2022 centene act mastery exam quizlet

In good form, prepare the following statements for the Save Our Resources Commission for 2020: Which of the following will be accomplished by efficient allocations of the factors of production? Grievances may be filed by which of the following methods? Take a look for yourself below. What are some examples of steps that can be taken when safeguarding and securing PHI and PII? They offer positions in nursing, customer service and claims, information technology, and many others. This first interview usually takes around 15 minutes and will focus on your work history. 1.1 Accuracy and 2.1 Brevity. My Certifications . Wellcare Centene Mastery Test 2023. All PDPs will continue to offer $0 tier 1 preferred cost-sharing through CVS Medication Home Delivery (Mail Order). Centene requires all contracted brokers/agents to read, understand, and agree to Centene's Business Ethics and Code of Conduct Policy. Advancing is not available. During an appointment, you may not discuss any products not agreed to in advance by the beneficiary. Amy Donahue Which standalone Prescription Drug Plan is best for a dual-eligible chooser? - ANSWER True wildindigoambyy. Note: Once certification training requirements are completed, please allow 48 hours for our systems to update. Cant attend on the 22nd? - ANSWER 50 - ANSWER True - ANSWER Ascend Web/Mobile Application 491 0 obj <>/Filter/FlateDecode/ID[<77ED121B7802AF41A26171E3FF5EDEBB>]/Index[479 27]/Info 478 0 R/Length 71/Prev 509691/Root 480 0 R/Size 506/Type/XRef/W[1 2 1]>>stream -Secure emails that contain PHI or PII. If you suspect inappropriate conduct within WellCare, you should report it to: District Sales Managers \quad\text{Allotments-2020}&\text{100,000}\\ Kahoot: unit 3. -Secret Shop Finding If this interview goes well, you will be asked to go in for an interview with the hiring manager. 19 terms. - ANSWER Member Payments - ANSWER -Shred documents that contain PHI or PII using appropriate means. 2022, Carriers, Certification, Training, Webinars, Mass Advantage will present their unique value. Agents may be investigated after being suspected of noncompliant activity reported throughSelect all that apply. . Which stage of coverage is referred to as the "donut hole" as the member is paying the most for drug coverage: - ANSWER Coverage Gap Tests that job-seekers may encounter when applying with Centene are: Centene may have you complete more than one interview. - ANSWER Compliant tracking module, grievance, secret shop finding This webcast provides a great opportunity to get you up to speed on the fastest selling Medicare Advantage product in Worcester Country. Medical commissions will be paid for up to four children on the plan. Wellcare PDP is consolidating from six plan offerings to three plan offerings for 2022. - ANSWER True 2022 Annual Certification Training Details: One Combined ACT: Successful completion of ACT certifies you to market and sell all 2021 and 2022 Wellcare Medicare product offerings, for Allwell, Fidelis Care, Health Net, WellCare and Ascension Complete Health Plans. g. The bank reconciliation is prepared by the cashier. In completing the assignment, assume that all assets are entity assets, Fund Balance with Treasury is an intragovernmental asset, and all other assets are governmental. SAVEOURRESOURCESCOMMISSIONPreclosingTrialBalanceSeptember30,2020, Proprietaryaccounts:AccountsPayable$134,000AccumulatedDepreciation-PlantandEquipment5,350,000AppropriationsUsed4,500,000FundBalanceWithTreasury-2020?OperatingMaterialsandSupplies63,000CumulativeResultsofOperations-10/1/191,009,000Operating/ProgramExpenses2,150,000DepreciationandAmortization750,000PlantandEquipment8,111,000UnexpendedAppropriations-2020410,000Budgetaryaccounts:OtherAppropriationsRealized-2020?ExpendedAuthority-20204,500,000UndeliveredOrders-2020310,000Allotments-2020100,000\begin{array}{lrr} Psychometric tests are given to narrow down the pool of potential candidates before deciding who to interview. - ANSWER Classic provide truthful or complete information. Join Harvard Pilgrim Health Cares MaryEllen Joyce and GarityAdvantage AgenciesSusan Young to learn abouttheirnew products and benefits for2023and take care of Stride certification requirements all in one convenient livemeeting. Note: Each course must be completed in order. - ANSWER All of the above - ANSWER Value Script Wellcare's quality focus consists of six drivers. 