D046- WGU Exam with Questions and Correct Answers 2025.

D046- WGU Exam with Questions and
Correct Answers 2025




Evidence ,Based ,Care ,- ,CORRECT ,ANSWER-Helps ,us ,identify ,the ,most ,appropriate
,individualized ,treatment ,plan, ,improves ,patient ,outcomes, ,increase ,effectiveness ,and
,efficiency ,of ,interventions, ,and ,most ,current ,research ,and ,patient ,outcome ,measures


Empanelment ,- ,CORRECT ,ANSWER-The ,act ,of ,assigning ,individual ,patients ,to
,individual ,primary ,care ,providers ,(PCP) ,and ,care ,teams ,with ,sensitivity ,to ,patient ,and
,family ,preference. ,The ,basis ,for ,population ,health ,management ,and ,the ,key ,to
,continuity ,of ,care.


Strategic ,Partners ,Community ,Resources ,- ,CORRECT ,ANSWER-PCP. ,Outpatient
,clinics, ,Women's ,Health. ,Specialty ,care ,providers, ,therapists, ,pharmaceutical ,support,
,social ,workers


Accountable ,Care ,Organization ,(ACO) ,- ,CORRECT ,ANSWER-Improve ,patient
,outcomes ,through ,coordination ,of ,care ,measures ,and ,service ,that ,improve ,a ,patient's
,quality ,of ,life. ,Goal: ,reduce ,hospital ,readmission ,and ,improve ,patient ,compliance ,in
,community ,settings.


AIMS ,Care ,Coordination ,Model ,(PACO ,like ,TACO) ,- ,CORRECT ,ANSWER-Patient
,Engagement ,
Assessment ,and ,Care ,plan ,Development ,
Case ,Management ,
Ongoing ,Care ,as ,Needed

Patient ,Engagement ,Phase ,PACO ,- ,CORRECT ,ANSWER-Interact
Ensure
Provide ,guidance ,and ,resources

Assessment ,and ,Care ,Plan ,Development ,Phase ,PACO ,- ,CORRECT ,ANSWER-
Identify ,social ,and ,environmental ,factors ,that ,may ,affect ,medical ,plan ,adherence,
,health ,care ,serves ,utilization, ,and ,health ,care ,outcomes.
Collect ,information ,that ,is ,helpful ,
Develop ,care ,plan

, Case ,Management ,Phase ,PACO ,- ,CORRECT ,ANSWER-Patient ,stays ,on ,track ,and
,has ,the ,support ,
Monitoring ,goal ,progress
Modifying ,the ,care ,plan ,as ,necessary

Ongoing ,Care ,as ,Needed ,Phase ,PACO ,- ,CORRECT ,ANSWER-Ensuring ,that
,community-based ,resources ,are ,in ,place
Contact ,the ,care ,coordinator ,should ,new ,challenges ,arise ,
Summarize ,achieved ,goals ,or ,negotiate ,continued ,work
Closing ,the ,case ,if ,appropriate

Value ,Based ,Healthcare ,- ,CORRECT ,ANSWER-Quality ,case ,as ,the ,leading ,driver.
,Quality ,over ,quantity


Scope ,of ,Practice ,- ,CORRECT ,ANSWER-a ,set ,of ,regulations ,and ,ethical
,considerations ,that ,define ,the ,scope, ,or ,extent ,and ,limits, ,of ,the ,EMT's ,job


fee-for-service ,- ,CORRECT ,ANSWER-Health ,plan ,that ,repays ,the ,policyholder ,for
,covered ,medical ,expenses


Diagnostic ,Related ,Groups ,(DRGs) ,- ,CORRECT ,ANSWER-Patient ,classification
,system ,to ,help ,control ,and ,standardize ,costs ,for ,inpatient ,services. ,Used ,along ,with
,patient ,and ,regional ,demographic ,data ,to ,determine ,the ,median ,cost ,for ,a ,particular
,procedure/service. ,Categorize ,patients ,into ,groups ,based ,on ,-diagnoses, ,type ,of
,treatment ,(ex. ,surgical), ,complications ,or ,comorbidities, ,age, ,gender, ,discharge
,status. ,Determine ,length ,of ,stay, ,average ,cost ,the ,hospital ,should ,charge ,for ,similar
,patients.


Care ,Coordination ,Process ,- ,CORRECT ,ANSWER-1. ,Client ,identification ,and
,selection ,
2. ,Assessment ,and ,problem/ ,Opportunity ,identification ,
3. ,Development ,of ,the ,case ,management ,plan ,
4. ,Implementation ,and ,coordination ,of ,care ,activities ,
5. ,Evaluation ,of ,the ,case ,management ,plan ,and ,follow-up
6. ,Termination ,of ,the ,case ,manage

Active ,Listening ,to ,Care ,Coordinators ,- ,CORRECT ,ANSWER-Undivided ,attention,
,appropriate ,body ,language ,signals, ,patient ,acknowledgment, ,behaviors ,that ,convey ,a
,nonjudgmental ,attitude ,and ,respectful ,respectful ,responses.


Affortable ,Care ,Act ,- ,CORRECT ,ANSWER-Provides ,healthcare ,options ,via ,state-run
,insurance ,exchanges. ,The ,law ,prevents ,the ,use ,of ,medical ,history ,to ,refuse
,employment ,or ,insurance, ,if ,eligible.


Key ,Communication ,Skills ,- ,CORRECT ,ANSWER-1. ,Set ,the ,Stage