2024 wellcare mastery test exam with correct
aswers
An vSEP vis va vperiod voutside vof vthe vICEP, vAEP, vor vMA vOEP vwhen vbeneficiaries vcan venroll vbased vsolely von
vlife vevents vthat vqualify vfor van vSEP vperiod v- vcorrect vansweranswer: vTrue
Any vrequest vor vdistribution vof vPHI vshould vcontain vonly vthe vminimum vamount vof vPHI vrequired vto
vcomplete vthe vintended vtask. v- vcorrect vanswerAnswer: vTRUE
A vrequest vto vthe vplan vfrom va vmember vor vprovider vfor va vformal vreview vof van vAction v(Denial) vor
vAdverse vPlan vDetermination v(Medicare) vis va/an: v- vcorrect vanswerAnswer: vAppeal
An vagent vwho vhas vnever vhad vany vverbal vwarnings vcannot vbe vissued va vCorrective vAction vPlan v- vcorrect
vanswerAnswer: vFalse
Which vof vthe vfollowing vactions vare vyou vrequired vto vdo vwhen vcontacted vregarding van vallegation vof
vnoncompliant vactivity? v- vcorrect vanswerAnswer: vAll vof vthese
Which vof vthe vfollowing vstatements vabout vcompleting vtelephonic venrollments vis vFALSE? v- vcorrect
vanswerc.
Must vinclude vmost vof vthe vrequired velements vnecessary vto vcomplete vthe venrollment.
Centene vrequires vall vcontracted vagents vto vread, vunderstand, vand vagree vto vCentene's vBusiness vEthics
vand vCode vof vConduct vPolicy. v- vcorrect vanswerTrue
At vthe vend vof vthis vcourse, vthere vwill vbe va vMastery vExam. vAgents vmust vachieve va vpassing vscore vof v85%
vor vhigher vto vsuccessfully vcomplete vthis vcourse. v- vcorrect vanswerTrue
Medicare vStar vRatings vand vperformance vare vat vthe vforefront vof vWellcare's vquality vstrategy. vWellcare's
vquality vfocus vconsists vof vsix vdrivers. vWhich vof vthe vfollowing vis vnot va vWellcare vquality vdriver? v- vcorrect
vanswerc.
aswers
An vSEP vis va vperiod voutside vof vthe vICEP, vAEP, vor vMA vOEP vwhen vbeneficiaries vcan venroll vbased vsolely von
vlife vevents vthat vqualify vfor van vSEP vperiod v- vcorrect vansweranswer: vTrue
Any vrequest vor vdistribution vof vPHI vshould vcontain vonly vthe vminimum vamount vof vPHI vrequired vto
vcomplete vthe vintended vtask. v- vcorrect vanswerAnswer: vTRUE
A vrequest vto vthe vplan vfrom va vmember vor vprovider vfor va vformal vreview vof van vAction v(Denial) vor
vAdverse vPlan vDetermination v(Medicare) vis va/an: v- vcorrect vanswerAnswer: vAppeal
An vagent vwho vhas vnever vhad vany vverbal vwarnings vcannot vbe vissued va vCorrective vAction vPlan v- vcorrect
vanswerAnswer: vFalse
Which vof vthe vfollowing vactions vare vyou vrequired vto vdo vwhen vcontacted vregarding van vallegation vof
vnoncompliant vactivity? v- vcorrect vanswerAnswer: vAll vof vthese
Which vof vthe vfollowing vstatements vabout vcompleting vtelephonic venrollments vis vFALSE? v- vcorrect
vanswerc.
Must vinclude vmost vof vthe vrequired velements vnecessary vto vcomplete vthe venrollment.
Centene vrequires vall vcontracted vagents vto vread, vunderstand, vand vagree vto vCentene's vBusiness vEthics
vand vCode vof vConduct vPolicy. v- vcorrect vanswerTrue
At vthe vend vof vthis vcourse, vthere vwill vbe va vMastery vExam. vAgents vmust vachieve va vpassing vscore vof v85%
vor vhigher vto vsuccessfully vcomplete vthis vcourse. v- vcorrect vanswerTrue
Medicare vStar vRatings vand vperformance vare vat vthe vforefront vof vWellcare's vquality vstrategy. vWellcare's
vquality vfocus vconsists vof vsix vdrivers. vWhich vof vthe vfollowing vis vnot va vWellcare vquality vdriver? v- vcorrect
vanswerc.
