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2023 UHC certifications (A+ GRADED) All exams combined

Healthcare Compliance, common laws and regulations (Questions with 100% complete answers) UHC 2023 Ethics and Compliance Test (SOLVED) United HealthCare Insurance (Questions with A+ graded answers) UHC ethics and compliance section for certification (A+ GRADED)

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UHC ethics 2023 (SOLVED!)

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reporting all events (marketing/sales and educational) to united health care is required so that the company can: correct answers Comply with CMS and medicaid services event reporting You have a scheduled appointment with a consumer to discuss DSNP. They have the SOA form. 2 days before the appoi...

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2023 Ethics and Compliance (14 questions at once) with 100% correct answers

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The agent said that Medicare uses a 5-star rating system to illustrate the plan's performance and quality. (CORRECT) correct answers An agent is explaining Medicare Advantage plan options to a consumer. During the conversation, the agent explains that Medicare gives each plan a Star Rating. Which s...

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UHC certification (Already Passed!)

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Medicare correct answers Federal health insurance program Medicare is administered by whom? correct answers CMS ( Centers for medicare and medicaid services) Parts A & B of medicare are correct answers federal health insurance program referred to as original medicare Part A? correct answers...

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2023 United HealthCare - Ethics and Compliance (Questions with errorless answers)

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In terms of events, which of the following is true? correct answers WRONG - Agents must report formal marketing/sales events only to UnitedHealthcare When completing an enrollment application in LEAN, why is an agent prohibited from entering their own email address in a field available for the co...

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UHC Ethics and compliance 2023 (correctly answered)

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Gene got Medicare before he turned 65 and enrolled into a Medicare Advantage plan. He calls in February the month before his 65th birthday and is unhappy with his current plan. On the date of the call, what can Gene do about his coverage? correct answers On the day he called, he can enroll in a diff...

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UHC Ethics & Compliance 2023 (Questions with complete answers)

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Gene got Medicare before he turned 65 and enrolled into a Medicare Advantage plan. He calls in February the month before his 65th birthday and is unhappy with his current plan. On the date of the call, what can Gene do about his coverage? correct answers On the day he called, he can enroll in a diff...

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UHC ethics and compliance section for certification (A+ GRADED)

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What is a servicing agent? correct answers an inactive, nonemployee who has signed a servicing agreement in order to receive renewal commisions on medicare advantage and prescription drug plan enrollments on or after 1-1-2014. the agent must maintain an active resident license and appointment and pa...

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UHC Ethic and Compliance 2023 (100% Verified answers)

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What is the definition of Abuse? correct answers Abuse includes any practice that results in the provision of services that are not medically necesary An agent should only enroll a consumer in a product: correct answers That is suitable for the consumer's needs, goals and financial resources. ...

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UHC 2023 Ethics and Compliance Test (Actual test with 100% accurate answers)

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Agent John is planning to conduct a series of events. Some will be strictly educational, others will be formal presentations of specific UnitedHealthcare plans, and others will be informal marketing events where he can generate leads and schedule future in-home marketing appointments. Of the three t...

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UHC Ethics and Compliance Test 2023 (Already graded A+)

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In terms of events, which of the following is true? A) Agents must report formal marketing/sales events only to UHC B) Agents must report informal marketing/sales events only to UHC C) Agents must report all marketing/sales and educational events to UHC D) Agents must report formal and informal ...

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United HealthCare Insurance (Questions with A+ graded answers)

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When completing an enrollment application in LEAN, why is an agent prohibited from entering his or her own email address in a field available for the consumer's email address? correct answers The consumer/member would not receive plan related correspondence intended for him/her By agreeing to th...

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2023 UHC certifications (A+ GRADED)

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Lisa turned 65 and is now eligible for Medicare. She already receives Social Security benefits. How does she enroll in Original Medicare? correct answers Her enrollment in Medicare Parts A and B is generally automatic if she meets all eligibility requirements. Which statement is true about a memb...

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Health Care Compliance 2023 (SOLVED!)

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What are the external and internal parts of health care compliance? correct answers External: Federal and state statutes and regulations (e.g. HIPPA, FTC) Internal: Organizational policies and procedures (e.g. private practice has their own policies and you must follow) What does the PPACA Secti...

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UHC 2023 Ethics and Compliance (Test questions with accurate answers)

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What type of events must an agent report to UnitedHealthcare? correct answers Only the marketing/sales events, both formal and informal.(wrong) While using LEAN to complete an enrollment application with a consumer, Agent Jeff learns the consumer does not have an email address. What should Jeff d...

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United Health Care (Questions with complete solutions)

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Agent John is planning to conduct a series of events. Some will be strictly educational, others will be formal presentations of specific UnitedHealthcare plans, and others will be informal marketing events where he can generate leads and schedule future in-home marketing appointments. Of the three t...

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UHC 2023 Events Basics Test (Solved!)

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Which of the following does not describe a personal/individual marketing appointment? correct answers It needs to be reported to UnitedHealthcare prior to advertising and not less than 7 calendar days prior to the date of the event. When conducting an event, agents should select a site that is co...

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Ch 1 CPCO history of healthcare compliance (Complete Answers)

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OBB correct answers Operation Bad Bundle- Labs, DME, hospice, home health GAO correct answers General Accounting Office- identified high risk of F/A in Medi What was the first major auditing target? correct answers Teaching hospital CPUP correct answers Clinical Practices of the Universit...

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2023 Ethics and Compliance Assessment (with 100% verified answers)

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Annual Election Period (AEP) is a time when. . . correct answers Consumers can elect to switch to a different plan or join a Medicare Advantage plan or Prescription Drug Plan. How should agent Erin respond when consumer Mrs. Rose notices that the presented MA Plan has a Star Rating of 2 stars? co...

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Healthcare Compliance, common laws and regulations (Questions with 100% complete answers)

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5 most important federal fraud and abuse laws: correct answers *False Claims Act (FCA) *Anti - kickback Statute (AKS) *Physician Self-Referral Law (Stark I II III ) *Exclusion Authorities *Civil Monetary Penalties Law (CMPL) The purpose of EMTALA is to prevent: a. Hospitals from rejecting pa...

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UHC 2023 Ethics and Compliance Test (SOLVED)

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Agent Kim is conducting an event that has been advertised as educational. Which activities are permitted at an educational event? correct answers Displaying and distributing business cards and lead cards, scheduling one-on-one marketing appointments, and obtaining scope of appointment forms. An i...

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