Education> Exam > NURSING 3165 Predictor Version 1 Complete. BrenTied. Dental Insurance Commissions The dental commission structure pertains to business with effective dates of 1/1. Grievances may be filed by which of the following methods? The beneficiary (or their authorized representative) must indicate the product types to be discussed during the appointment on the Scope of Appointment (SOA). Which of the following is not an example of Protected Health Information (PHI)? This first interview usually takes around 15 minutes and will focus on your work history. 2023 Wellcare ACT Mastery Certification Answered. Cant attend on the 22nd? provide truthful or complete information. ____ new Wellcare and Ascension Complete plans are going to market. - eApp Desktop Wellcare has streamlined standalone PDP offerings from six plans to ___ in all 34 regions across all 50 states and D.C. - ANSWER Three plans Remember, there is a 24 hour lockout . We're available through e-mail, live chat and Facebook. Take a look for yourself below. Agility Agents have learned from us that incorporating trending themes into their online content strategy plan will help them achieve their marketing goals. - ANSWER True We can expect to see Christmas decorations just about everywhere. - ANSWER True Note: Each course must be completed in order. b. A Health Risk Assessment (HRA) can be completed for C-SNP and D-SNP plans only, before the enrollment application process in Ascend through the Value Based Enrollment (VBE) portal. If a paper Scope of Appointment (SOA) form was used to capture SOA, and your appointment turns into an application for enrollment, which mandatory action is true? -For drugs that are not covered by the new plan, explain the Transition Fill program and how to request a coverage exception. - ANSWER Library card Each cashier is assigned a separate cash register drawer to which no other cashier has access. - ANSWER True Which option is the preferred method to submit enrollment? Applications can be tracked from start to finish within your Agent Connect protal. You may have an initial screening interview which will be conducted over the phone or in an online format. Education> Exam > NURSING 3165 Predictor Version 1 Complete. After you have completed the assigned course modules, the Mastery Exam will be unlocked. ,d=CtC.WOB&Q;S&4fgnvb"/}eR[`64 - ANSWER Member Payments wellcare. Upload your AHIP Certificate on Garitys website. Sarah-Yeaple. Advancing is not available. . AHIP satisfies CMS requirements for which of the following? Monitoring action plan (select all that apply). 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 the date of the event or the date the member is made aware of the issue. 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. - ANSWER True Phone Steps to take when safeguarding and securing PHI and PII include - ANSWER All of the Above \quad\text{Other Appropriations Realized-2020}&\text{? . Agility Insurance Services, LLC. A Health Risk Assessment (HRA): - ANSWER All of the above Agents may be investigated after being suspected of noncompliant activity reported throughSelect all that apply. wildindigoambyy. This interview will go in-depth to help predict how you will perform on the job, and if your personality is a good fit for the company. *Tier 2 and Tier 3 copay of 2.5x the 30 day Preferred. \textbf{Preclosing Trial Balance}\\ 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? Brokers/Agents may be investigated after being suspected of noncompliant activity reported through a: - ANSWER -Complaint Tracking Module (CTM) Why are parties prone to nominating ideological candidates? Upload your AHIP Certificate on Garitys website. Value Script and Value Plus PDP products have a ___-tier formulary structure for 2023. Body Composition. They are number 61 on the Fortune 500 list and serve 2 international markets, as well as 29 states. Course Hero is not sponsored or endorsed by any college or university. Ambetter plans to expand access to their value network in Florida. Register anyway! Unlimited Attempts: You can take the mastery exam as many times as you would like. All sales are recorded on a record locked inside the cash register. 6. When a paper SOA form is used, it must be completed __________ hosting the sales presentation. Which of the following is not. Returning Users: Enter your Username and Password and click Login. Which Prescription Drug Plan (PDP) is best for dual-eligible members? }\\ For plan year 2020, WellCare has expanded and enhanced product offering across the country. There are websites that will help you refresh your mathematical skills. hbbd``b`AD`qO @; History test #3 Key terms and people. Wellcare. \quad\text{Operating/Program Expenses}&\text{2,150,000}\\ You must reset your password for the Centene Learning Center 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. How Quizlet works; Careers; Advertise with us; News; Get the app; For students. Pharmacology. Exam. 2022, Carriers, Certification, Training, Webinars, Mass Advantage will present their unique value. . Once logged in, your $50 discount will be calculated during the payment process. 