANSWER: Vaccines ordered by doctors to be used in a study
Medications that are in the developmental process
A new movement known as the Mental Health Reform became popular throughout
the country at the end of the 19th century.
Which initiative did this reform accomplish for health care? - ANSWER: It addressed
the need to improve mental health treatment.
The federal government amended the Social Security Act in 1965 to provide
Medicare and Medicaid programs.
For which population were these programs originally designed to provide benefits? -
ANSWER: Elderly and poor
In 2010, President Obama signed into law the Patient Protection and Affordable Care
Act.
What was the initial intended impact of this Act? - ANSWER: To ensure that
uninsured individuals have access to health care
Patients presenting to the emergency department (ED) broadly fall into one of three
categories:•
emergency conditions- requires immediate attention as is potentially harmful and/or
life threatening•
urgent conditions- requires attention within a few hours with longer delays
potentially leading to greater harm to the patient•
non-urgent conditions- do not require resources of the emergency department.
Which graph accurately depicts the proportion of care delivered in an urban
emergency department? - ANSWER: 38% EMERGENCY
48% URGENT
14% NONURGENT
REGULATION AND CPMPLIANCE OA EXAM PREP
COMPLETE ACTUAL EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS WITH RATIONALES (MOST TEST
QUESTIONS) A NEW UPDATED VERSION 2024|
GUARANTEED PASS A+
Which important change in the U.S. healthcare system was made with the
enactment of the Social Security Act? - ANSWER: It funded payments through the
federal government and the states.
Why is the federally sponsored health insurance program known as Medicare
important in the development of delivery of care in the U.S.? - ANSWER: It provides
persons over age 65 with benefits for inpatient hospital services.
Medicaid is a state-managed and dually funded program. States have some flexibility
on which Medicaid benefits to cover as long as the state meets basic federal
requirements.
What does this state-run program ensure? - ANSWER: Services are not limited based
on medical necessity
Medicaid provides healthcare services to a specified population.
Which statement accurately describes Medicaid regulations? - ANSWER: It is
available to individuals who meet income guidelines.
The implementation of the Affordable Care Act seeks to provide health insurance to
millions of uninsured Americans.
How has this Act impacted healthcare delivery? - ANSWER: Lifetime limits on
coverage have been removed.
The Patient Protection and Affordable Care Act will impact the healthcare delivery
system in many ways. One change was allowing states to amend their Medicaid
program.
Which change did the Patient Protection and Affordable Care Act program support? -
ANSWER: Coverage
A doctor is setting up a new practice and wants to receive federal reimbursement.
The doctor contacts the Center for Medicare and Medicaid Services for assistance.
, Which kind of information is provided by this agency? - ANSWER: Parameters of the
diagnostic-related groups
A 40-year-old individual without children and a limited income is concerned about
the new Affordable Healthcare Act. The individual wants to know about eligibility for
healthcare services at a reduced cost.
Which agency should this individual contact? - ANSWER: Department of Health and
Human Services
A doctor wants to help patients understand which products are safe. The doctor
decides to use information provided by the FDA.
Which two products are regulated by this organization?
Choose 2 answers - ANSWER: Vaccines ordered by doctors to be used in a study
Medications that are in the developmental process
A new movement known as the Mental Health Reform became popular throughout
the country at the end of the 19th century.
Which initiative did this reform accomplish for health care? - ANSWER: It addressed
the need to improve mental health treatment.
The federal government amended the Social Security Act in 1965 to provide
Medicare and Medicaid programs.
For which population were these programs originally designed to provide benefits? -
ANSWER: Elderly and poor
In 2010, President Obama signed into law the Patient Protection and Affordable Care
Act.
What was the initial intended impact of this Act? - ANSWER: To ensure that
uninsured individuals have access to health care
Patients presenting to the emergency department (ED) broadly fall into one of three
categories:•
emergency conditions- requires immediate attention as is potentially harmful and/or
life threatening•
urgent conditions- requires attention within a few hours with longer delays
potentially leading to greater harm to the patient•
non-urgent conditions- do not require resources of the emergency department.
Which graph accurately depicts the proportion of care delivered in an urban
emergency department? - ANSWER: 38% EMERGENCY
48% URGENT
14% NONURGENT
