WGU D052 Pre-Assessment Questions and Answers Already Passed

WGU D052 Pre-Assessment Questions and Answers Already Passed A billing manager and healthcare coordinator are discussing how money paid to the hospital for services delivered to Medicare and Medicaid patients is tied to penalties and incentives for achieving quality measures. Which Medicaid model is the billing manager referencing? Value-based reimbursement A hospital has a committee that monitors that treatment of sepsis patients, consistent with regulations from the Centers of Medicare and Medicaid Services (CMS). What is the first step in this process? Chart reviews A healthcare clinic is completing a self-study in preparation for an on-site visit. Which group should the clinic contact to have questions answered? JCAHO A health service coordinator is reviewing the chart of a hospitalized patient currently in the ICU. The patient is experiencing complications related to a surgery, and the patients hospital discharge will be delayed beyond the five days previously approved. Which action should be taken to receive approval? Provide supporting clinical information to the insurance company An uninsured patient presents at the emergency department (ED) with a fractured tibia, but there is no orthopedic provider available. The administrator is arranging transfer to another hospital, but the receiving facility with an orthopedic on call refuses to accept the patient. Which law was violated by the receiving facility? Emergency Medical Treatment and Active Labor Act (EMTALA) A local rural health center has recently received funding to improve healthcare in a rural, diverse population. The center will focus mainly on chronic diseases and mental illnesses according to Healthy People 2020. Which entity is responsible for monitoring the progress of this initiative? National Center for Health Statistic A hospital manager is conducting interviews for the entry-level, specialist electronic medical record (EMR) position. The manager is making a list of the knowledge and skills that will guide the selection of an ideal candidate. What is the minimum level of knowledge and skills the manager should require? Willingness to learn basic technology and computer skills An organization uses InterQual criteria. What is the purpose of this computer application? Determining medical necessity A rural hospital has recently transitioned from paper charting to electronic medical records (EMRs). Several experienced staff members have complained that they are not computer literate, and they are contemplating resigning. Which action should the supervisor take to assist these employees? Assign super users to assist the employee's A health services coordinator working at a behavioral clinic needs to use a personal cell phone to transfer patient information and arrange services due