2022 Centene Act Mastery Exam Answers - Zqpd.tumon.shop. History test #3 Key terms and people. - ANSWER All of the Above The Minimum Necessary Rule within the Privacy Rule requires that any request or distribution of protected health information (PHI) occurs with only the minimum amount of PHI required to complete the intended task. \quad\text{Cumulative Results of Operations-10/1/19}&\text{1,009,000}\\ Annual AHIP Training is still required. -Were misled about which providers were in-network. - ANSWER True ____ PDPs will be offered across all 50 U.S. states and Washington, D.C. - ANSWER Three Key areas you as a Sales Agent / Broker have control over and impact upon regarding Star (Quality) Ratings are - ANSWER All of the Above Wellcare 2023 Mastery Test. Medical Insurance Commissions Medical commissions apply to all metal levels and plans sold on or off Marketplace. - ANSWER True Using the STAR method (situation, task, action, result) will give context to your answers, and give the interviewer a better idea of who you are as an employee. }\\ The beneficiary (or their authorized representative) must indicate the product types to be discussed during the appointment on the Scope of Appointment (SOA). Centene's 2023 product expansion represents a __% increase from 2022. Agents can use the Materials Portal to order sales materials and track shipment, Agents 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. - The bar code is linked with your agent ID and certification status. mozi_y. chibiusa2023. By MARKALLAN , Uploaded: Jul 28, 2022. Exam. -Do not include PHI or PII in the subject line or body of an email. Good Luck! 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. \quad\text{Accumulated Depreciation-Plant and Equipment}&\text{5,350,000}\\ Which of the following materials should you leave with the beneficiary after completing an enrollment into a WellCare Health Plan? Inquiries are not grievances because they do not express dissatisfaction. For 2022, ______ will no longer be a preferred pharmacy - ANSWER Walmart 2022 Annual Certification Training Details: One Combined ACT: Successful completion of ACT certifies you to market and sell all 2021 and 2022 Wellcare Medicare product offerings, for Allwell, Fidelis Care, Health Net, WellCare, and Ascension Complete Health Plans. Take the tests in a quiet place where you can concentrate. - ANSWER 3 Course Hero is not sponsored or endorsed by any college or university. Noting the correct enrollment period on enrollment applications helps in preventing delayed enrollment processing. ,d=CtC.WOB&Q;S&4fgnvb"/}eR[`64 Tuesday, February 22 | 2:00PM 3:00PM EST, Territory Manager Which of the following is not. Which of the following actions are you required to do when contacted regarding an allegation of noncompliant activity? What is the application tracker in Agent Connect used for? All sales are recorded on a record locked inside the cash register. Upload your AHIP Certificate on Garitys website. Wellcare. WellCare 2021 Centene Annual Certification Training: Now Available! You will be asked about your education, past job experience, and your strengths and weaknesses. - ANSWER False Centene may have you complete more than one interview. By selecting the correct provider during the enrollment process, you can: - ANSWER All of the above A grievance request, or any evidence concerning a grievance, must be fi led orally or in writing. One amount is missing in the following trial balance of proprietary accounts, and another is missing from the trial balance of budgetary accounts of the Save Our Resources Commission of the federal government. 411 terms. - ANSWER The agent of record will not remain with the member after the consolidation. Medicare Star Ratings and performance are at the forefront of Wellcare's quality strategy. \end{array} \quad\text{Undelivered Orders-2020}&\text{310,000}\\ Wellcare's 2022 product expansion represents an 8% increase from 2021. before proceeding to AHIP and ACT (if you have not accessed the site They are number 61 on the Fortune 500 list and serve 2 international markets, as well as 29 states. Open-Book Exam: The entire training course is available for download in PDF format . . True. - ANSWER 3 For 2023, Ascension Complete added 27 new counties to their footprint. Proprietaryaccounts:AccountsPayableAccumulatedDepreciation-PlantandEquipmentAppropriationsUsedFundBalanceWithTreasury-2020OperatingMaterialsandSuppliesCumulativeResultsofOperations-10/1/19Operating/ProgramExpensesDepreciationandAmortizationPlantandEquipmentUnexpendedAppropriations-2020Budgetaryaccounts:OtherAppropriationsRealized-2020ExpendedAuthority-2020UndeliveredOrders-2020Allotments-2020$134,0005,350,0004,500,000?63,0001,009,0002,150,000750,0008,111,000410,000?4,500,000310,000100,000. *Tier 2 and Tier 3 copay of 2.5x the 30 day Preferred. Wellcare ACT 2022 (Centene) 29 terms. 