2023 wellcare medicare - Study guides, Class notes & Summaries

Wellcare ACT Mastery Exam 2023/2024 with Complete Solutions Centene requires all contracted brokers/agents to read, understand, and agree to Centene's Business Ethics and Code of Conduct Policy. True False True Which of the following actions are you required to do when contacted regarding an allegation of noncompliant activity? a. Speak with the investigator as quickly as possible. b. Answer all questions honestly and completely. c. Offer information and documents important to the inve...

2023 Wellcare Medicare Certification Test Grand Canyon University

Wellcare Centene ACT ME Review (2023/2024) Graded A Agents may be investigated after being suspected of noncompliant activity reported through a Complaint Tracking Module (CTM), grievance, secret shop finding, internal audit or reporting. True Which of the following health plans are now available through Centene Corporation? Select the best answer. Health Net, Fidelis Care, Allwell, Ascension Complete, WellCare 3 MULTIPLE CHOICE OPTIONS True or False: The four stages of coverage are NOT the ...

WellCare ACT Mastery Exam (Latest 2023/ 2024 Update) Version 5 | Questions and Verified Answers| Grade A| 100% Correct Q: Which of the following actions are you required to do when contacted regarding an allegation of noncompliant activity? Answer: All of these Q: Dual-eligible and LIS beneficiaries that are not at-risk may use a Dual-Eligible SEP once per each of the ______ calendar quarters only. (Select all that apply.) Answer: a. First b. Second c. Third Q: An...

Centene requires all contracted brokers/agents to read, understand, and agree to Centene's Business Ethics and Code of Conduct Policy. True False True The TPMO disclaimer must be used by any TPMO that sells plans on behalf of more than one MA plan provider. The disclaimer must be: (Select all that apply.) a. Included in any marketing materials, including print materials and television advertisements developed, used, or distributed by the TPMO. b. Verbally conveyed within the first ...

Wellcare 2023 Questions and Answers with Certified Solutions Noting the correct enrollment period on enrollment applications helps in preventing delayed enrollment processing. Select one: True False True Which of the following actions are you required to do when contacted regarding an allegation of noncompliant activity? a. Speak with the investigator as quickly as possible. b. Answer all questions honestly and completely. c. Offer information and documents important to the investigation....

Wellcare 2023/2024 Questions and Answers 100% Verified Agents who have never had any verbal warnings cannot be issued a corrective action plan False A grievance request, or any evidence concerning a grievance, must be filed orally or in writing no later than 60 calendar days from the date of the event of the date the member is made aware of the issue. 60 Steps to take when safeguarding and securing PHI and PII include: all of the above Wellcare has added ____ new counties to our footprint in...

____ PDPs will be offered across all 50 U.S. states and Washington, D.C. - Three Agents may be investigated after being suspected of noncompliant activity reported through a: (Select all that apply.) - Complaint Tracking Module (CTM),Grievance, and Secret Shop Finding Agents must meet all required contracting, training, and certification requirements to be eligible to sell Wellcare's Medicare products. - True All PDPs will continue to offer $0 tier 1 preferred cost-sharing through CVS Medi...

Wellcare ACT (2023/2024) (Centene) Questions and Answers 100% Pass A grievance request, or any evidence concerning a grievance, must be filed orally or in writing no later than _____ calendar days from the date of the event or the date the member is made aware of the issue. 60 When completing an application, you should ensure that you enter the provider ID of a specialist and not a Primary Care Physician (PCP). False Which of the following statements about completing telephonic enrollments is...

WellCare Re-Cert Exam 2023 Study Guide Graded A+ 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? Member Payments Which of the following is not an example of Protected Health Information (PHI)? Library card Any request or distribution of PHI should contain only the minimum amount of PHI required to complete the intended task. True Which of the...