WGU C425 Healthcare Delivery Systems, Regulation, and Compliance test Questions with accurate answers, graded A+

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WGU C425 Healthcare Delivery Systems, Regulation, and Compliance test Questions with accurate answers, graded A+ A new movement known as the Mental Health Reform became popular throughout the c... ountry at the end of the 19th century. Which initiative did this reform accomplish for health care? A. It provided health insurance for mental health B. It recognized that obesity was a mental disorder C. It stated that mental health treatment was primary care D. It addressed the need to improve mental health treatment. - ✔✔-D The federal government amended the Social Security Act in 1965 to provide Medicare and Medicaid programs. For which population were these programs originally designed to provide benefits? A. Elderly and poor B. infants and elderly C. infants and mothers D. Military and dependants - ✔✔-A In 2010, President Obama signed into law the Patient Protection and Affordable Care Act. What was the initial intended impact of this Act? A. To endure that elderly will have access to health care B. To ensure that caregivers will have access to health care C. To endure that uninsured individuals have access to health care D. To endure that military personnel will have access to health care - ✔✔-C Which important change in the US healthcare system was made with the enactment of the Social Security Act? A. It ensured patients have health care and funding B. It granted veterans access to healthcare services C. It allowed states to decide if they want to pay for Medicare D. It funded payments through the federal government and the states - ✔✔-D Why is the federally sponsored health insurance program known as Medicare important in the development of delivery of care in the U.S.? A. It provides low-income citizens with benefits for prescriptions. B. It provides persons under age 65 with access to healthcare services. C. It provides underprivileged populations with coverage for medical services. D. It provides persons over age 65 with benefits for inpatient hospital services. - ✔✔-D Medicaid is a state-managed and dually funded program. States have some flexibility on which Medicaid benefits to cover as long as the state meets basic federal requirements. What does this state-run program ensure? A. Children and the elderly receive health care B. Services are not limited based on medical necessity C. Basic healthcare coverage is available to U.S. citizens over the age of 65 D. People's constitutional right to privacy is not violated in running this program - ✔✔-B Medicaid provides healthcare services to a specified population. Which statement accurately describes Medicaid regulations? A. It can be interrupted without notification. B. It is limited to visits for primary physicians. C. It is available to individuals who meet income guidelines. D. It requires that states provide prescription drug coverage. - ✔✔-C The implementation of the Affordable Care Act seeks to provide health insurance to millions of uninsured Americans. How has this Act impacted healthcare delivery? A. Medicaid has been expanded in each state. B. Universal health insurance is now available. C. Lifetime limits on coverage have been removed. D. Employers are required to offer insurance to employees. - ✔✔-C The Patient Protection and Affordable Care Act will impact the healthcare delivery system in many ways. One change was allowing states to amend their Medicaid program. Which change did the Patient Protection and Affordable Care Act program support? A. Quality B. Coverage C. Provider options D. Reimbursement - ✔✔-B A doctor is setting up a new practice and wants to receive federal reimbursement. The doctor contacts the Center for Medicare and Medicaid Services for assistance. Which kind of information is provided by this agency? A. Guidelines for private insurance B. Handouts for patient-related diagnosis C. Recommendations for patient confidentiality D. Parameters of the diagnostic-related groups - ✔✔-D A 40-year-old individual without children and a limited income is concerned about the new Affordable Healthcare Act. The individual wants to know about eligibility for healthcare services at a reduced cost. Which agency should this individual contact? A. American Medical Association B. American Hospital Association C. Department of the Inspector General D. Department of Health and Human Services - ✔✔-D A doctor wants to help patients understand which products are safe. The doctor decides to use information provided by the FDA. Which two products are regulated by this organization? (Choose 2) A. Produce labeled as organic B. Meat processed for human consumption C. Vaccines ordered by doctors to be used in a study D. Medications that are in the developmental process - ✔✔-C & D Patients presenting to the emergency department (ED) broadly fall into one of three categories: A. emergency conditions- requires immediate attention as is potentially harmful and/or life threatening B. urgent conditions- requires attention within a few hours with longer delays potentially leading to greater harm to the patient C. non-urgent conditions- do not require resources of the emergency department D. all of the above - ✔✔-D A primary care physician prescribes an antibiotic for a patient with a sinus infection. Which two elements categorize this situation as primary care? (Choose 2 answers) A. The care is provided by a generalist. B. The care is provided by a holistic doctor. C. The treatment is provided by a specialist. D. The treatment is at the initial point of patient contact. - ✔✔-C & D An institution provides healthcare services to patients who are working to restore functional abilities along with assuming activities of daily living. Which type of care entity provides these services? A. Acute care B. Critical care C. Home health care D. Rehabilitation care - ✔✔-D An employer changed insurance carriers. An employee's long-standing primary care physician is not a part of the new plan. Since this physician has been treating the employee for a chronic medical condition for the last 10 years, the employee is concerned about their healthcare costs. Which decision will provide cost-effective care for the patient? A. Going to an urgent care for any needed treatment of the chronic disease B. Using the out-of-network benefit while staying with the established physician C. Continuing to follow the previous physician's recommendations while seeking a new in-network physician D. Managing the condition independently with occasional consultation from a prior primary care physician - ✔✔-C A patient has acquired a sexually transmitted disease. The patient makes minimum wage at a part-time job and does not have health insurance. How can this patient overcome these barriers? A. Research online for a doctor B. Use telemedicine to diagnose C. Visit a state health department D. Obtain medication from a pharmacy - ✔✔-C A patient's physician suspects a mental disorder but is unsure how to properly treat the diagnosis. The mental health population still lacks research to properly care for this disorder. Which barrier is causing this to happen? A. Funding B. Licensing C. Insurance D. Ignorance - ✔✔-A A patient was in an accident and suffered multiple burns, broken bones, and extensive organ damage. Which type of care will this patient need? [Show More]

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