Medicare Star Ratings and performance are at the forefront of Wellcare's quality strategy. Wellcare's quality focus consists of six drivers. Which of the following is not a Wellcare quality driver? - Answer- Member Payments
Which of the following is not an example of Protected Health Information...
Medicare Star Ratings and performance are at the forefront of Wellcare's quality
strategy. Wellcare's quality focus consists of six drivers. Which of the following is not a
Wellcare quality driver? - Answer- Member Payments
Which of the following is not an example of Protected Health Information (PHI)? -
Answer- Library card
Any request or distribution of PHI should contain only the minimum amount of PHI
required to complete the intended task. - Answer- True
Which of the following actions are you required to do when contacted regarding an
allegation of noncompliant activity? - Answer- All of the above
From October 1st to October 14th, which activity is not permissible by brokers/agents? -
Answer- Assist with completing and collecting completed applications.
Brokers/Agents can submit a support ticket online through their Centene Workbench
portal. - Answer- True
Health plan fax numbers vary for health plans that offer fax enrollment submissions. -
Answer- True
Enrollments through Ascend offer the following unique benefits:
(Select all that apply.)
a.
Validation of important data to help prevent incorrect or missing information.
b.
Search for providers and formularies to validate physician and prescription availability.
c.
Extra help eligibility status.
d.
Digital capture of the broker's/agent's and beneficiary's electronic signatures through
Send for Signature at any time throughout the enrollment application. - Answer- Select
all
Brokers/Agents may be investigated after being suspected of noncompliant activity
reported through a:
(Select all that apply.)
a.
Complaint Tracking Module (CTM)
b.
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