29 terms. Education> Exam > 2023 Wellcare ACT Mastery Certification Answered (All) 2023 Wellcare ACT Mastery Certification Answered. The _________ plan is expected to have one of the lowest premiums in the country! Register anyway! Phone - ANSWER True - ANSWER Library card Follow the Simple Process Below to begin training: We're Here to Help! \quad\text{Depreciation and Amortization}&\text{750,000}\\ . You may have an initial screening interview which will be conducted over the phone or in an online format. kturner1988. \textbf{Budgetary accounts:}\\ Agility Insurance Services, LLC. Per CMS guidelines, you can take a 2020 application beginning October 1, 2019 but the application cannot be submitted until October 15, 2019. Wellcare ACT Journey to a Successful Season. Written request to the WellCare Grievance Department. Which of the following is not an example of Protected Health Information (PHI)? Wellcare offers a robust portfolio of products and plans across _____ states. Be sure to request your contractingtoday to gain access to thesevaluable marketingtools plus all the service and support! Which of the following is not a Wellcare quality driver? . After you have completed the assigned course modules, the Mastery Exam will be unlocked. In the . e. Vouchers and all supporting documents are perforated with a PAID designation after being paid by the treasurer. Youll be prepared for AEP 2023! 6. What are some examples of what can trigger a beneficiary complaint? For plan year 2020, WellCare has expanded and enhanced product offering across the country. A score of 85% or higher is needed to pass the 2021 ACT Mastery Exam. BrenTied. The Part D Senior Savings Model (SSM), which reduces member spending on insulin, will be offered on the Value Script and Value Plus products - ANSWER True Wellcare's quality focus consists of six drivers. Wellcare has added ____ new counties to our footprint in 2022 - ANSWER 327 \textbf{SAVE OUR RESOURCES COMMISSION}\\ You may include a member name and member ID in the subject line of an email if you are reporting a member concern to WellCare. Save $50 on AHIP training thru GarityAdvantage, Mass Advantage Broker Product Training and Certification Class, Mass Advantage Product Training & 2022 Certification. Commissions will be paid on posted premiums applied to the agents or agencys clients eligible cases. Please be advised eligible producers will be paid commission for existing medical policies scheduled to renew 1/1/2023 under this 2023 commission schedule. 30 terms. There are ___ LIS copay categories that could be assigned to a member, depending on the level of need. Praca (narzdzia) 24 terms. 1. Overall, the holiday season seems to bring joy and family unity around the world. Help . hbbd``b`AD`qO @; 2023 Wellcare Act Mastery Exam Teleagent Quizlet. AboutDisclaimer Contact us: [emailprotected], Comprehensive Practice for Centenes Tests. Member PHI can be stored on an external hard drive or a cloud storage service like Google Drive or Apple Cloud. Wellcare. The Mobile Scope of Appointment (SOA) & Enrollment platform enables agents to capture/store SOA and complete/submit an enrollment application. Study with Quizlet and memorize flashcards containing terms like 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., When completing an application, you should ensure that you enter the provider ID of a specialist and not a Primary Care . endstream endobj startxref The NEW online Centene Workbench self-service portal enables you to: - ANSWER All of the above (Select all that apply), AVL telephonically records SOA via a phone call with the beneficiary A clear description of the copyrighted work infringed; A statement that you have a good faith belief that the use of the content identified in your DMCA notice is not authorized by the copyright owner, its agent or the law; Your contact information (such as your name, email address and telephone number); A certification, under penalty of perjury, that the DMCA notice is accurate, signed (either electronically or physically) by the copyright owner or the copyright owners legal representative. - ANSWER four Note: Each course must be completed in order. 43 terms. 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. Season" to begin. Body Composition. - Paper Application PDF Upload. Once in the AHIP portal, scroll down the page to the log in section and either enter your existing Log In Credentials or follow the prompts to Create a New Account. -Had enrollment/disenrollment issues (e.g., disenrollment/cancellation requests, late enrollment penalty, loss of entitlement). When discussing prescription drug coverage, you should: - ANSWER -Explain how to use the formulary to look up limitations and exclusions (e.g., step therapy, quantity limits). This trial balance was prepared before budgetary accounts were adjusted, such as returning unused appropriations. 5 Social Media Content Ideas for December, blue cross and blue shield of texas bonus program, Bright HealthCare Expands ACA in 42 New Markets, temporary special enrollment period unwinding, unitedhealthcare individual and family plans, Agility Insurance Services welcomes Verisk Financial. 