WGU C425 OA EXAM 2024-2025 ACTUAL EXAM
TEST BANK QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (100%
VERIFIED ANSWERS)
Terms in this set (54)
Accountable care designed to help increase cooperation between
organizations are: providers across various health care settings to
focused on reducing improve Medicare patient outcomes.
medical malpractice.
designed to help increase
cooperation between
providers across various
health care settings to
improve Medicare patient
outcomes.
known for increasing
health expenditures and
sometimes reducing
quality.
designed to improve
access to care for children
and pregnant women.
,After being treated for Seek legal advice
breast cancer, a woman
was denied a follow-up
MRI scan by a Health
Maintenance Organization
(HMO). The patient
contacted the insurance
company and was again
denied on internal appeal
despite the current
physician's letter in
support of the claim.What
should be this patient's
next step?
Seek legal advice
File a second appeal
Lobby a special interest
group for assistance
Contact the American
Cancer Society for help
Designated Related Reduce the length of stay for hospitalized patients
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
, A doctor is setting up a Parameters of the diagnostic-related groups
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?
Guidelines for private
insurance
Handouts for patient-
related diagnosis
Recommendations for
patient confidentiality
Parameters of the
diagnostic-related groups
A doctor wants to help Vaccines ordered by doctors to be used in a study
patients understand which Medications that are in the developmental process
products are safe. The
doctor decides to use
information provided by
the FDA.Which two
products are regulated by
this organization?Choose
2 answers
Produce labeled as
organic
Meat processed for
human consumption
Vaccines ordered by
doctors to be used in a
study
Medications that are in the
developmental process
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