2023 Wellcare Medicare Certification Test

2023 Wellcare Medicare Certification Test. Wellcare does not need to be informed of all marketing/sales events at which plans or materials will be presented or distributed (Formal & Informal). Select one: True False Feedback Brokers/Agents must inform Wellcare of all marketing/sales events at which plans or materials will be presented or distributed (Formal & Informal). Question 2 Correct 1.00 points out of 1.00 Flag question Question text Brokers/Agents may be investigated after being suspected of noncompliant activity reported through a: (Select all that apply.) a. Complaint Tracking Module (CTM) b. Yelp Review c. Grievance d. Secret Shop Finding Feedback Brokers/Agents may be investigated after being suspected of noncompliant activity reported through a Complaint Tracking Module (CTM), grievance, secret shop finding, internal audit, or reporting. Question 3 Incorrect 0.00 points out of 1.00 Flag question Question text 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? a. Member Service b. Reputation c. Member Payments d. Serving Government Customers Feedback Wellcare's quality focus consists of six primary drivers: Member Service, Serving Government Customers, Selection and Enrollment, Reputation, Requirement of Participation, Bonus Payment. Question 4 Correct 1.00 points out of 1.00 Flag question Question text What type of inquiries can Wellcare's Corporate Sales Support team assist with? a. Application and Enrollment b. Onboarding and Certifications c. Commissions d. All of the above Feedback Wellcare's national Sales Support team (Corporate) is available to assist with inquiries pertaining to Onboarding and Certifications, Materials, Commissions, Application and Enrollment, and so on. Question 5 Correct 1.00 points out of 1.00 Flag question Question text 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 above Feedback You are required to do the following when contacted regarding an allegation of noncompliant activity: Speak with the investigator as quickly as possible, answer all questions honestly and completely, and offer information and documents important to the investigation. Question 6 Correct 1.00 points out of 1.00 Flag question Question text The information contained within ACT will equip brokers/agents to certify, market, and sell which health plans? a. Ascension Complete b. Wellcare c. All of the above Feedback The purpose of ACT is to provide brokers/agents with the information needed to certify, market, and sell Wellcare and Ascension Complete plans. Question 7 Correct 1.00 points out of 1.00 Flag question Question text Which of the following is not an example of Protected Health Information (PHI)? a. Medical records b. Payment history c. Library card Feedback PHI is individually identifiable health information that relates to an individual’s past, present, or future physical or mental health, condition, or payment for the provision of healthcare to the individual. PHI includes medical records and payment history. Question 8 Correct 1.00 points out of 1.00 Flag question Question text Once the enrollment is completed, you can save a copy of the application for your reference. Select one: True False Feedback Do not download or save copies of the application. This is a potential security risk. Once the application is submitted to the health plan, it becomes the property of the health plan. Enrollment information is maintained and available in the applicable systems. Question 9 Correct 1.00 points out of 1.00 Flag question Question text 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. We offer online tutoring and help with assignments for all majors with a Guaranteed pass. For assistance Contact Tutor Lucas: