UHC ethics and compliance section for certification Questions and complete solutions

UHC ethics and compliance section for certification Questions and complete solutions What is a servicing agent? What does CMS stand for? Who administers the medicare program and contracts with private health care companies to offer medicaid plans? Who holds the authority to approve or disaprove plans that can be sold, and is the regulating agency that also monitors our progresses? Who regulates MA's and PDP's Enrolling a customer in a plan when you are not certified in the product is non-compliant and considered____? Agents who are not qualified to sell the product will not be? What is the purpose of an educational event? Where must educational events be conducted? Are the educational events unbiased so that it doesn't steer the consumer towards a specific plan or limited number of plans? WHat is a marketing/sales event? Can marketing/sales be formal or informal? What describes a formal marketing/sales event? What is an inform marketing/sales event? What are marketing appointments? What other places can marketing appointments happen? because marketing appointments are not formal and informal marketing sales events, they're not reported to who? To report events, what should agents use? to ensure that events are in UHC's event reporting application no less than 7 calender days prior to the event... event request forms submitted within7 calendar days will NOT be what? conducting an unreported event is _____? request direct;y in bconnected at least? What are marketing materials used for? Marketing materials contain information about the plan or plans: Approval is required for? What does generic mean with marketing materials? does generic materials require prior approval? What methods are considered marketing material? what are some examples of generic marketing materials? sites used to market UHC plans must be _____ by UHC and CMS prior to use when talking about marketing materials what should the agent NOT do? What must an agent do when talking about marketing materials? What does PTC stand for? What does SOA stand for? What does permission to contact mean?. PTC must be______? PTC must also be? What does method specific mean? What is short term?. What does event specific mean? what does BRC mean? agents who telephone a consumer in response to a BRC that has specific products documented on the card, may only ____ BRC's are only intended to obtain permission to contact SOA does not secure permission to contact If a BRC is returned by the consumer without a valid phone number, agents____ What is a Scope of appointment (SOA)? Where are SOA forms available? a SOA is required from each Medicare eligible consumer present at any face to face or telephonic marketing appkintment to discuss MA and or PDP plans including____ When a consumer walks into an agent's office or a UHC medicarestore, the agent must obtain an SOA In leu of a SOA form, agents must announce the products that will be presented at the formal or informal marketing/sales event