Wellcare ACT Celene Mastery with correct answers 100%

Wellcare ACT Celene Mastery with correct answers 100% You can help prevent grievances by: (Select all that apply.) - Correct Answer a. Always confirming availability of the beneficiary's primary and specialist providers by using the provider search tool available on the plan's website. b. Always using plan materials to clearly explain plan benefits and cost (including medications) and check for understanding. c. Always confirming a beneficiary's intent to enroll before accepting their enrollment application. (All of the above) Which of the following is not an example of Protected Health Information (PHI)? - Correct Answer Library card When enrolling a D-SNP beneficiary, be sure to verify plan enrollment eligibility and that the Medicare Savings Program (MSP) level is eligible for the requested plan. - Correct Answer True Member PHI can be stored on an external hard drive or a cloud storage service like Google Drive or Apple Cloud. - Correct Answer False 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? - Correct Answer Member Payments - (The Six Drivers are Member Service, Serving Government Customers, Selection and Enrollment, Reputation, Requirement of Participation, Bonus Payment.) Agents must meet all required contracting, training, and certification requirements to be eligible to sell Wellcare's Medicare products. - Correct Answer True The information contained within ACT will equip agents to certify, market, and sell which health plans? - Correct Answer All of the above (Ascension Complete and Wellcare) Which of the following statements about completing telephonic enrollments is FALSE? - Correct Answer Must include most of the required elements necessary to complete the enrollment. Noting the correct enrollment period on enrollment applications helps in preventing delayed enrollment processing. - Correct Answer True Which of the following is not considered a grievance? - Correct Answer A dispute of the appeal of an organization determination, coverage determination or a Late Enrollment Penalty (LEP) determination. Centene requires all contracted agents to read, understand, and agree to Centene's Business Ethics and Code of Conduct Policy. - Correct Answer True To ensure accurate data entry, you should repeat the Medicare ID back to the beneficiary. Select One - Correct Answer True Once the enrollment is completed, you can save a copy of the application for your reference. - Correct Answer False Wellcare offers a range of Medicare plans to provide members with affordable access to: - Correct Answer All of the above (Doctors, Hospitals, & Specialists) Upon completion of the application, you must provide the beneficiary with the enrollment application confirmation ID. - Correct Answer True Any request or distribution of PHI should contain only the minimum amount of PHI required to complete the intended task. - Correct Answer True Failure to inform a beneficiary that a trusted provider is out-of-network or is not available in the newly selected plan can cause a sales allegation. - Correct Answer True Agents may be investigated after being suspected of noncompliant activity reported through a: (Select all that apply.) - Correct Answer Complaint Tracking Module (CTM),Grievance, and Secret Shop Finding