2021 Centene (WellCare) Annual Certification Training, Stand Alone PDPs (Prescription Drug Plans), T65 Medicare Dinners Educational Seminars. -Helps ensure WellCare members are able to access care. 2023 Wellcare ACT Mastery Exam - TeleAgentSub-Course Learn with flashcards, games, and more for free. Tuesday, February 22 | 2:00PM 3:00PM EST, Territory Manager Wellcare ACT Journey to a Successful Season. The beneficiary (or their authorized representative) must indicate the product types to be discussed during the appointment on the Scope of Appointment (SOA). - ANSWER False Centene's Interviews. When you find a position fill out and submit an online application. For PDP Medication Home Delivery, the ____ plan will continue to offer a discount for 90-day tier 2, tier 3 and tier 6 prescriptions. A scope of Appointment (SOA) is required if benefits are going to be discussed prior to a beneficiary enrolling on their own via your Personalized URL (PURL). All PDPs will feature a $0 tier 1 benefit when filled at preferred pharmacies. (Select all that apply), AVL telephonically records SOA via a phone call with the beneficiary For example, 2021 Centene Journey to a Successful Season will unlock after AHIP is completed. Click here to access the Centene Learning Center. The _________ plan is expected to have one of the lowest premiums in the country! 30 terms. wildindigoambyy. Psychometric tests are given to narrow down the pool of potential candidates before deciding who to interview. -Never leave laptops, PHI, or PII in an unattended vehicle. \quad\text{Cumulative Results of Operations-10/1/19}&\text{1,009,000}\\ If you suspect inappropriate conduct within WellCare, you should report it to: District Sales Managers Take time to research the company and the position. Records and saves the Scope of Appointment (SOA) per CMS regulations via a live agent speaking 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. What is the application tracker in Agent Connect used for? Centene prides itself on the numerous benefits it offers its employees, which include: Open positions with Centene are posted on their website. Indicate whether each of the procedures of internal control over cash represents (1) a strength or (2) a weakness. This includes email and physical distribution. - ANSWER Value Script \quad\text{Plant and Equipment}&\text{8,111,000}\\ 30 terms. Other Quizlet sets. If a current member has received the Annual Notice of Changes (ANOC) document and has a question about 2020 benefits in September, we are permitted to answer 2020 benefit questions. Centene requires all contracted brokers/agents to read, understand, and agree to Centene's Business Ethics and Code of Conduct Policy. The ACT (no writing) consists of four multiple-choice tests in English, mathematics, reading, and science. 2021 Centene ACT Mastery Exam Flashcards | Quizlet. \textbf{Proprietary accounts:}\\ BrenTied. Cano Health Medical Centers Centrum Medical Center Fox Medical Center IMC Health Medical Centers MedFlorida Medical Center UniVida Medical Center Community Medical Group is currently the main provider for the Ambetter Value Network. 1.1 Accuracy and 2.1 Brevity. - ANSWER Classic Key areas you as a Sales Agent / Broker have control over and impact upon regarding Star (Quality) Ratings are - ANSWER All of the Above - ANSWER four ______ events are designed to inform the people that attend about Medicare Advantage, Prescription Drug, or other Medicare programs without going into the specifics of a particular carrier. Agents who wish to use the new Mobile Scope of Appointment (SOA) app to capture SOA are encouraged to complete the SM Mobile Scope of Appointment APP training in WellCare University. \quad\text{Depreciation and Amortization}&\text{750,000}\\ After you submit your application you may be sent a link to complete an online assessment test. Which of the following materials should you leave with the beneficiary after completing an enrollment into a WellCare Health Plan? - ANSWER Prior to Competitive PPO and HMO options with supplemental benefits, Committed to making healthcare better through innovation and by creating easier access to resources of UMass Memorial Health, Broker focused enrollment approach including value based enrollment (HRA), Access to more than 1,500 providers in the region. Also, assume that Other Appropriations Realized2019 were zero. There are ___ LIS copay categories that could be assigned to a member, depending on the level of need. Which standalone Prescription Drug Plan is best for a dual-eligible chooser? To access our special link to your $50 discount, simply click on the button below to log into the GarityAdvantage Dashboardand choose the Access AHIP $50 Discount button at the top of the page. Ambetter Value plans are available in: Broward, Clay, Duval, Hillsborough, Lake, Miami-Dade, Orange, Osceola, Palm Beach, Pasco and Seminole counties. Centene is a managed care corporation that acts as an intermediary between government and public health care services. Which of the following statements about completing telephonic enrollments is FALSE? During an appointment, you may not discuss any products not agreed to in advance by the beneficiary. At that time, any new medical sales commissions due will be paid, starting from the first 2023 application. Good Luck! Open-Book Exam: The entire training course is available for download in PDF format . Which resources are available for download from the Shared Resources section found within Centene Workbench? In the event you need to use a paper Scope of Appointment (SOA) form, it must be completed____ hosting the sales presentation. Termination not for cause before proceeding to AHIP and ACT (if you have not accessed the site Centene has new PPO D-SNP product expansion in CT, IN, KS, KY, MS, OH, OK, PA, SC, and a new HMO D-SNP in LA. - ANSWER True Wellcare offers a robust portfolio of products and plans across _____ states. 