WGU D545 Exam – Actual Exam
2026/2027 Questions with Verified
Answers | 100% Correct | Pass
Guaranteed Grade A – Latest Update
Q01 Which leadership theory emphasizes inspiring followers through a shared vision and
intellectual stimulation? Answer: Transformational Leadership Rationale: Transformational
leaders motivate followers to exceed expectations by appealing to higher ideals and values.
Q02 In Lewin's Change Theory, the "refreeze" stage is primarily intended to Answer: Stabilize
the change and make it permanent Rationale: After implementing change ("change" stage),
refreezing reinforces new behaviors and prevents regression.
Q03 According to the Quadruple Aim framework, which element was added to the original
Triple Aim? Answer: Improving the work life of health care providers (clinician well-being)
Rationale: The Quadruple Aim explicitly includes reducing clinician burnout and improving joy
in practice.
Q04 Which regulatory body accredits the majority of hospitals and ambulatory care centers in
the United States? Answer: The Joint Commission Rationale: The Joint Commission is the
primary accrediting organization for hospitals and many other healthcare entities.
Q05 The Patient Protection and Affordable Care Act (ACA) primarily aimed to Answer:
Expand access to affordable health insurance coverage Rationale: The ACA created health
insurance marketplaces, subsidies, and Medicaid expansion to increase coverage.
Q06 Which federal law prohibits physicians from referring Medicare patients to entities with
which they have a financial relationship? Answer: Stark Law (Physician Self-Referral Law)
Rationale: Stark Law prevents self-referral to designated health services.
Q07 The Anti-Kickback Statute makes it illegal to Answer: Offer, pay, solicit, or receive
remuneration in exchange for referrals of Medicare/Medicaid patients Rationale: This
statute is a felony-level prohibition on kickbacks.
Q08 Which federal law expanded Medicaid eligibility and established health insurance
marketplaces? Answer: Patient Protection and Affordable Care Act (ACA) Rationale: The
ACA (2010) created marketplaces, subsidies, and Medicaid expansion.
, Q09 What is the primary purpose of the Medicare Access and CHIP Reauthorization Act
(MACRA)? Answer: To transition Medicare payment from volume to value Rationale:
MACRA repealed the SGR and created the Quality Payment Program (MIPS/APMs).
Q10 In the Merit-based Incentive Payment System (MIPS), which performance category
evaluates the use of certified electronic health record technology? Answer: Promoting
Interoperability Rationale: This category (formerly Meaningful Use) focuses on EHR use and
information exchange.
Q11 Which agency within HHS enforces the HIPAA Privacy and Security Rules? Answer:
Office for Civil Rights (OCR) Rationale: OCR is responsible for investigating HIPAA
violations.
Q12 The 21st Century Cures Act includes a provision that prohibits Answer: Information
blocking Rationale: The Information Blocking Rule requires providers and developers to not
interfere with electronic health information access/exchange.
Q13 Which organization maintains the Current Procedural Terminology (CPT) coding system?
Answer: American Medical Association (AMA) Rationale: The AMA owns and annually
updates the CPT code set.
Q14 Which coding system is used for inpatient hospital procedures? Answer: ICD-10-PCS
Rationale: ICD-10-PCS is the inpatient procedural coding system.
Q15 What is the primary purpose of the Inpatient Prospective Payment System (IPPS)? Answer:
To reimburse hospitals a fixed amount per diagnosis-related group (DRG) Rationale: IPPS
pays a predetermined rate based on DRG classification.
Q16 Which Medicare Part covers outpatient prescription drugs? Answer: Part D Rationale:
Part D provides prescription drug coverage through private plans.
Q17 Medicare Advantage plans (Part C) are primarily administered by Answer: Private
insurance companies Rationale: Private insurers offer Medicare Advantage plans that bundle
Parts A, B, and often D.
Q18 Which federal program provides health coverage to low-income children in families with
incomes too high for Medicaid? Answer: Children's Health Insurance Program (CHIP)
Rationale: CHIP targets children in working families above Medicaid thresholds.
Q19 The Patient-Centered Medical Home (PCMH) model emphasizes Answer: Coordinated,
comprehensive, accessible primary care with a whole-person orientation Rationale: PCMH
focuses on team-based care and patient-centered coordination.
Q20 Which organization accredits ambulatory surgery centers and outpatient facilities? Answer:
Accreditation Association for Ambulatory Health Care (AAAHC) Rationale: AAAHC
specializes in ambulatory and outpatient settings.