2023 medical commissions for applications one to four will be paid $0 PMPM until the agent or agency reaches five medical applications. }\\ Wellcare ACT 2022 (Centene) 29 terms. f. Disbursements are made from the petty cash fund only after a petty cash receipt has been completed and signed by the payee. -Helps ensure WellCare members are able to access care. Brokers/Agents may be investigated after being suspected of noncompliant activity reported through a: - ANSWER -Complaint Tracking Module (CTM) Sales made during an Open Enrollment or a Special Enrollment Period are eligible. -For drugs that are not covered by the new plan, explain the Transition Fill program and how to request a coverage exception. Noting the correct enrollment period on enrollment applications helps in preventing delayed enrollment processing: - ANSWER True \quad\text{Other Appropriations Realized-2020}&\text{? How Quizlet works; Careers; Advertise with us; News; Get the app; For students. When completing an application, you should ensure that you enter the provider ID of a specialist and not a Primary Care Physician (PCP). Are you contracted with Ambetter yet? 2021, Certification Monitoring action plan Lets say that your ideal client likes to listen to carol singers during the holidays, as a content creator, you could potentially create your very own festive song that describes your business and all the services you provide (health insuranc. Steps to take when safeguarding and securing PHI and PII include - ANSWER All of the Above An 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 - ANSWER True 2022 Annual Certification Training Details: One Combined ACT: Successful completion of ACT certifies you to market and sell all 2021 and 2022 Wellcare Medicare product offerings, for Allwell, Fidelis Care, Health Net, WellCare, and Ascension Complete Health Plans. Any request or distribution of PHI should contain only the minimum amount of PHI required to complete the intended task. A Health Risk Assessment (HRA): - ANSWER All of the above Did you know GarityAdvantage providescontracted agents withno-cost and co-op lead programs, live and virtual training, personalized marketing collateral, client retention programs, and a knowledgeable teamto help you every step of the way. Sarah-Yeaple. $7. 2021 Centene ACT Mastery Exam. Medicare Star Ratings and performance are at the forefront of Wellcare's quality strategy. Click here to access the Centene Learning Center. For example, 2021 Centene Journey to a Successful Season will unlock after AHIP is completed. Which resources are available for download from the Shared Resources section found within Centene Workbench? Study with Quizlet and memorize flashcards containing terms like Exempt securities must re-establish their exemption annually in order to be sold lawfully in the state., A material fact is deliberately omitted in a sales presentation because it was publicly known 4 years ago = PROHIBITED, A registration statement for new issues of securities under the USA is effective for more than one year . shibedeleshibe Plus. HPHC 2023 Stride Training & Certification Centene is a managed care corporation that acts as an intermediary between government and public health care services. wildindigoambyy. WellCare has worked hard to include ACT in the One Broker Experience: Completing 2021 ACT satisfies the certification requirements to market and sell both 2020 and 2021 Centene plans. -Confirm coverage of the beneficiary's current and/or anticipated prescriptions. . An agent may use the Personalized URL (PURL) to compliantly submit an enrollment application on behalf of their beneficiary. 33 terms. True. A member or member's representative must submit a grievance request or evidence concerning a grievance orally or in writing no later than _____ calendar days from. Records and saves the Scope of Appointment (SOA) per CMS regulations via a live agent speaking with the beneficiary For the 2022 plan year, which health plans will be consolidated into the Wellcare Medicare brand: - ANSWER Health Net, Fidelis Care, AllWell, 'Ohana, Trillium Advantage, WellCare %%EOF *Tier 1 copay of $0 If you are not contracted, pleaserequest the contract hereand return to GarityAdvantage for processing prior to the training. - ANSWER True Thoroughly read the directions so you do not make clumsy mistakes due to misunderstanding. You pay only $125. Prescription drugs can be obtained at a preferred cost-share at certain stores/chains. - ANSWER 60 Flashcards; Learn; Solutions; Modern Learning Lab; Once the enrollment is completed, you can save a copy of the application for your reference. What does it mean to be a centrist candidate? Which Prescription Drug Plan (PDP) is best for dual-eligible members? - ANSWER True Generics and brand name drugs are covered on which Part D drug tier/s? To ensure accurate data entry, you should repeat the Medicare ID back to the beneficiary. When enrolling a D-SNP beneficiary, be sure to verify plan enrollment eligibility and that the MSP program level is eligible for the requested plan. -Explain formulary tiers as well as drug copayment amounts. GarityAdvantage has got you covered with a $50 discount on your annual training. \quad\text{Accounts Payable}&\text{\$\hspace{7pt}134,000}\\

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