WellCare ACT Mastery Exam ACTUAL FINAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS -
VERIFIED ANSWERS ALREADY GRADED A+ NEW
GUARANTEED
True - CORRECT ANSWER 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 - CORRECT ANSWER 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
a, b, c - CORRECT ANSWER Communication of PHI can be:
(Select all that apply.)
a.
Written
b.
Electronic
c.
Verbal
False - CORRECT ANSWER 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
a.
,1 - CORRECT ANSWER Enrollment applications must be received by Wellcare no later
than ___ calendar day(s) following receipt from the beneficiary.
a.
1
b.
3
c.
5
d.
7
Clear my choice
True - CORRECT ANSWER Ascend is a fast, easy, and compliant way for
brokers/agents to submit agent-assisted electronic enrollments.
Select one:
True
False
True - CORRECT ANSWER During an appointment, you may not discuss any products
not agreed to in advance by the beneficiary.
Select one:
True
False
d.
All of the above - CORRECT ANSWER A Health Risk Assessment (HRA):
a.
Provides physicians with an overview of a member's health status.
b.
Ensures members are able to access care and receive services that meet their needs.
c.
Is an important part of our quality initiative, directly impacting our Star Ratings.
d.
All of the above
d.
All of the above - CORRECT ANSWER Which elements are available as part of
Wellcare's sales support model?
a.
Online
b.
Local
c.
Corporate
d.
All of the above
,False - CORRECT ANSWER Once the enrollment is completed, you can save a copy of
the application for your reference.
Select one:
True
False
c.
An electronic SOA submitted in Ascend must be in a Pending status prior to beginning the
appointment. - CORRECT ANSWER Which of the following statements about Scope of
Appointment (SOA) is FALSE?
a.
A signed and completed Scope of Appointment (SOA) is required to be submitted for all
agent-assisted enrollments.
b.
You may not discuss any products not agreed to in advance by the beneficiary.
c.
An electronic SOA submitted in Ascend must be in a Pending status prior to beginning the
appointment.
d.
SOAs are required for all personal and individual sales appointments, regardless of the
venue or client relationship (e.g., in-home, conference call, library, walk-in to a
broker/agent office).
c.
Library card - CORRECT ANSWER Which of the following is not an example of
Protected Health Information (PHI)?
a.
Medical records
b.
Payment history
c.
Library card
a.
Prior to - CORRECT ANSWER When a paper SOA form is used, it must be completed
__________ hosting the sales presentation.
a.
Prior to
b.
During
c.
After
d.
, All of the above - CORRECT ANSWER Which resources are available for download
from the Shared Resources section found within Centene Workbench?
a.
Contacts & Communications
b.
Marketing Resources
c.
Benefits Resources
d.
All of the above
True - CORRECT ANSWER A broker/agent may be terminated for cause if they fail to
comply with a compliance investigation, encourage others to avoid the compliance
interview process, or fail to provide truthful or complete information.
Select one:
True
False
c.
A dispute of the appeal of an organization determination, coverage determination or a Late
Enrollment Penalty (LEP) determination. - CORRECT ANSWER Which of the following
is not considered a grievance?
a.
An agent contacting a beneficiary without consent.
b.
Premium and copay complaints.
c.
A dispute of the appeal of an organization determination, coverage determination or a Late
Enrollment Penalty (LEP) determination.
d.
Enrollment or disenrollment concerns.
Clear my choice
c.
Member Payments - CORRECT ANSWER 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
Clear my choice
QUESTIONS AND CORRECT DETAILED ANSWERS -
VERIFIED ANSWERS ALREADY GRADED A+ NEW
GUARANTEED
True - CORRECT ANSWER 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 - CORRECT ANSWER 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
a, b, c - CORRECT ANSWER Communication of PHI can be:
(Select all that apply.)
a.
Written
b.
Electronic
c.
Verbal
False - CORRECT ANSWER 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
a.
,1 - CORRECT ANSWER Enrollment applications must be received by Wellcare no later
than ___ calendar day(s) following receipt from the beneficiary.
a.
1
b.
3
c.
5
d.
7
Clear my choice
True - CORRECT ANSWER Ascend is a fast, easy, and compliant way for
brokers/agents to submit agent-assisted electronic enrollments.
Select one:
True
False
True - CORRECT ANSWER During an appointment, you may not discuss any products
not agreed to in advance by the beneficiary.
Select one:
True
False
d.
All of the above - CORRECT ANSWER A Health Risk Assessment (HRA):
a.
Provides physicians with an overview of a member's health status.
b.
Ensures members are able to access care and receive services that meet their needs.
c.
Is an important part of our quality initiative, directly impacting our Star Ratings.
d.
All of the above
d.
All of the above - CORRECT ANSWER Which elements are available as part of
Wellcare's sales support model?
a.
Online
b.
Local
c.
Corporate
d.
All of the above
,False - CORRECT ANSWER Once the enrollment is completed, you can save a copy of
the application for your reference.
Select one:
True
False
c.
An electronic SOA submitted in Ascend must be in a Pending status prior to beginning the
appointment. - CORRECT ANSWER Which of the following statements about Scope of
Appointment (SOA) is FALSE?
a.
A signed and completed Scope of Appointment (SOA) is required to be submitted for all
agent-assisted enrollments.
b.
You may not discuss any products not agreed to in advance by the beneficiary.
c.
An electronic SOA submitted in Ascend must be in a Pending status prior to beginning the
appointment.
d.
SOAs are required for all personal and individual sales appointments, regardless of the
venue or client relationship (e.g., in-home, conference call, library, walk-in to a
broker/agent office).
c.
Library card - CORRECT ANSWER Which of the following is not an example of
Protected Health Information (PHI)?
a.
Medical records
b.
Payment history
c.
Library card
a.
Prior to - CORRECT ANSWER When a paper SOA form is used, it must be completed
__________ hosting the sales presentation.
a.
Prior to
b.
During
c.
After
d.
, All of the above - CORRECT ANSWER Which resources are available for download
from the Shared Resources section found within Centene Workbench?
a.
Contacts & Communications
b.
Marketing Resources
c.
Benefits Resources
d.
All of the above
True - CORRECT ANSWER A broker/agent may be terminated for cause if they fail to
comply with a compliance investigation, encourage others to avoid the compliance
interview process, or fail to provide truthful or complete information.
Select one:
True
False
c.
A dispute of the appeal of an organization determination, coverage determination or a Late
Enrollment Penalty (LEP) determination. - CORRECT ANSWER Which of the following
is not considered a grievance?
a.
An agent contacting a beneficiary without consent.
b.
Premium and copay complaints.
c.
A dispute of the appeal of an organization determination, coverage determination or a Late
Enrollment Penalty (LEP) determination.
d.
Enrollment or disenrollment concerns.
Clear my choice
c.
Member Payments - CORRECT ANSWER 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
Clear my choice
