C425 wgu 2022 Study guides, Class notes & Summaries

C425 Healthcare Delivery, Regulation, and Compliance (WGU) Exam 2022 with complete solution Capitation A covers all services an enrollee may need during an entire year Market Justice most equitably distributed through the market forces of supply and demand, rather than government interventions. Distributed on the basis of willingness and ability to pay Social Justice An ideal that embraces all aspects of civilized life and that is linked to fundamental notions of fairness and to cultural...

WGU C425 OA Review Questions and Answers 2022/2023 with complete solution 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. There are more specialty physicians than primary physicians. What triggered the downsizing phase in ...

C425 WGU question & answers 2022Outpatient care health services that don't require an overnight stay Private Practice Limited examination and testing Self-employment = more independence, short duration, Hospital outpatient clinics Function as the community's safety net, providing primary care to the medically indigent and uninsured populations walk in clinics range from basic primary care to urgent care, they are convenient retail clinics can be found ...

WGU C425 - Healthcare Delivery Systems, Regulations, and Compliance Exam 2022 with complete solution This kind of medicine treats the whole person. (Physical, Mental, Spiritual) Holistic Relatively severe, episodic (short duration) and often treatable Acute Less severe, but long and continuous. Can be controlled but can lead to serious complications Chronic The market tells us what type of healthcare we need. If a service is not being used, there will not be a lot of that particular ser...

WGU C425 Healthcare Delivery Systems, Regulations, and Compliance correctly answered 2022Supply-side rationing is used by universal healthcare, HMO's and ACO's to cut down on Decrease provider communication An ACO (Accountable Care Organization) earns additional money by: 1 Getting a share of money it saves Medicare 2 Producing better patient results All Americans have the right to __________under the Affordable Healthcare Act. Purchase Care The U.S. Healthcare...

WGU C425 Chapter 1 - Chapter 5 questions correctly answered 2022In a national health insurance system, healthcare is financed through Tax dollars in which the government guarantees health care services to all citizens The U.S. health care system is based on the Market justice principle Which of the following subsystems of healthcare delivery in the US is most "socialized"? VA What can the US learn most from other countries in healthcare delivery? Improve access to ca...

WGU C425 Chapter 6 - Chapter 8 questions and answers 2022Who finances a health reimbursement arrangement (HRA)? Employers Medicare Part A is primarily financed through which of the following? Payroll deductions What is referred to as the amount that the insured has to pay out of pocket each time health services are received? Copayment Who assumes the bulk of the risk in managed care plans? MCO What does Medicare part A pay for? Hospitalization, short term skilled...

WGU C425 Healthcare Delivery Systems, Regulations, and Compliance Practice Quiz #4 A patient that stays overnight is an_____, a patient that receives care but does not stay overnight is an _______. Inpatient, Outpatient Adjusting the utilization of care while active treating the patient is what type of review? Concurrent Utilization This organization leads the effort to improve the quality of healthcare, reduce costs and provide resources for biomedical research and testing. AHRQ Orga...