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WGU C425 OA EXAM ACTUAL EXAM TEST BANK QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (100% VERIFIED ANSWERS) $9.99   Add to cart

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WGU C425 OA EXAM ACTUAL EXAM TEST BANK QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (100% VERIFIED ANSWERS)

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WGU C425 OA EXAM ACTUAL EXAM TEST BANK QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (100% VERIFIED ANSWERS) Which of the following is true in regards to health care today in the United States? There are more primary care physicians than specialty physicians. Primary care receives a ...

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  • September 18, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • 2024/2025
  • 2024/2025
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EmillyCharlotte
TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
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COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024

WGU C425 OA EXAM 2024-2025 ACTUAL EXAM TEST BANK
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (100% VERIFIED ANSWERS)


Which of the following is true in 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. - Answer✔️✔️-There are more specialty physicians

than primary physicians.

What triggered the downsizing phase in the U.S. hospital industry during the 1980s?

Hill-Burton Act

Managed care

Prospective payment system

Medicare and Medicaid - Answer✔️✔️-Prospective payment system

Designated Related 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

,TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024

Admit a smaller number of Medicare patients than before - Answer✔️✔️-Reduce the

length of stay for hospitalized patients

In which type of utilization management is a primary care physician's opinion necessary

in referring or not referring a patient to a specialist?

Concurrent

Retrospective

Gatekeeping

Precertification - Answer✔️✔️-Gatekeeping

What is one aspect in which managed care differs from conventional insurance?

Collection of premiums

Assumption of risk

Responsibility for delivery of services

Payments to providers - Answer✔️✔️-Responsibility for delivery of services

What is the purpose of 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. - Answer✔️✔️-It enables

a facility to serve Medicare clients.

What is the main goal of long-term care as it relates to a patient's function?

Restore function

, TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024
Provide assistance

Promote independence

Adapt to change - Answer✔️✔️-Promote independence

The U.S. government plays a limited role in the health delivery system. The

government's role in the arena of health care delivery consists of:

developing private hospital organizations.

regulating public and private programs at the local levels.

being the responsible party for health care delivery through Medicare and Medicaid

programs.

aiding in competition among managed care organizations. - Answer✔️✔️-being the

responsible party for health care delivery through Medicare and Medicaid programs.

The ideology system that emphasizes the well-being of the community over an

individual is called the:

social justice system.

market justice system.

money market system.

universal health care system. - Answer✔️✔️-social justice system.

Which of the following are characteristics of the medical care determinants of health?

Health care factors include access to technology but do not include access to

alternative therapies.

Mental health services are excluded from the WHO's primary health care framework.

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