UHC ethics and compliance section for certification Practice Questions and Answers (100% Pass)
5 views 0 purchase
Course
UHC ethics and compliance
Institution
UHC Ethics And Compliance
UHC ethics and compliance section for
certification Practice Questions and
Answers (100% Pass)
What is a servicing agent? - Answer️️ -an inactive, nonemployee who has
signed a servicing agreement in order to receive renewal commisions on
medicare advantage and prescription drug plan enroll...
UHC ethics and compliance section for
certification Practice Questions and
Answers (100% Pass)
What is a servicing agent? - Answer✔️✔️-an inactive, nonemployee who has
signed a servicing agreement in order to receive renewal commisions on
medicare advantage and prescription drug plan enrollments on or after 1-
1-2014. the agent must maintain an active resident license and appointment
and pass medicare basics and ethics compliance assessments on an annual
basis
What does CMS stand for? - Answer✔️✔️-center for medicare and medicaid
services
Who administers the medicare program and contracts with private health
care companies to offer medicaid plans? - Answer✔️✔️-CMS
Who holds the authority to approve or disaprove plans that can be sold,
and is the regulating agency that also monitors our progresses? -
Answer✔️✔️-CMS
Who regulates MA's and PDP's - Answer✔️✔️-CMS
Enrolling a customer in a plan when you are not certified in the product is
non-compliant and considered____? - Answer✔️✔️-an unqualified sale
Agents who are not qualified to sell the product will not be? - Answer✔️✔️-
compensated and may receive corrective and or disciplinary action up to
an including termination
What is the purpose of an educational event? - Answer✔️✔️-its designed to
inform medicare consumers about original medicare, medicare advantage,
prescription drug and other medicare programs.
Where must educational events be conducted? - Answer✔️✔️-in a public
venue
Are the educational events unbiased so that it doesn't steer the consumer
towards a specific plan or limited number of plans? - Answer✔️✔️-yes
WHat is a marketing/sales event? - Answer✔️✔️-an event designed to steer
or attempt to steer, consumers toward a plan or limited set of plans. Agents
may discuss plan specific information and collect applications.
Can marketing/sales be formal or informal? - Answer✔️✔️-both
What describes a formal marketing/sales event? - Answer✔️✔️-a full plan
presentation, given in a presenter-audience format.
What is an inform marketing/sales event? - Answer✔️✔️-they're passive in
nature where the consumer approaches the agent to engage in
conversation. a booth, table, or kiosk is typically used
What are marketing appointments? - Answer✔️✔️-They're commonly
referred to as "in home, face to face, or one on one appointment" and
typically take place in the consumers home.
What other places can marketing appointments happen? - Answer✔️✔️-
coffee shop, or even over the phone
because marketing appointments are not formal and informal marketing
sales events, they're not reported to who? - Answer✔️✔️-UHC or CMS.
instead, agents must obtain a completed scope of appointment prior to
conducting the appointment.
To report events, what should agents use? - Answer✔️✔️-an event request
form
to ensure that events are in UHC's event reporting application no less than
7 calender days prior to the event... - Answer✔️✔️-submit the event request
form, according to instructions on the form, NO LESS THAN 14
CALENDAR DAYS
event request forms submitted within7 calendar days will NOT be what? -
Answer✔️✔️-processed
conducting an unreported event is _____? - Answer✔️✔️-prohibited
to schedule a sign language interpreter for a formal marketing/sales event
or a personal/individual marketing appointment, enter the consumer's
request direct;y in bconnected at least? - Answer✔️✔️-14 days prior to the
event or appointment
Page 3 of 24
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 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 these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller SophiaBennett. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.49. You're not tied to anything after your purchase.
