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(WGU C425) HCM 2110 Healthcare Delivery Systems, Regulation, Compliance - FA Review $14.49   Add to cart

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(WGU C425) HCM 2110 Healthcare Delivery Systems, Regulation, Compliance - FA Review

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(WGU C425) HCM 2110 Healthcare Delivery Systems, Regulation, Compliance - FA Review (WGU C425) HCM 2110 Healthcare Delivery Systems, Regulation, Compliance - FA Review (WGU C425) HCM 2110 Healthcare Delivery Systems, Regulation, Compliance - FA Review

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  • September 9, 2024
  • 32
  • 2024/2025
  • Exam (elaborations)
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C425 HCM 2110



Healthcare Delivery Systems,
Regulation, Compliance




FA REVIEW 1




© 2024/2025

,1. Multiple Choice: What is the primary purpose of the Health
Insurance Portability and Accountability Act (HIPAA)?
a) To ensure that patient health information is confidential and
secure
b) To provide free healthcare to all citizens
c) To regulate the prices of pharmaceutical drugs
d) To establish a national health insurance program
Correct Answer: a) To ensure that patient health information is
confidential and secure
Rationale: HIPAA was enacted to protect sensitive patient health
information from being disclosed without the patient's consent or
knowledge.


2. Fill-in-the-Blank: The ________ model is a healthcare delivery
system that integrates the delivery of healthcare services to improve
quality, reduce costs, and enhance patient satisfaction.
Correct Answer: Accountable Care Organization (ACO)
Rationale: The ACO model focuses on coordinated care and
healthcare provider partnerships to achieve better health outcomes.


3. True/False: The Affordable Care Act (ACA) was established to
expand access to insurance, increase consumer protections,
© 2024/2025

,emphasize prevention and wellness, and promote evidence-based
treatment.
Correct Answer: True
Rationale: The ACA, also known as Obamacare, includes
provisions that expand coverage, control healthcare costs, and
improve the healthcare delivery system.


4. Multiple Response: Which of the following are components of
the Triple Aim in healthcare?
a) Improved patient experience
b) Lowered healthcare costs
c) Increased provider workload
d) Better health outcomes
Correct Answers: a) Improved patient experience, b) Lowered
healthcare costs, d) Better health outcomes
Rationale: The Triple Aim focuses on enhancing the patient
experience, improving population health, and reducing costs.


5. Multiple Choice: Which regulatory body is responsible for the
oversight of Medicare and Medicaid programs?
a) The Department of Health and Human Services (HHS)
b) The Centers for Disease Control and Prevention (CDC)
c) The Centers for Medicare & Medicaid Services (CMS)
© 2024/2025

, d) The Food and Drug Administration (FDA)
Correct Answer: c) The Centers for Medicare & Medicaid
Services (CMS)
Rationale: CMS is the federal agency that administers the nation's
major healthcare programs including Medicare and Medicaid.


6. Fill-in-the-Blank: The process of systematically reviewing
healthcare services to determine the necessity, appropriateness, and
efficiency is known as ________.
Correct Answer: Utilization Review (UR)
Rationale: Utilization Review ensures that healthcare services
provided to patients are necessary and meet standards of quality.


7. True/False: The Emergency Medical Treatment and Active
Labor Act (EMTALA) requires hospitals to provide care to anyone
needing emergency healthcare treatment regardless of citizenship,
legal status, or ability to pay.
Correct Answer: True
Rationale: EMTALA aims to ensure public access to emergency
services regardless of ability to pay.


8. Multiple Response: Select all that apply. Which of the following
are key principles of healthcare ethics?
a) Autonomy
© 2024/2025

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