Exam (elaborations)
C425 OA Review WGU - 54 Questions And Answers - Graded A
C425 OA Review WGU - 54 Questions And Answers - Graded A
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C425 OA Review WGU - 54 QuestionsAnd Answers - Graded A
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. Correct 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 Correct 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
Admit a smaller number of Medicare patients than before Correct 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 Correct 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 Correct 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. Correct
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
Provide assistance
Promote independence
Adapt to change Correct 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. Correct 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. Correct 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.
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