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Wellcare offers a range of Medicare plans to provide members with affordable access to: - ANSWER All of the above Which of the following statements about completing telephonic enrollments is FALSE? - ANSWER Must include most of the required elements necessary to complete the enrollment. Communication of PHI can be: (Select all that apply.) - ANSWER a. Written b. Electronic c. Verbal Verbal permission granted to discuss plan details qualifies an authorized representative to complete ...

Once the enrollment is completed, you can save a copy of the application for your reference. -Answer- False Which elements are available as part of Wellcare's sales support model? -Answer- All of the above. Centene requires all contracted brokers/agents to read, understand, and agree to Centene's Business Ethics and Code of Conduct Policy. -Answer- True Communication of PHI can be: (Select all that apply.) -Answer- -Written -Electronic -Verbal Prior to completing the enrollment form,...

Noting the correct enrollment period on enrollment applications helps in preventing delayed enrollment processing. Select one: True False - correct answer True Which of the following actions are you required to do when contacted regarding an allegation of noncompliant activity? a. Speak with the investigator as quickly as possible. b. Answer all questions honestly and completely. c. Offer information and documents important to the investigation. d. All of the above - correct answer All...

A grievance request, or any evidence concerning a grievance, must be filed orally or in writing no later than calendar days from the date of the event or the date the member is made aware of the issue. 60 When completing an application, you should ensure that you enter the provider ID of a specialist and not a Primary Care Physician (PCP). False Which of the following statements about completing telephonic enrollments is FALSE? Must include most of the required elements necessary to com...

Brokers/Agents may be investigated after being suspected of noncompliant activity reported through a: - correct answer Complaint Tracking Module (CTM) Grievance Secret Shop Finding Enrollments through Ascend offer the following unique benefits: - correct answer Validation of important data to help prevent incorrect or missing information. Digital capture of the broker's/agent's and beneficiary's electronic signatures through Send for Signature at any time throughout the enrollment appl...

Which of the following is not an example of Protected Health Information (PHI)? - correct answer Library card Enrollment applications must be received by Wellcare no later than ___ calendar day(s) following receipt from the beneficiary. - correct answer 1 Wellcare must receive notice of an event change or cancellation as soon as possible, but no later than 30 mins after the event start time. - correct answer FALSE Ascend is a fast, easy, and compliant way for agents to submit agent-assiste...

When completing an application, you should ensure that you enter the provider ID of a specialist and not a Primary Care Physician (PCP). - correct answer False Noting the correct enrollment period on enrollment applications helps in preventing delayed enrollment processing. - correct answer True WellCare has streamlined standalone PDP offerings from six plans to a. two plans b. one plan c. three plans d. four plans in all 34 regions across all 50 states and D.C. - correct answer c All ...

CEO - correct answer Ken Burdick Total Members - correct answer 4.4 million Provider Network - correct answer 427,000 Pharmacy Network - correct answer 68,000 Associates - correct answer 8,900 Fortune 500 - correct answer #195 Accomplishment - correct answer A Fortune Worlds Most Admired Company Medicaid Members - correct answer 2.7 Million Medicare Members - correct answer 496,000 Perscription Drug Plan Members - correct answer 1.2 Million Operates Accountable Care Organizations - cor...

Which is NOT a method of good problem solvers Select one: a. Positive attitude b. Concern for accuracy c. Breaking the problem into parts d. Avoiding guessing e. All of the above Correct Answer: e. All of the above That portion of the law which defines the personal and property right of individuals; the rights of an individual to seek redress or to prevent wrong defines; (4.3.3) Select one: a. Constitutional "rights" Law b. Tort Law c. Civil Law d. Criminal Law e. Case Law Corre...

