C425 wgu 2022 - Study guides, Class notes & Summaries
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WGU c425 test BUNDLE
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WGU c425 test BUNDLE
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WGU C425 Healthcare Delivery Systems, Regulations, and Compliance
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WGU C425 Healthcare Delivery Systems, Regulations, and Compliance
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C425 Healthcare Delivery, Regulation, and Compliance (WGU) Exam 2022 with complete solution
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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...
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WGU C425 OA Review Questions and Answers 2022/2023 with complete solution
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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 ...
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C425 WGU question & answers 2022
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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 ...
And that's how you make extra money
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WGU C425 - Healthcare Delivery Systems, Regulations, and Compliance Exam 2022 with complete solution
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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...
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WGU C425 Healthcare Delivery Systems, Regulations, and Compliance correctly answered 2022
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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...
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WGU C425 Chapter 1 - Chapter 5 questions correctly answered 2022
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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...
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WGU C425 Chapter 6 - Chapter 8 questions and answers 2022
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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...
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WGU -C425 Healthcare Delivery Systems, Regulations, and Compliance Practice Quiz #4 2022
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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...
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