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. \quad\text{Accounts Payable}&\text{\$\hspace{7pt}134,000}\\ -Secret Shop Finding Applications can be tracked from start to finish within your Agent Connect portal. 2021 Centene ACT Mastery Exam. 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. 19 terms. (Select all that apply). But before creating any type of content, insurance agents must be able to identify the key traits that characterize their ideal audience. Wellcare offers a wide variety of Medicare products consolidated under a new Wellcare brand - ANSWER True - ANSWER True What does it mean to be a centrist candidate? All Rights Reserved. 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 wildindigoambyy. WellCare 2021 Centene Annual Certification Training: Now Available! 2022 Centene Act Mastery Exam Answers - Zqpd.tumon.shop. Practice4Me 2018-2023, All rights reserved. - ANSWER All of the above You will not be called in for an interview if you do not pass the assessment tests, therefore it is very important that you prepare yourself prior to taking the tests. The Part D Senior Savings Model (SSM), which reduces member spending on insulin, will be offered on all Value Script, Value Plus PDPs, and select Wellcare MAPD plans. chibiusa2023. You will be asked about your education, past job experience, and your strengths and weaknesses. Note: Once certification training requirements are completed, please allow 48 hours for our systems to update. \end{array} Fulfilling many needs and wants of society, c. Understanding whether a product will fail. Wellcare 2023 Mastery Test. -Explain formulary tiers as well as drug copayment amounts. Centene may have you complete more than one interview. For each weakness, indicate why it exists. TDI: Texas Department of Insurance - Changes to Ag CMS Proposed Rule to Increase Americans Access to 2022 MAPD/PDP Certification & Training Preparation Oscar Health: Network Expansion Announced Today, Complete 2022 Wellcare ACT Journey to a Successful Season, Complete 2022 Wellcare ACT Know Your Product. - ANSWER Compliant tracking module, grievance, secret shop finding By MARKALLAN , Uploaded: Jul 28, 2022. 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. If you are not contracted, pleaserequest the contract hereand return to GarityAdvantage for processing prior to the training. - ANSWER True Centene's 2023 product expansion represents a __% increase from 2022. - ANSWER True - ANSWER 3 For 2023, Ascension Complete added 27 new counties to their footprint. , issue. GarityAdvantage Agencies. Wellcare's quality focus consists of six drivers. -Confirm coverage of the beneficiary's current and/or anticipated prescriptions. \quad\text{Unexpended Appropriations-2020}&\text{410,000}\\[5pt] Open-Book Exam: The entire training course is available for download in PDF . Season" to begin. 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. 2021 Centene ACT training will be unlocked when training becomes available. Join GarityAdvantage Agencies Jane Feit and Mass Advantages Lea Freitas and Brandi LaPlant for a refresher on the unique value Mass Advantage brings to the Massachusetts senior market. - ANSWER True True. Written warning, One way for you, an agent, to help WellCare with maintaining a high Star Rating is to encourage your members to complete the HRA in a timely fashion, You may advertise using the WellCare name and/or logo without prior approval from WellCare, The Personalized URL (PURL) can be used to enroll beneficiaires into a WellCare plan when you are in the home, Which of the following is/are the benefits of the Appointment Verification Line (AVL) via a phone call with the beneficiary? - ANSWER 209 Follow the Simple Process Below to begin training: We're Here to Help! sammi2895. Kahoot: unit 3. Are you contracted with Ambetter yet? . By: Michelle M. Saavedra The most wonderful time of the year is here! Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Discovering Statistics Using IBM SPSS Statistics, Multivariate Data Analysis: Pearson International Edition, 2023 Wellcare ACT Mastery Certification Answered, Strategic Management and Competitive Advantage Concepts and Cases, Global Edition - William S. Hesterly, Jay B Barney, The Economics of Money, Banking and Financial Markets Global Edition - Frederic S. Mishkin, By selecting the correct provider during the enrollment process. - ANSWER Must include most of the required elements necessary to complete the enrollment Noting the correct enrollment period on enrollment applications helps in preventing delayed enrollment processing. Which stage of coverage is referred to as the "donut hole" as the member is paying the most for drug coverage: - ANSWER Coverage Gap ____ PDPs will be offered across all 50 U.S. states and Washington, D.C. - ANSWER Three Wellcare ACT Know Your Product. -Do not include PHI or PII in the subject line or body of an email. Any request or distribution of PHI should contain only the minimum amount of PHI required to complete the intended task. - ANSWER True fufa_kasprzak. . Use the following data for this assignment. Take the tests in a quiet place where you can concentrate. Resources. 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. - ANSWER All of the Above 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. -Impacts Star Ratings 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 Exam. 479 0 obj <> endobj 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} Preparation is key for all aspects of job hunting, and if you take the time to prepare for the online assessment tests, you will soon find yourself accepting a job offer. Which of the following is not a Wellcare quality driver? 