2023 Wellcare ACT Mastery Certification Exam Questions
with correct Answers
What are some examples of steps that can be taken when safeguarding and
securing PHI and PII?
(Select all that apply.) - (answers)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.
Centene requires all contracted agents to read, understand, and agree to Centene's
Business Ethics and Code of Conduct Policy. - (answers)True
The information contained within ACT will equip agents to certify, market, and
sell which health plans? - (answers)All of the above
Communication of PHI can be: - (answers)Written
Electronic
Verbal
By selecting the correct provider during the enrollment process, you can: -
(answers)All of the above
, Which of the following statements about completing telephonic enrollments is
FALSE? - (answers)Must include most of the required elements necessary to
complete the enrollment.
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? - (answers)Member Payments
Member PHI can be stored on an external hard drive or a cloud storage service like
Google Drive or Apple Cloud. - (answers)False
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. - (answers)True
Agents must meet all required contracting, training, and certification requirements
to be eligible to sell Wellcare's Medicare products. - (answers)True
Agents may be investigated after being suspected of noncompliant activity
reported through a: - (answers)Complaint Tracking Module (CTM)
Grievance
Secret Shop Finding
with correct Answers
What are some examples of steps that can be taken when safeguarding and
securing PHI and PII?
(Select all that apply.) - (answers)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.
Centene requires all contracted agents to read, understand, and agree to Centene's
Business Ethics and Code of Conduct Policy. - (answers)True
The information contained within ACT will equip agents to certify, market, and
sell which health plans? - (answers)All of the above
Communication of PHI can be: - (answers)Written
Electronic
Verbal
By selecting the correct provider during the enrollment process, you can: -
(answers)All of the above
, Which of the following statements about completing telephonic enrollments is
FALSE? - (answers)Must include most of the required elements necessary to
complete the enrollment.
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? - (answers)Member Payments
Member PHI can be stored on an external hard drive or a cloud storage service like
Google Drive or Apple Cloud. - (answers)False
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. - (answers)True
Agents must meet all required contracting, training, and certification requirements
to be eligible to sell Wellcare's Medicare products. - (answers)True
Agents may be investigated after being suspected of noncompliant activity
reported through a: - (answers)Complaint Tracking Module (CTM)
Grievance
Secret Shop Finding
