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Exam (elaborations)
WGU C425 Healthcare Delivery Systems, Regulations, and Compliance Practice Quiz #6 UPDATED ACTUAL Exam Questions and CORRECT Answers
WGU C425 Healthcare Delivery Systems, 
Regulations, and Compliance Practice Quiz 
#6 UPDATED ACTUAL Exam Questions 
and CORRECT Answers 
Most work in hospitals - CORRECT ANSWER 
profession? - What is not true of the healthcare 
Scientific research and proven peer reviewed results - CORRECT ANSWER 
Based Care uses ______ to improve quality of care. 
Longer Life spans - CORRECT ANSWER - Evidence - Rural areas tend to suffer from less
Exam (elaborations)
C425 - Healthcare Delivery Systems, Regulations, and Compliance UPDATED ACTUAL Exam Questions and CORRECT Answers
C425 - Healthcare Delivery Systems, 
Regulations, and Compliance UPDATED 
ACTUAL Exam Questions and CORRECT 
Answers 
This kind of medicine treats the whole person. (Physical, Mental, Spiritual) - CORRECT 
ANSWER - Holistic 
Relatively severe, episodic (short duration) and often treatable - CORRECT ANSWER 
Acute - 
Less severe, but long and continuous. Can be controlled but can lead to serious complications - 
CORRECT ANSWER - Chroni
Exam (elaborations)
C425 - Healthcare Delivery Systems, Regulations, and Compliance ACTUAL UPDATED Exam Questions and CORRECT Answers
C425 - Healthcare Delivery Systems, 
Regulations, and Compliance ACTUAL 
UPDATED Exam Questions and 
CORRECT Answers 
Supply-side rationing is used by universal healthcare, HMO's and ACO's to cut down on - 
CORRECT ANSWER - Decrease provider communication 
An ACO (Accountable Care Organization) earns additional money by: - CORRECT 
ANSWER - 1 Getting a share of money it saves Medicare
Exam (elaborations)
C425 Pre-assessment: Healthcare Delivery Systems, Regulation and Compliance UPDATED ACTUAL Exam Questions and CORRECT Answers
C425 Pre-assessment: Healthcare Delivery 
Systems, Regulation and Compliance 
UPDATED ACTUAL Exam Questions and 
CORRECT Answers 
Which important change in the U.S. healthcare system was made with the enactment of the 
Social Security Act? - CORRECT ANSWER - It funded payments through the federal 
government and the states. 
Why is the federally sponsored health insurance program known as Medicare important in the 
development of delivery of care in the U.S.? - CORRECT ANSWER 
ov...
Exam (elaborations)
WGU C425 - Healthcare Delivery Systems, Regulation and Compliance UPDATED ACTUAL Exam Questions and CORRECT Answers
WGU C425 - Healthcare Delivery Systems, 
Regulation and Compliance UPDATED 
ACTUAL Exam Questions and CORRECT 
Answers 
Which important change in the U.S. healthcare system was made with the enactment of the 
Social Security Act? - CORRECT ANSWER - It funded payments through the federal 
government and the states. 
Why is the federally sponsored health insurance program known as Medicare important in the 
development of delivery of care in the U.S.? - CORRECT ANSWER 
over age 65 ...
Exam (elaborations)
C425 Healthcare Delivery, Regulation, and Compliance (WGU) UPDATED ACTUAL Exam Questions and CORRECT Answers
C425 Healthcare Delivery, Regulation, and 
Compliance (WGU) UPDATED ACTUAL 
Exam Questions and CORRECT Answers 
Capitation A - CORRECT ANSWER 
entire year 
Market Justice - CORRECT ANSWER - covers all services an enrollee may need during an - most equitably distributed through the market 
forces of supply and demand, rather than government interventions. Distributed on the basis of 
willingness and ability to
Exam (elaborations)
WGU C425 Study Guide Topic 5 UPDATED ACTUAL Exam Questions and CORRECT Answers
WGU C425 Study Guide Topic 5 UPDATED 
ACTUAL Exam Questions and CORRECT 
Answers 
Analyze how external factors will influence healthcare : Clinical Advances - CORRECT 
ANSWER - Increase access through technology for in-home or virtual care 
Analyze how external factors will influence healthcare: Evidence-based care - CORRECT 
ANSWER - Standarized practice guidelines for increased quality of care
Exam (elaborations)
WGU C425 Healthcare Delivery Systems, Regulations, and Compliance Practice Quiz #4 UPDATED Exam Questions and CORRECT Answers
WGU C425 Healthcare Delivery Systems, 
Regulations, and Compliance Practice Quiz 
#4 UPDATED Exam Questions and 
CORRECT Answers 
A patient that stays overnight is an_____, a patient that receives care but does not stay overnight 
is an _______. - CORRECT ANSWER - Inpatient, Outpatient 
Adjusting the utilization of care while active treating the patient is what type of review? - 
CORRECT ANSWER - Concurrent Utilization
Exam (elaborations)
WGU C425 Study Guide Topic 4 UPDATED ACTUAL Exam Questions and CORRECT Answers
WGU C425 Study Guide Topic 4 UPDATED 
ACTUAL Exam Questions and CORRECT 
Answers 
Discuss policy solutions: Access and quality care - CORRECT ANSWER - gradual 
reforms in Medicaid, access expansion expanding insurance coverage, outreach programs in 
rural areas, reducing the cost of care with the use of PPS and RBRVs, Creating AHRQ to 
monitor and increase quality care and calling for clinical practice guidelines
Exam (elaborations)
FINAL REVIEW OF C425 UPDATED ACTUAL Exam Questions and CORRECT Answers
FINAL REVIEW OF C425 UPDATED 
ACTUAL Exam Questions and CORRECT 
Answers 
Patient Protection and Affordable Care Act - CORRECT ANSWER 
law 
Provides coverage for individuals who has pre-existing conditions 
Improves prescription drug coverage under Medicare - Heatlh Care reform 
What are the burdens under the health delivery infrastructures? - CORRECT ANSWER 
Shortage of PCP 
Most PCP does not accept Medicaid 
Rise of obesity, chronic conditions and aging population 
What are t...
Exam (elaborations)
C425 OA Review UPDATED ACTUAL Exam Questions and CORRECT Answers
C425 OA Review UPDATED ACTUAL 
Exam Questions and CORRECT Answers 
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. - CORRECT ANSWER 
physicians than primary physicians. - There are more specialty 
What triggered the...
Exam (elaborations)
WGU C425 Study Guide Topic 3 UPDATED ACTUAL Exam Questions and CORRECT Answers
WGU C425 Study Guide Topic 3 UPDATED 
ACTUAL Exam Questions and CORRECT 
Answers 
Describe the role of: Practitioners - CORRECT ANSWER 
profession where education or licensing is required 
Describe the role of: Physicians - CORRECT ANSWER 
who has been awards an MD or DO degree - Someone practicing a skilled - licensed healthcare provider 
Describe the role of: Non-physician practitioners - CORRECT ANSWER - midlevel 
provider, and physician extender—refers to clinical profess...
Exam (elaborations)
C425: 2025/2026, Exam With Correct/Accurate Answers
C425: 2025/2026, Exam With Correct/Accurate Answers
Package deal
C425 Exam Package Deal Questions And Answers With 100% Solved Solutionds | Already Graded A+
C425 Exam Package Deal Questions And Answers With 100% Solved Solutionds | Already Graded A+
Exam (elaborations)
C425 - Healthcare Delivery Systems, Regulations, and Compliance Exam Q&A 100% Solved
C425 - Healthcare Delivery Systems, 
Regulations, and Compliance Exam Q&A 
100% Solved 
This kind of medicine treats the whole person. (Physical, Mental, Spiritual) - 
Holistic 
Relatively severe, episodic (short duration) and often treatable - Acute 
Less severe, but long and continuous. Can be controlled but can lead to 
serious complications - Chronic 
The market tells us what type of healthcare we need. If a service is not 
being used, there will not be a lot of that particular service. - Ma...
Exam (elaborations)
C425 OA Exam Review Questions with 100% Correct Answers
C425 OA Exam Review Questions with 
100% Correct Answers 
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. - There are more specialty 
physicians than primary physicians. 
What triggered the downsizing phase in the U.S. hospita...
Exam (elaborations)
CAHIIM Domain 3 Practice Exam And Answers Solved Correct.
how do accreditation organizations use the health record? - Answer To determine whether standards are being met 
 