29 terms. Verbal permission granted to discuss plan details qualifies an authorized representative to complete an application on behalf of the beneficiary. - ANSWER True What are some examples of steps that can be taken when safeguarding and securing PHI and PII? 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. endstream endobj startxref d. Checks received through the mail are given daily to the accounts receivable clerk for recording collections on account and for depositing in the bank. - ANSWER Value Plus (AHIP is still required.) Cigna just announced their 2023 ACA commission schedule! View WellCare-TEST- SM 2019- EXAM-H2 (1).pdf from CS MISC at Golden West College. Supporting Your Sales and Marketing Efforts. Unit 3 Atomic Structure Mini Quiz. A passing score of __ or higher must be achieved to successfully complete this course - ANSWER 85% Doing word puzzles will help you practice your reading comprehension. - ANSWER True Flashcards; Learn; Solutions; Modern Learning Lab; The NEW online Centene Workbench self-service portal enables you to: - ANSWER All of the above ACT Test Exam Option 2022 . b. What are some examples of what can trigger a beneficiary complaint? \quad\text{Appropriations Used}&\text{4,500,000}\\ 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. %%EOF - ANSWER True - ANSWER 3 HPHC 2023 Stride Training & Certification \textbf{September 30, 2020}\\ Thoroughly read the directions so you do not make clumsy mistakes due to misunderstanding. Education> Exam > 2023 Wellcare ACT Mastery Certification Answered (All) 2023 Wellcare ACT Mastery Certification Answered. 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. 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 A call to the Application Verification Line (VAL) is required for whihc type of application, Agent-Assisted Online Enrollment Application Tool, Which of the following are agents permitted to do when using the Personal URL (PURL). The Health Risk Assessment (HRA) is an important part of our quality initiative as it: -Gives WellCare the ability to prevent any further health challenges All sales are rung up on the cash register, and a receipt is given to the customer. kturner1988. A score of 85% or higher is needed to pass the 2021 ACT Mastery Exam. -Grievance Wellcare ACT 2022 (Centene) 29 terms. Brokers/Agents must meet all required contracting, training, and certification requirements to be eligible to sell Wellcare's Medicare Products. 2023 Wellcare ACT Mastery Certification Answered. A broker/agent who has never had any verbal warnings cannot be issued a Corrective Action Plan. f. Disbursements are made from the petty cash fund only after a petty cash receipt has been completed and signed by the payee. 2. $10. For 2022, ______ will no longer be a preferred pharmacy - ANSWER Walmart g. The bank reconciliation is prepared by the cashier. }\\ WellCare accepts Scopes of Appointment (SOA) in which of the following methods? z!/0z`fx.XuJ}=RZ(l L@A2/M. To ensure accurate data entry, you should repeat the Medicare ID back to the beneficiary. - Paper application Fax Submission Agents can use the Materials Portal to order sales materials and track shipment. Contract completion/submission to GarityAdvantage required prior to attending. Save $50 on AHIP training thru GarityAdvantage, Mass Advantage Broker Product Training and Certification Class, Mass Advantage Product Training & 2022 Certification. 30 terms. - ANSWER -Shred documents that contain PHI or PII using appropriate means. 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. For 2023, Ascension Complete added 27 new counties to their footprint. Wellcare has added ____ new counties to our footprint in 2022 - ANSWER 327 2023 New Hampshire Stride Product Rollout& Certification with Harvard Pilgrim, HPHC 2023 Stride Training & Certification. Sarah-Yeaple. Noting the correct enrollment period on enrollment applications helps in preventing delayed enrollment processing: - ANSWER True By Nancylect 4 months ago. T. . Be more than ready for plan year 2023! Chapter 22. The following procedures were recently installed by The China Shop: a. The Single Sign-On Portal provides access to several applications, including Centene Workbench. Monday, August 15th, 2PM 4PM EDT. - ANSWER -Did not consent to enroll in the plan. 30 terms. Which of the following statements about Scope of Appointment (SOA) is FALSE? Agents must meet all required contracting, training, and certification requirements to be eligible to sell Wellcare's Medicare Products - ANSWER True Which standalone Prescription Drug Plan is best for "dual-eligible" members? 0 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. Wellcare ACT 2022 (Centene) 29 terms. Wellcare. Request your contracting today, attend the webinar, complete the certs and you will be ready to sell Mass Advantage in a matter of days! An agent may use the Personalized URL (PURL) to compliantly submit an enrollment application on behalf of their beneficiary. The HRA is an important part of our quality initiative as it 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. Tests that job-seekers may encounter when applying with Centene are: Centene may have you complete more than one interview. - Paper Application PDF Upload. -Had enrollment/disenrollment issues (e.g., disenrollment/cancellation requests, late enrollment penalty, loss of entitlement).
2022 centene act mastery exam quizlet