C425 OA Review 2025/2026 Exam
Questions and Answers | A+ Score
Assured
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. - 🧠 ANSWER ✔✔There are more
specialty physicians than primary physicians.
What triggered the downsizing phase in the U.S. hospital industry during
the 1980s?
Hill-Burton Act
,Managed care
Prospective payment system
Medicare and Medicaid - 🧠 ANSWER ✔✔Prospective payment system
Designated Related 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 - 🧠 ANSWER
✔✔Reduce the length of stay for hospitalized patients
In which type of utilization management is a primary care physician's
opinion necessary in referring or not referring a patient to a specialist?
Concurrent
Retrospective
Gatekeeping
Precertification - 🧠 ANSWER ✔✔Gatekeeping
, What is one aspect in which managed care differs from conventional
insurance?
Collection of premiums
Assumption of risk
Responsibility for delivery of services
Payments to providers - 🧠 ANSWER ✔✔Responsibility for delivery of
services
What is the purpose of Skilled Nursing Facilities (SNF) certification?
It enables a facility to be operated as a skilled nursing facility.
It is required to legally operate a nursing home.
It enables a facility to serve Medicare clients.
It enables a facility to serve both Medicare and Medicaid clients. - 🧠
ANSWER ✔✔It enables a facility to serve Medicare clients.
What is the main goal of long-term care as it relates to a patient's function?
Restore function
Provide assistance
Promote independence
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
Questions and Answers | A+ Score
Assured
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. - 🧠 ANSWER ✔✔There are more
specialty physicians than primary physicians.
What triggered the downsizing phase in the U.S. hospital industry during
the 1980s?
Hill-Burton Act
,Managed care
Prospective payment system
Medicare and Medicaid - 🧠 ANSWER ✔✔Prospective payment system
Designated Related 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 - 🧠 ANSWER
✔✔Reduce the length of stay for hospitalized patients
In which type of utilization management is a primary care physician's
opinion necessary in referring or not referring a patient to a specialist?
Concurrent
Retrospective
Gatekeeping
Precertification - 🧠 ANSWER ✔✔Gatekeeping
, What is one aspect in which managed care differs from conventional
insurance?
Collection of premiums
Assumption of risk
Responsibility for delivery of services
Payments to providers - 🧠 ANSWER ✔✔Responsibility for delivery of
services
What is the purpose of Skilled Nursing Facilities (SNF) certification?
It enables a facility to be operated as a skilled nursing facility.
It is required to legally operate a nursing home.
It enables a facility to serve Medicare clients.
It enables a facility to serve both Medicare and Medicaid clients. - 🧠
ANSWER ✔✔It enables a facility to serve Medicare clients.
What is the main goal of long-term care as it relates to a patient's function?
Restore function
Provide assistance
Promote independence
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
