WGU C425 Flashcards, top exam Questions with accurate answers, graded A+

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WGU C425 Flashcards, top exam Questions with accurate answers, graded A+ Supply-side rationing is used by universal healthcare, HMO's and ACO's to cut down on all of these except: A) Duplicati ... on of Effort B) Access to specialists C) Decrease provider communication D) Cost - ✔✔-C An ACO (Accountable Care Organization) earns additional money by: A) Setting a flexible fee schedule B) Getting a share of money it saves Medicare C) Producing better patient results D) Both C & B - ✔✔-D All Americans have the right to __________under the Affordable Healthcare Act. A) Basic Care B) Purchase Care C) Low Cost Medications D) None of the Above - ✔✔-B The U.S. Healthcare System is faced with a serious shortage of A) Specialists B) Primary Care Physicians C) Out Patient Surgical Centers D) All of the Above - ✔✔-B Which is not a type of universal care utilized in Europe? A) National Health System B) National HMO C) National Health Insurance D) Socialized Health Insurance System - ✔✔-B What is not a reason for physician resistance to Evidence Based Practices? A) Too simple B) Too Complex C) Bias D) Not cost effective - ✔✔-D Racial and cultural sensitivity is important to healthcare recruitment due to: A) Affirmative action plans B) Population shifting to non-white majority C) The number of people entering the country of treatment D) None of the Above - ✔✔-B The IHR (International Health Regulations) is a binding legal agreement to: A) Respect international borders B) Prevent and respond to acute international health risks C) Population Control D) All the Above - ✔✔-B Cost control requires all but A) Supply-Side Rationing B) Limit Reimbursement to Providers C) Greater Access to Specialist D) Management of Utilization - ✔✔-C Holistic Medicine strives to A) Lower Health Cost B) Treat the whole Person C) Use alternative medicine D) None of the above - ✔✔-B What kind of Disease Classification is defined by a severe, short duration episodes though typically treatable: A) Acute B) Sub-Acute C) Chronic D) All the above - ✔✔-A What is not one of the determinates of a population or personal health: A) Genetics B) Medical Practice C) Political Affiliation D) Individual Behaviors - ✔✔-C What organization is responsible for the safety of medical devices and medications? A) FEMA B) OSHA C) CDC D) FDA - ✔✔-D Market Justice holds that people are best served if the: A) Services are prepaid B) Services are Single payer based C) Patient Demand is primary D) Health Need is Primary - ✔✔-C Inpatient care continues to decline because of all these reasons except: A) Outpatient Competition B) Expensive inpatient care C) Doctors wishes D) New less invasive procedures - ✔✔-C Primary care includes all but: A) Diagnostics B) Counseling C) Inpatient Care D) Minor Surgery - ✔✔-C Which one is not true, Tertiary care is: A) Highly technical B) Interdisciplinary C) Not in teaching hospitals D) None of the Above - ✔✔-D In the future Primary Care should be: A) The usual Route of entry B) Provide integrated health services C) Partnering with patients and the community D) All the Above - ✔✔-D What is not a product of increased preventative care: A) Lower costs B) Longer Life Expectancies C) Better technology D) All the above - ✔✔-C To deter patients from utilizing Health Tourism the United States should: A) Not allow non-U.S. residents to train her in U.S. B) Cut costs and continue to lead in quality C) Not sell medical equipment oversees D) Do not publish medical findings - ✔✔-B The Role of Gate Keeper is typically assigned to: A) Primary Care Physicians B) Regulatory Agencies C) Specialists D) Surgeons - ✔✔-A Countries with health systems oriented toward primary care: A) Achieve better health levels B) Higher satisfaction with health services C) Lower expenditures in the delivery of health D) All the Above - ✔✔-D Gene therapy is on the rise, in the future we can expect: A) Greater treatment options B) Less treatment options C) Higher deductibles D) None of the above - ✔✔-A Rural healthcare is far less than that of urban centers and it dramatically limits the life expectancy in those areas. The lack of physicians per capita leads to: A) Shorter wait times B) Lower deductibles C) Better coordination of Care D) Worse Coordination of care - ✔✔-D The first insurance in the U.S. was: A) Blue Cross B) Medicare C) Workman's Comp D) Medicaid - ✔✔-C Telemedicine allows for greater sharing of needed information by: A) Allowing experts to give opinions from far away B) Cutting costs in on duty personnel C) Decreasing on call times D) All the above - ✔✔-D Which organization was instrumental in beginning the Blue Cross Network: A) Centers of Disease Control (CDC) B) The Joint Commission/JCAHO (TJC) C) American Hospital Association (AHA) D) None of the Above - ✔✔-C Medicare part A covers? A) Physician Fees B) Hospital Fees C) Both A&B D) None of the above - ✔✔-B Medicare Covers those who are ________, and those who are __________? A) Impoverished, Disabled B) Disabled, 65 and Over C) 65 and over, Impoverished D) All the Above - ✔✔-B What type of Billing Fraud is being used when the organization falsely reports the illness or injury as being more serious than it is? A) Price Fixing B) Conflict of interest C) Up-coding D) All the above - ✔✔-C A patient that stays overnight is an_____________, a patient that receives care but does not stay overnight is an ________________. A) Impatient, Dependent B) Outpatient, Dependent C) Inpatient, Outpatient D) None of the Above - ✔✔-C Adjusting the utilization of care while active treating the patient is what type of review? A) Prospective Utilization B) Concurrent Utilization C) Both A&B D) None of the Above - ✔✔-B This organization leads the effort to improve the quality of healthcare, reduce costs and provide resourced for biomedical research and testing. A) WHO B) FDA C) AHRQ D) CDC - ✔✔-C Organizational integration gave rise to which of the following: A) Medical Systems B) Physician/Hospital Partnerships C) Integrated Delivery System D) All the Above - ✔✔-D MCOs are accredited by the: A) National Committee for Quality Assurance (NCQA). B) Centers for Disease Control (CDC) C) Department of Health and Human Resources (DHHS) D) None of the Above - ✔✔-A Which is not a Utilization Review A) Prospective Utilization Review B) Concurrent Utilization Review C) Retrospective Utilization Review D) CMS Utilization Review - ✔✔-D HMO use _________ and PPO offer ___________. A) Discounts, Capitation B) Capitation, Discounts C) Vouchers, Installments D) Installments, Vouchers - ✔✔-B Vulnerability is not determined by a convergence of: A) Predisposing B) Enabling C) Need D) Socio-Economics - ✔✔-D Cost containment can be achieved by A) Price Controls B) Competitive Approaches C) Health Planning D) All of the Above - ✔✔-D Critical Pathways are used to plan: A) Medical interventions in a set time-line B) IV access points C) Care Access D) None of the Above - ✔✔-A If Medicare expenditures totaled $523 billion in 2010; the program's income amounted to $486 billion in the same year what does this mean? A) Medicare is producing strong profits B) Medicare is saving Billions in cost savings C) Medicare has a financing shortfall D) Medicare is Bankrupt - ✔✔-C Which is not a future concern for healthcare? A) Inadequate wellness programs B) Primary Care Services C) Too few physician specialist D) Healthcare tourism - ✔ [Show More]

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