WGU D391 CERTIFICATION SCRIPT 2026
QUESTIONS WITH SOLUTIONS GRADED A+
◍ Deductibles.
Answer: The set amount of money that must be paid before insurance
contributes to healthcare costs.
◍ Programmatic community services.
Answer: HHS program or method that is marketed to and meets the needs of
a community
◍ product.
Answer: multiple client services and treatment in the healthcare system
◍ Point of service.
Answer: you pay less when using in network providers. will need referrals
for specialists
◍ Self-pay.
Answer: Paying for medical care up-front
◍ Diagnostic/Lab Techs.
Answer: Technicians who perform tests to diagnose health conditions.
◍ Reimbursement.
Answer: When insurance companies pay provider
◍ Lean.
Answer: used to eliminate waste
◍ patient safety and quality improvement act of 2005.
Answer: improves how they treat patients
◍ Example of HIPAA protections.
Answer: Insurance companies can no longer share information about a
, person, especially those with pre-existing conditions.
◍ healthcare ecosystem.
Answer: a system composed of elements that create a community
◍ Vice Presidents.
Answer: Executives in a hospital who usually cover various career
pathways.
◍ Nurses.
Answer: Healthcare professionals who provide patient care and education.
◍ Programmatic community services.
Answer: HHS program or method that is marketed to and meets the needs of
a community
◍ Mental Health Providers.
Answer: Professionals who provide mental health services.
◍ Health maintenance organizations.
Answer: Providers are paid capitation payments
◍ Copays (Health Insurance).
Answer: A fixed dollar amount paid at the beginning of every visit,
regardless of the services provided.
◍ micro hospital.
Answer: provides service to people in smaller rural areas
◍ Bismark.
Answer: Used in germany and is covered by a sick fund
◍ Adverse selection.
Answer: When the buyer and seller do not have the same information and
you get cost below true cost of need.
◍ Impacts of Limited Access to Healthcare.
Answer: Lower life expectancy, increased mental health issues, and
preventable deaths.
, ◍ Joint commission on accreditation of healthcare organization..
Answer: Helps improve and monitor providers quality of care
◍ Concierge.
Answer: direct access to care. smaller patient loads and smaller number of
providers
◍ Value-based care (VBC).
Answer: Provider of service awards for quality patient care
◍ Licensure.
Answer: education and qualifcations for healthcare providers
◍ (HMO) Health Maintenance Organizations.
Answer: A comprehensive model that limited coverage but controlled cost.
◍ DECIDE.
Answer: a decision making approach
◍ (PPO) Preferred Provider Organizations.
Answer: Uses fee-for-service to pay for health services, but payment is less
for providers and facilities out of the network.
◍ National Health Insurance (NHI) Model.
Answer: Key Feature: A single public insurer pays for healthcare, but
providers are mostly private.Funding: Through national taxes or premiums
to a public insurerOwnership: Providers are private, but the government
controls insuranceProviders: Privately operated but reimbursed by the
governmentAccess: Universal coverage with simplified administration
◍ Service provider.
Answer: A person or institution that performs a service
◍ Provider.
Answer: An individual or organization that delivers healthcare services.
◍ Emily and Her EPO (Exclusive Provider Organization).
Answer: Emily likes to keep things straightforward but doesn't want to be
QUESTIONS WITH SOLUTIONS GRADED A+
◍ Deductibles.
Answer: The set amount of money that must be paid before insurance
contributes to healthcare costs.
◍ Programmatic community services.
Answer: HHS program or method that is marketed to and meets the needs of
a community
◍ product.
Answer: multiple client services and treatment in the healthcare system
◍ Point of service.
Answer: you pay less when using in network providers. will need referrals
for specialists
◍ Self-pay.
Answer: Paying for medical care up-front
◍ Diagnostic/Lab Techs.
Answer: Technicians who perform tests to diagnose health conditions.
◍ Reimbursement.
Answer: When insurance companies pay provider
◍ Lean.
Answer: used to eliminate waste
◍ patient safety and quality improvement act of 2005.
Answer: improves how they treat patients
◍ Example of HIPAA protections.
Answer: Insurance companies can no longer share information about a
, person, especially those with pre-existing conditions.
◍ healthcare ecosystem.
Answer: a system composed of elements that create a community
◍ Vice Presidents.
Answer: Executives in a hospital who usually cover various career
pathways.
◍ Nurses.
Answer: Healthcare professionals who provide patient care and education.
◍ Programmatic community services.
Answer: HHS program or method that is marketed to and meets the needs of
a community
◍ Mental Health Providers.
Answer: Professionals who provide mental health services.
◍ Health maintenance organizations.
Answer: Providers are paid capitation payments
◍ Copays (Health Insurance).
Answer: A fixed dollar amount paid at the beginning of every visit,
regardless of the services provided.
◍ micro hospital.
Answer: provides service to people in smaller rural areas
◍ Bismark.
Answer: Used in germany and is covered by a sick fund
◍ Adverse selection.
Answer: When the buyer and seller do not have the same information and
you get cost below true cost of need.
◍ Impacts of Limited Access to Healthcare.
Answer: Lower life expectancy, increased mental health issues, and
preventable deaths.
, ◍ Joint commission on accreditation of healthcare organization..
Answer: Helps improve and monitor providers quality of care
◍ Concierge.
Answer: direct access to care. smaller patient loads and smaller number of
providers
◍ Value-based care (VBC).
Answer: Provider of service awards for quality patient care
◍ Licensure.
Answer: education and qualifcations for healthcare providers
◍ (HMO) Health Maintenance Organizations.
Answer: A comprehensive model that limited coverage but controlled cost.
◍ DECIDE.
Answer: a decision making approach
◍ (PPO) Preferred Provider Organizations.
Answer: Uses fee-for-service to pay for health services, but payment is less
for providers and facilities out of the network.
◍ National Health Insurance (NHI) Model.
Answer: Key Feature: A single public insurer pays for healthcare, but
providers are mostly private.Funding: Through national taxes or premiums
to a public insurerOwnership: Providers are private, but the government
controls insuranceProviders: Privately operated but reimbursed by the
governmentAccess: Universal coverage with simplified administration
◍ Service provider.
Answer: A person or institution that performs a service
◍ Provider.
Answer: An individual or organization that delivers healthcare services.
◍ Emily and Her EPO (Exclusive Provider Organization).
Answer: Emily likes to keep things straightforward but doesn't want to be
