WELLCARE ACT Mastery Exam Questions and Answers (2023 / 2024) (Verified Answers)

The Mastery Exam will lock for a period of 48 hours after each failed attempt. - False What are some examples of steps that can be taken when safeguarding and securing PHI and PII? (Select all that apply.) - a. Shred documents that contain PHI or PII using appropriate means. b. Never leave laptops, PHI, or PII in an unattended vehicle. c. Do not include PHI or PII in the subject line or body of an email. d. Secure emails that contain PHI or PII. You can help prevent grievances by: (Select all that apply.) - 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. Members who fail to pay the required premiums before the end of the grace period (Wellcare has a three-month grace period) will be terminated. - True True - True Which of the following is not an example of Protected Health Information (PHI)? - Library card Noting the correct enrollment period on enrollment applications helps in preventing delayed enrollment processing. - 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 minute of a sales call. d. Electronically conveyed when communicating with a beneficiary through email, online chat, or other electronic means of communication (regardless of content). 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? - c. Member Payments Communication of PHI can be: (Select all that apply.) - a. Written