WGU D052 Navigating Care Across the Continuum | 325 Questions with 100% Correct Answers | Verified | Latest Update | 77 Pages
Question :When considering the regulatory requirements for
healthcare, which agencies primarily oversee the use of medication?FDA and DEA
Correct answer:FDA and DEA
Question :True or False. Medicare and Medicaid regulations
occur at both state and federal levels.True
Correct answer:True
Question :Which of the following is a valid comparison of
Medicare versus Medicaid?
Medicare is a federal health care coverage program mainly for people over 65 and some people younger than that who have disabilities, whereas Medicaid is a federal and state health care coverage program for low-income adults, pregnant women, and children.
Correct answer:Medicare is a federal health care coverage
program mainly for people over 65 and some people younger than that who have disabilities, whereas Medicaid is a federal and state health care coverage program for low-income adults, pregnant women, and children.
Question :Which of the following groups were "set aside"
(direct primary care video) Children Veterans Government workers
Correct answer:Children
Veterans Government workers
Question :A team of coordinators is creating a clinical review
process for patient paperwork to maximize compliance with insurance regulations toward the goal of reducing claim denials. Which two elements must be included within the review process?Cost containment and utilization management Correct! Clinical review processes must include both cost containment and utilization management to be effective.
Correct answer:Cost containment and utilization management
Correct! Clinical review processes must include both cost containment and utilization management to be effective.
Question :Which action will assist the coordinator in
identifying areas where errors in patients' insurance paperwork are causing claim denials?Analyzing EHR Data Tracking and analyzing patient records will provide for the identification of problem areas where processes can be adjusted.
Correct answer:Analyzing EHR Data Tracking and analyzing
patient records will provide for the identification of problem areas where processes can be adjusted.
Question :Which coordinator's task is aligned with reducing
patient insurance costs?Arranging patient preventive care services Correct! Preventive care services have proven to reduce the need for medical services and reduce patient insurance costs.
Correct answer:Arranging patient preventive care services
Correct! Preventive care services have proven to reduce the need for medical services and reduce patient insurance costs.
Question :Which of the following is a feature of the
Affordable Care Act (ACA)?An end to lifetime dollar limits on what insurance companies will cover