how do patient care managers and support staff use the data documented in the health record - Answer evaluate the performance of employees 
 
I work for an organization that utilizes health record data to prove or disprove the efficacy of a healthcare treatment what type of organization do I work for? - Answer research 
 
the use of the health record by a clinician to facil...
Exam (elaborations)
Chapter 12 Electronic Health Records Exam Questions And Accurate Answers.
1. EHR 
2. EMR 
3. PHR - Answer 1. Health record created in electronic format that can be shared among multiple providers 
2. Record of health-related information for a single patient that is created and maintained by a single healthcare organization 
3. Electronic version of a patient's complete medical history that is created and maintained by the individual patient 
 
Which of the following are examples of communication problems that may lead to medical errors? - Answer -Mishandled p...
Exam (elaborations)
WGU C425 - Healthcare and Regulatory Agencies Midterm Exam And 100% Correct Answers.
What LOB expanded under ACA? - Answer Medicaid 
 
Who does Medicaid cover? - Answer Low Income, children, elderly, disabled. 
 
Who does Medicare serve? - Answer the elderly, the disabled, and those with end stage renal disease 
 
CMS is under what agency? - Answer US Department of health and Human Services 
 
What does CMS stand for? - Answer Centers for Medicare and Medicaid Services 
 
What does CMS manage? - Answer Medicare program and administers Medicaid, CHIP and Health ...
Exam (elaborations)
WGU C425 Chapter 1 - Chapter 5 Study Guide Exam And All Correct Answers.
In a national health insurance system, healthcare is financed through - Answer Tax dollars in which the government guarantees health care services to all citizens 
 
The U.S. health care system is based on the - Answer Market justice principle 
 
Which of the following subsystems of healthcare delivery in the US is most "socialized"? - Answer VA 
 
What can the US learn most from other countries in healthcare delivery? - Answer Improve access to care 
 
The US healthcare system...