Centene medicare Guías de estudio, Notas de estudios & Resúmenes

WellCare Re-Cert Exam 2023 Study Guide Graded A+ 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? Member Payments Which of the following is not an example of Protected Health Information (PHI)? Library card Any request or distribution of PHI should contain only the minimum amount of PHI required to complete the intended task. True Which of the...

Centene Cert Review Questions and Answers 100% Correct Centene Cert Review Questions and Answers 100% Correct Centene Cert Review Questions and Answers 100% Correct Centene Cert Review Questions and Answers 100% Correct 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 comple...

Wellcare Exam (2024) || Complete Questions and Solutions (Rated A+) Wellcare Exam (2024) || Complete Questions and Solutions (Rated A+) Business Required Document (BRD) - ANSWER - written by business analyst (BA); created when new CMS regs come out, DTRR comes to us daily, read and apply Functional Specific Document (FSD) - ANSWER - detailed doc w/tables, names of files. etc. Accumulation Files - ANSWER - DSNP are excluded, MOOP accums sent daily to PBM, 9M layout format; outbound is a...

e Centene requires all contracted brokers/agents to read, understand, and agree to Centene's Business Ethics and Code of Conduct Policy. True False d. All of the above 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 abo...

WellCare finalWhat must brokers/agents complete every year? - correct answer WellCare Contract Recertification case in Centene Workbench (CWB) True or False: Enrollments through Ascend offer unique benefits. - correct answer True What are the unique benefits of enrollments through Ascend? - correct answer Validation of important data and digital capture of electronic signatures True or False: When completing an enrollment, you should use the correct enrollment application for the desire...

Centene Midterm 50 questions with complete solutions already passed!! How long can member be out of their area without being disenrolled? Over 6 months 1 year Less than 6 months 8 months Less than 6 months Who is the Medicare Part B monthly premium paid to? CMS The member Private insurance company CMS How does a member request to sign up for an Optional Supplemental Benefits package? Call and speak with the Sales Department Online through the Member Service Portal Request to mee...

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 comp...

2023 Centene Cert Review questions and answers rated 100% correct!! Wellcare offers a range of Medicare plans to provide members with affordable access to: All of the above Which of the following statements about completing telephonic enrollments is FALSE? Must include most of the required elements necessary to complete the enrollment. Communication of PHI can be: (Select all that apply.) a. Written b. Electronic c. Verbal Verbal permission granted to discuss plan details qualifie...

You can help prevent grievances by: (Select all that apply.) a. Always confirming availability of the beneficiary's primary and specialist providers by using the provider search tool available on the plan's website. b. Always using plan materials to clearly explain plan benefits and cost (including medications) and check for understanding. c. Always confirming a beneficiary's intent to enroll before accepting their enrollment application. (All of the above) Which of the following i...

Wellcare ACT 2022 (Centene) Exam Questions and Answers 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. -Answer-60 When completing an application, you should ensure that you enter the provider ID of a specialist and not a Primary Care Physician (PCP). -Answer-False Which of the following statements about completing telephonic enroll...