Ctm exam 2024 - Study guides, Class notes & Summaries

HMIS correct answersHealth Management Information System as defined by the World Health Oragnization the HMIS is correct answersinformation system designed to assist in the management and planning of health programs HMIS is one of the correct answerssix building blocks essential for health system strengthening. Roles of the HMIS correct answers-The major role of HMIS is to PROVIDE QUALITY INFORMATION TO SUPPORT DECISION-MAKING at all levels of the health care system in any medical i...

1 / 15 2024 Wellcare ACT Mastery Exam 1. 1 2. All of these 3. False 4. True 5. True 6. Complaint Tracking Module (CTM) Grievance Secret Shop Finding 7. False Enrollment applications must be received by Wellcare no lat- er than calendar day(s) following receipt from the ben- eficiary. Which elements are available as part of Wellcare's Sales Support model? Low-Income Subsidy (LIS), which is often referred to as Extra Help, reduces all Part D plan premiums Prior to completin...

A request to the plan to the plan from a member or provider for a formal review of an Action (Denial) or Adverse Plan Determination (medicare) is a/an: - a.APPEAL 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 An LEP is assessed by CMS when a member goes___days or longer without creditable prescription drug coverage after the...

2024 Wellcare ACT Mastery Exam Questions and Answers 100% Pass Enrollment applications must be received by Wellcare no later than ___ calendar day(s) following receipt from the beneficiary. - Correct Answer ️️ -1 Which elements are available as part of Wellcare's Sales Support model? - Correct Answer ️️ -All of these Low-Income Subsidy (LIS), which is often referred to as Extra Help, reduces all Part D plan premiums - Correct Answer ️️ -False Prior to completing the enrollme...

Enrollment applications must be received by Wellcare no later than ___ calendar day(s) following receipt from the beneficiary. - 1 Which elements are available as part of Wellcare's Sales Support model? - All of these Low-Income Subsidy (LIS), which is often referred to as Extra Help, reduces all Part D plan premiums - False Prior to completing the enrollment form, broker/agents should always confirm the beneficiary's primary care provider (PCP) and/or specialists - True At the end...

Centene Wellcare 2024 Exam || All Questions & Solutions (100% Correct) Centene Wellcare 2024 Exam || All Questions & Solutions (100% Correct) A Health Risk Assessment (HRA) - ANSWER - All of the above 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. - ANSWER - True Health plan fax numbers vary for health plans that offer fax enrollment submissions. - ANSWER - True Centene requires a...

2024 WELLCARE MASTERY TEST ACTUAL EXAM 130 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |AGRADE The Mastery Exam will lock for a period of 48 hours after each failed attempt. - ANSWER- False Members who fail to pay the required premiums before the end of the grace period (Wellcare has a three-month grace period) will be terminated. - ANSWER- True True - ANSWER- True Which of the following is not an example of Protected Health Information (PHI)? - ANSWER...

2021 Centene ACT Mastery Exam Q&A latest updated 2024 In 2021, Centene is offering which of the the following types of Medicare Advantage Prescription Drug (MAPD) products? A. HMO and HMO/POS B. DSNP and CSNP C. PPO D. PFFS - answer-E. All of the above Beneficiaries who are first eligible for Medicare have a seven-month Initial Enrollment Period to enroll in a Medicare Advantage Plan. If eligible for Medicare, beneficiaries can sign up during the seven-month period that: A. Begins...

Noting the correct enrollment period on enrollment applications helps in preventing delayed enrollment processing. - True Once the enrollment is completed, you can save a copy of the application for your reference. - False Agents may be investigated after being suspected of noncompliant activity reported through a: - Complaint Tracking Module (CTM), Grievance, and Secret Shop Finding All Prescription Drug Plans (PDPs) will offer a $___ copay for most Part D preventive vaccines, regardless ...