Wellcare Mastery Exam || Most Recent Exam
Actual Complete Real Exam Questions And Correct
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A Health Risk Assessment (HRA):
a. Provides physicians with an overview of a member's health status.
b. Helps us understand the unique health situation of each of our members and
allows us to make sure they receive the services that meet their needs.
c. Is an important part of our quality initiative, directly impacting our Star Ratings.
d. All of these
d. All of these
The online Centene Workbench self-service portal enables you to:
a. Upload applications
b. Use the self-service workflows and ticketing system
c. Locate valuable documents and resources
d. All of these
d. All of these
,Communication of PHI can be:
(Select all that apply.)
a. Written
b. Electronic
c.Verbal
a. Written
b. Electronic
c.Verbal
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.
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.
, When a paper SOA form is used, it must be completed ___hosting the sales
presentation.
a.48 Hours prior to
b.During
c.After
a.48 Hours prior to
Any request or distribution of PHI should contain only the minimum amount of
PHI required to complete the intended task.
True
False
True
When discussing prescription drug coverage, you should:
(Select all that apply.)
a. Explain how to use the formulary to look up limitations and exclusions
(e.g., step therapy, quantity limits).
b. Confirm coverage of the beneficiary's current and/or anticipated prescriptions.
c. Explain formulary tiers as well as drug copayment amounts.
d. For drugs that are not covered by the new plan, explain the Transition Fill
program and how to request a coverage exception.
a. Explain how to use the formulary to look up limitations and exclusions
(e.g., step therapy, quantity limits).
Actual Complete Real Exam Questions And Correct
Answers (Verified Answer) Already Graded A+ |
Success Guaranteed!! Newest Exam | Just
Released!!
A Health Risk Assessment (HRA):
a. Provides physicians with an overview of a member's health status.
b. Helps us understand the unique health situation of each of our members and
allows us to make sure they receive the services that meet their needs.
c. Is an important part of our quality initiative, directly impacting our Star Ratings.
d. All of these
d. All of these
The online Centene Workbench self-service portal enables you to:
a. Upload applications
b. Use the self-service workflows and ticketing system
c. Locate valuable documents and resources
d. All of these
d. All of these
,Communication of PHI can be:
(Select all that apply.)
a. Written
b. Electronic
c.Verbal
a. Written
b. Electronic
c.Verbal
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.
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.
, When a paper SOA form is used, it must be completed ___hosting the sales
presentation.
a.48 Hours prior to
b.During
c.After
a.48 Hours prior to
Any request or distribution of PHI should contain only the minimum amount of
PHI required to complete the intended task.
True
False
True
When discussing prescription drug coverage, you should:
(Select all that apply.)
a. Explain how to use the formulary to look up limitations and exclusions
(e.g., step therapy, quantity limits).
b. Confirm coverage of the beneficiary's current and/or anticipated prescriptions.
c. Explain formulary tiers as well as drug copayment amounts.
d. For drugs that are not covered by the new plan, explain the Transition Fill
program and how to request a coverage exception.
a. Explain how to use the formulary to look up limitations and exclusions
(e.g., step therapy, quantity limits).
