Exam (elaborations)
WELLCARE MASTERY EXAM QUESTIONS AND ANSWERS 2024
- Course
- Institution
WELLCARE MASTERY EXAM QUESTIONS AND ANSWERS 2024
[Show more]
Content preview
WELLCARE MASTERY EXAMBrokers/Agents may be investigated after being suspected of noncompliant
activity reported through a: (Select all that apply.) - ANSWERS-Complaint Tracking
Module (CTM)
Grievance
Secret Shop Finding
Which elements are available as part of Wellcare's sales support model? -
ANSWERS-All of These
Online Self-Service
Local Field Sales
Corporate Office
CustomPoint® sales material order dates will be posted on Wellcare.com. -
ANSWERS-False
. Wellcare does not need to be informed of informal marketing/sales events at
which plans or materials will be presented or distributed. - ANSWERS-False
Materials that include plan comparisons or cost sharing do not require Centers for
Medicare & Medicaid Services (CMS) submission. - ANSWERS-False
, Beneficiary-facing marketing materials developed by a Third-Party Marketing
Organization (TPMO) for multiple Medicare Advantage (MA) organizations or
plans can be reviewed by just one MA organization, submitted to the Centers for
Medicare & Medicaid Services (CMS) in the Health Plan Management System
(HPMS), and opted in by the health plan after distribution. - ANSWERS-True
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
Which option is the preferred method to submit enrollment? - ANSWERS-Ascend
Application
Best practices to keep in mind for Dual Eligible Special Needs Plan (D-SNP) and
Chronic Condition Special Needs Plan (C-SNP) enrollments include the following:
(Select all that apply.) - ANSWERS-If a member is not connected to a primary care
provider (PCP), always encourage and assist with connecting them to an in-
network doctor.
Avoid submitting applications with no PCP to assist these higher-risk members.
When completing an enrollment, be sure to use the correct enrollment
application for the desired plan year. - ANSWERS-True
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.
30 - ANSWERS-60
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through EFT, credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying this summary from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Teacher101. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy this summary for $17.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
80796 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy summaries for 14 years now