A commitment is a court order Correct Answer: to place an accused in jail The Sixth Amendment covers all of the following except: Correct Answer: excessive bail Deceptive police practices are Correct Answer: invalid if used to provide criminal opportunity invalid if used to support motive acceptable for surveillance Harassment as defined by Penal Code 42.07 cannot occur if the communication is initiated by which of the following means? Correct Answer: In person Which of the following is...

temporary - ANSWERS-handcuffs are only a ______ restraining device to the right or left of the subject - ANSWERS-when two officers are interviewing one subject, the second officer's position should be_________. professional presence - ANSWERS-is a force option touching - ANSWERS-is a weaponless strategy supportive spectators - ANSWERS-is considered a risk factor in the physical process of arrest physical stature of an offender - ANSWERS-is justification for the use of a baton surprise -...

That condition of the human organism that consists of its health and disease status and risk potential. Correct Answer: Wellness According to the Occupations Code, a person licensed as a peace officer must complete 40 hours of legislatively required continuing education training every _____ Correct Answer: 24 months. According to the Commission Rules, if a licensee's name is changed for any reason, such as marriage, divorce, or other court action, it must be reported to the Commission with...

Which of the following is a risk factor in arrest situations? Correct Answer: Spectator support for the subject An operator may not stop, stand, or park a vehicle within ____ feet of a fire hydrant. Correct Answer: 15 At least two reflectors on the rear of a motor vehicle, trailer, semitrailer, or pole trailer must be __________ in color. Correct Answer: red Eat enough calories to attain and ____________ desired body weight. Correct Answer: maintain What is the first thing an officer doe...

Communicable Disease correct answer an illness that occurs through the transmission of an infectious agent or its toxic products frk. resivior to a susceptible host, either directly, as from an infected person or animal, or indirectly through an intermediate plant or animal host, a vector, or the inanimate environment Force - correct answer an aggressive act committed by any person, which does. ot amount yo an assault and is necessary to accomplish one's objective Gang Activity - correct...

Which of these concepts came from European police methods. - ANSWER Foot patrol, Sheriff, County The "watch and ward" system of policing began in the... - ANSWER Northern States The "watch" was ______-patrol. - ANSWER nighttime The "ward" was ______-patrol. - ANSWER daytime American policing began developing in ________ and the criminal justice system began to experience corruption. - ANSWER New York, Boston, Philadelphia August Vollmers' goal was to... - ANSWER professionalize po...

Policing in America has its roots in ________ (Europe, primarily England) methods. - ANSWER European The northeastern states generally had the "watch and ward" system. "Watch" was nighttime, while "____"___________________. - ANSWER Ward" was daytime police As American policing developed in New York, Boston, and Philadelphia, an entire system of criminal justice began to experience _________. - ANSWER Corruption The use of the _________ provided a more rapid response to police calls...

When a licensee is separated from an agency , the agency has _________ day(s) to serve the licensee with termination report - ANSWER 7 Copies of the commission rules can be found__________. - ANSWER On the TCOLE website To be eligible for initial licensure an applicant cannot have been on court-ordered supervision or probation for any class B criminal offense within the last ________ year(s) - ANSWER 10 years Legislatively mandated training may be waived due to mitigating circumstances by...

Physical Fitness - ANSWER-individual to use his/her body in activities requiring strength, muscular endurance, cardiovascular endurance, flexibility, coordination, agility, power, balance, speed, accuracy Wellness - ANSWER-That condition of human organism consists of its health and disease status and risk potential Positive well being Health Related - ANSWER-Strength Dynamic strength (muscular endurance) Flexibility Cardiovascular endurance Body Composition Motor Related - ANSWER-Coor...

Reasonable / prudent - According to the Transportation code: "No person shall drive a vehicle on a highway at a speed greater than is ________ and _______ under the circumstances then existing." intentionally - According to the Penal Code, a person acts _______, with respect to the nature of their conduct, when it is the conscious objective or desire to engage in the conduct or cause the result. to the right or left of the subject - When two officers are interviewing one subject, the se...

Reasonable / prudent - Answer-According to the Transportation code: "No person shall drive a vehicle on a highway at a speed greater than is ________ and _______ under the circumstances then existing." intentionally - Answer-According to the Penal Code, a person acts _______, with respect to the nature of their conduct, when it is the conscious objective or desire to engage in the conduct or cause the result. to the right or left of the subject - Answer-When two officers are interviewing...