2026/2027 Questions with Verified
Answers | 100% Correct | Pass
Guaranteed Grade A – Latest Update
Q01 Which leadership theory emphasizes inspiring followers through a shared vision and
intellectual stimulation? Answer: Transformational Leadership Rationale: Transformational
leaders motivate followers to exceed expectations by appealing to higher ideals and values.
Q02 In Lewin's Change Theory, the "refreeze" stage is primarily intended to Answer: Stabilize
the change and make it permanent Rationale: After implementing change ("change" stage),
refreezing reinforces new behaviors and prevents regression.
Q03 According to the Quadruple Aim framework, which element was added to the original
Triple Aim? Answer: Improving the work life of health care providers (clinician well-being)
Rationale: The Quadruple Aim explicitly includes reducing clinician burnout and improving joy
in practice.
Q04 Which regulatory body accredits the majority of hospitals and ambulatory care centers in
the United States? Answer: The Joint Commission Rationale: The Joint Commission is the
primary accrediting organization for hospitals and many other healthcare entities.
Q05 The Patient Protection and Affordable Care Act (ACA) primarily aimed to Answer:
Expand access to affordable health insurance coverage Rationale: The ACA created health
insurance marketplaces, subsidies, and Medicaid expansion to increase coverage.
Q06 Which federal law prohibits physicians from referring Medicare patients to entities with
which they have a financial relationship? Answer: Stark Law (Physician Self-Referral Law)
Rationale: Stark Law prevents self-referral to designated health services.
Q07 The Anti-Kickback Statute makes it illegal to Answer: Offer, pay, solicit, or receive
remuneration in exchange for referrals of Medicare/Medicaid patients Rationale: This
statute is a felony-level prohibition on kickbacks.
Q08 Which federal law expanded Medicaid eligibility and established health insurance
marketplaces? Answer: Patient Protection and Affordable Care Act (ACA) Rationale: The
ACA (2010) created marketplaces, subsidies, and Medicaid expansion.
, Q09 What is the primary purpose of the Medicare Access and CHIP Reauthorization Act
(MACRA)? Answer: To transition Medicare payment from volume to value Rationale:
MACRA repealed the SGR and created the Quality Payment Program (MIPS/APMs).
Q10 In the Merit-based Incentive Payment System (MIPS), which performance category
evaluates the use of certified electronic health record technology? Answer: Promoting
Interoperability Rationale: This category (formerly Meaningful Use) focuses on EHR use and
information exchange.
Q11 Which agency within HHS enforces the HIPAA Privacy and Security Rules? Answer:
Office for Civil Rights (OCR) Rationale: OCR is responsible for investigating HIPAA
violations.
Q12 The 21st Century Cures Act includes a provision that prohibits Answer: Information
blocking Rationale: The Information Blocking Rule requires providers and developers to not
interfere with electronic health information access/exchange.
Q13 Which organization maintains the Current Procedural Terminology (CPT) coding system?
Answer: American Medical Association (AMA) Rationale: The AMA owns and annually
updates the CPT code set.
Q14 Which coding system is used for inpatient hospital procedures? Answer: ICD-10-PCS
Rationale: ICD-10-PCS is the inpatient procedural coding system.
Q15 What is the primary purpose of the Inpatient Prospective Payment System (IPPS)? Answer:
To reimburse hospitals a fixed amount per diagnosis-related group (DRG) Rationale: IPPS
pays a predetermined rate based on DRG classification.
Q16 Which Medicare Part covers outpatient prescription drugs? Answer: Part D Rationale:
Part D provides prescription drug coverage through private plans.
Q17 Medicare Advantage plans (Part C) are primarily administered by Answer: Private
insurance companies Rationale: Private insurers offer Medicare Advantage plans that bundle
Parts A, B, and often D.
Q18 Which federal program provides health coverage to low-income children in families with
incomes too high for Medicaid? Answer: Children's Health Insurance Program (CHIP)
Rationale: CHIP targets children in working families above Medicaid thresholds.
Q19 The Patient-Centered Medical Home (PCMH) model emphasizes Answer: Coordinated,
comprehensive, accessible primary care with a whole-person orientation Rationale: PCMH
focuses on team-based care and patient-centered coordination.
Q20 Which organization accredits ambulatory surgery centers and outpatient facilities? Answer:
Accreditation Association for Ambulatory Health Care (AAAHC) Rationale: AAAHC
specializes in ambulatory and outpatient settings.
