Wellcare 2024 Exam Questions With Correct Answers

Noting the correct enrollment period on enrollment applications helps in preventing delayed enrollment processing. Select one: True False - ANS 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 - ANS All the above By selecting the correct provider during the enrollment process, you can: a. Increase member satisfaction. b. Ensure timely access to the member's PCP. c. Minimize call volumes/complaints. d. All of the above - ANS All the above Centene requires all contracted agents to read, understand, and agree to Centene's Business Ethics and Code of Conduct Policy. Select one: True False - ANS True Which of the following is not an example of Protected Health Information (PHI)? a. Medical records b. Payment history c. Library card - ANS Library card Communication of PHI can be: (Select all that apply.) a. Written b. Electronic c. Verbal - ANS Written, Electronic, Verbal 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? a. Member Service b. Reputation