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WGU D050 HISTORY OF HEALTHCARE
IN AMERICA FINAL EXAM LATEST 2026-
2027 REAL EXAM 250 QUESTIONS AND
CORRECT ANSWERS|AGRADE
When was the transaction and code sets rule?
......ANSWER.....2000; under HIPAA Title II
What did the transaction and code sets rule allow?
......ANSWER.....standardizes how healthcare transitions and
related diagnosis are classified and billed (ICD CODES)
When was the NPI rule enacted? ......ANSWER.....2006; helped
stimulate wider adoption of EMR by assigning identifying numbers
to providers
Health Information Technology for Economic and Clinical Health
(HITECH) Act: ......ANSWER.....2009; determines what a breach is
and how to notify who is impacted
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HIPAA Omnibus Rules: ......ANSWER.....Enacted which expanded
the definition of "covered entity" under HIPAA.
Who are the covered entities under the HIPAA omnibus rule?
......ANSWER.....healthcare providers, hospitals and insurance
What do covered entities do? ......ANSWER.....assess risk and
compliance gaps and maintain appropriate administrative,
technical, and physical safeguards and a formal complaint process
When was Medicare and Medicaid established?
......ANSWER.....1965 by pres johnson as an amendment to the
social security act
What is unique about Medicaid? ......ANSWER.....federal matches
funds given by state gov
audit post-payments procedures and claims.
......ANSWER.....medicaid recovery audits
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To avoid fraud, providers are required to submit all claims within
......ANSWER.....one year of service; bundle billing
identifies diagnosing and treatment errors and recoups funds when
errors are identified. ......ANSWER.....comprehensive error rate
testing
The insured person—the individual who purchases insurance from
the insurance company ......ANSWER.....Layer I
The insurance company and providers—the organization that
manages the insurance policy ......ANSWER.....Layer II
The insurance policy—the policy that is purchased by the first
party and managed by the second party ......ANSWER.....Layer III
Establishes new protocols for service and payment structures.
......ANSWER.....office of attorney general
WGU D050 HISTORY OF HEALTHCARE
IN AMERICA FINAL EXAM LATEST 2026-
2027 REAL EXAM 250 QUESTIONS AND
CORRECT ANSWERS|AGRADE
When was the transaction and code sets rule?
......ANSWER.....2000; under HIPAA Title II
What did the transaction and code sets rule allow?
......ANSWER.....standardizes how healthcare transitions and
related diagnosis are classified and billed (ICD CODES)
When was the NPI rule enacted? ......ANSWER.....2006; helped
stimulate wider adoption of EMR by assigning identifying numbers
to providers
Health Information Technology for Economic and Clinical Health
(HITECH) Act: ......ANSWER.....2009; determines what a breach is
and how to notify who is impacted
,2|Page
HIPAA Omnibus Rules: ......ANSWER.....Enacted which expanded
the definition of "covered entity" under HIPAA.
Who are the covered entities under the HIPAA omnibus rule?
......ANSWER.....healthcare providers, hospitals and insurance
What do covered entities do? ......ANSWER.....assess risk and
compliance gaps and maintain appropriate administrative,
technical, and physical safeguards and a formal complaint process
When was Medicare and Medicaid established?
......ANSWER.....1965 by pres johnson as an amendment to the
social security act
What is unique about Medicaid? ......ANSWER.....federal matches
funds given by state gov
audit post-payments procedures and claims.
......ANSWER.....medicaid recovery audits
, 3|Page
To avoid fraud, providers are required to submit all claims within
......ANSWER.....one year of service; bundle billing
identifies diagnosing and treatment errors and recoups funds when
errors are identified. ......ANSWER.....comprehensive error rate
testing
The insured person—the individual who purchases insurance from
the insurance company ......ANSWER.....Layer I
The insurance company and providers—the organization that
manages the insurance policy ......ANSWER.....Layer II
The insurance policy—the policy that is purchased by the first
party and managed by the second party ......ANSWER.....Layer III
Establishes new protocols for service and payment structures.
......ANSWER.....office of attorney general
