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Exam (elaborations)

AETNA INDIVIDUAL CORE CERTIFICATION WITH 100% CORRECT ANSWERS.

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30-11-2023
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2023/2024

What reports are available on Aetna's Producer World? A) Your Medicare book of business B) Month/YTD/Prior year commission report C) Licensing reports D) A and B E) All of the above E) All of the above You will need to successfully complete which requirements to have "ready-to-sell" status with Aetna Medicare? A) The Aetna Individual Medicare certification process for the products you intend to sell B) Have an active contract through the Medicare Producer Contracting site C) Be licensed and appointed in accordance with state law in states where you intend to sell D) Pass a background investigation E) All of the above E) All of the above Any voluntary disenrollment occurring within three months of the membership effective date is considered a rapid disenrollment, and will result in a chargeback of the full commission paid. True or False True To report compliance or fraud, waste, and abuse concerns to Aetna you should: A) Make an anonymous call to Ethics Line B) Visit Ethics Line on the web C) Fax the information D) Email Medicare Compliance E) A, B and D E) A, B and D Agent Oversight routinely monitors agent performance against CMS and internal standards. We monitor: A) Cancellation and rapid disenrollment rates B) Enrollment application turnaround time C) Scope of Appointment forms D) Third party secret shopper surveillance program of formal and informal marketing/sales events E) Complaints and marketing incidents F) Marketing/sales seminar reporting, cancellations and updates G) All of the above G) All of the above Our agent oversight team will implement corrective action when there are CMS infractions and prohibited tactics. Disciplinary or corrective action may include: A) Focused training or monitoring sessions B) Verbal or written warnings C) Full re-training and re-testing D) Placement on an agent "watch list" E) Suspension or probationary period F) Contract termination, with or without cause G) All of the above G) All of the above

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Institution
Medicare+ Fraud, Waste, And Abuse 2024
Course
Medicare+ Fraud, Waste, and Abuse 2024









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Institution
Medicare+ Fraud, Waste, and Abuse 2024
Course
Medicare+ Fraud, Waste, and Abuse 2024

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Uploaded on
November 30, 2023
Number of pages
6
Written in
2023/2024
Type
Exam (elaborations)
Contains
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