Step 2: Complete the following sections within the 2023 training: AHIP Medicare Training. Which of the following is not an example of Protected Health Information (PHI)? Contract completion/submission to GarityAdvantage required prior to attending. The ACT (no writing) consists of four multiple-choice tests in English, mathematics, reading, and science. This first interview usually takes around 15 minutes and will focus on your work history. - ANSWER Member Payments 22. Which of the following is not a Wellcare quality driver? - ANSWER True 9/27/2018 Realize Your Potential: WellCare Test - SM 2019 ACT Mastery Exam Supporting Your Sales and Marketing Supporting Your Sales and Marketing Efforts. Education> Exam > NURSING 3165 Predictor Version 1 Complete. 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. Agility Agents have learned from us that incorporating trending themes into their online content strategy plan will help them achieve their marketing goals. For 2023, Ascension Complete added 27 new counties to their footprint. Youll be prepared for AEP 2023! 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. - ANSWER Value Script This webcastwill serve as the 2022 training from which brokers can then complete certifications. 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. Why are parties prone to nominating ideological candidates? 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. Brokers/Agents may be investigated after being suspected of noncompliant activity reported through a: - ANSWER -Complaint Tracking Module (CTM) Regional Compliance or Regulatory Staff, AccumulatedDepreciation-PlantandEquipment, Claudia Bienias Gilbertson, Debra Gentene, Mark W Lehman, Fundamentals of Engineering Economic Analysis, David Besanko, Mark Shanley, Scott Schaefer. Wellcare ACT Mastery Exam. z!/0z`fx.XuJ}=RZ(l L@A2/M. (Select all that apply), AVL telephonically records SOA via a phone call with the beneficiary AboutDisclaimer Contact us: [emailprotected], Comprehensive Practice for Centenes Tests. Note: Each course must be completed in order. The _________ plan is expected to have one of the lowest premiums in the country! Centene may have you complete more than one interview. (Select 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 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. Which resources are available for download from the Shared Resources section found within Centene Workbench? 479 0 obj <> endobj Which of the following statements about Scope of Appointment (SOA) is FALSE? 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. 1. AHIPs one-stop program meets CMS requirements and provides what you need to help your clients make the right decisions about their health insurance needs. the date of the event or the date the member is made aware of the issue. - ANSWER True 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. But how is this fact going to help you sell more health insurance? \quad\text{Allotments-2020}&\text{100,000}\\ Generics and brand name drugs are covered on which Part D drug tier/s? Upload your AHIP Certificate on Garitys website. Any request or distribution of PHI should contain only the minimum amount of PHI required to complete the intended task. - The bar code is linked with your agent ID and certification status. First Time Visitors: Click on to the Create a New Account link under the First Time Visitor? hb```, wildindigoambyy. Agents must meet all required contracting, training, and certification requirements to be eligible to sell Wellcare's Medicare Products - ANSWER True mozi_y. . All PDPs will feature a $0 tier 1 benefit when filled at preferred pharmacies. There are ___ LIS copay categories that could be assigned to a member, depending on the level of need. By Nancylect 4 months ago. - ANSWER True %%EOF Take a look for yourself below. Wellcare added ___ counties to their footprint for 2023. Are you gearing up to start your MFWA training for 2023? Study with Quizlet and memorize flashcards containing terms like In the event you need to use a paper Scope of Appointment (SOA) form, it must be completed____ hosting the sales presentation., 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 . What are some examples of what can trigger a beneficiary complaint? For 2022, ______ will no longer be a preferred pharmacy - ANSWER Walmart GarityAdvantage Agencies. Inquiries are not grievances because they do not express dissatisfaction. Cant attend on the 22nd? An agent may use the Personalized URL (PURL) to compliantly submit an enrollment application on behalf of their beneficiary. Psychometric tests are given to narrow down the pool of potential candidates before deciding who to interview. Verbal permission granted to discuss plan details qualifies an authorized representative to complete an application on behalf of the beneficiary. Thoroughly read the directions so you do not make clumsy mistakes due to misunderstanding. Medicare Star Ratings and performance are at the forefront of Wellcare's quality strategy. 30 terms. 2023 Wellcare Act Mastery Exam Teleagent Quizlet. 2021, Certification -Helps ensure WellCare members are able to access care. \end{array} 30 terms. -Grievance Overall, the holiday season seems to bring joy and family unity around the world. Medical Insurance Commissions Medical commissions apply to all metal levels and plans sold on or off Marketplace. - Paper application Fax Submission }\\ Remember, there is a 24 hour lockout . 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. - ANSWER Educational They offer positions in nursing, customer service and claims, information technology, and many others. \textbf{Proprietary accounts:}\\ One Combined 2021 ACT: this year's 2021 ACT is combined and satisfies the certification requirement for all Centene products, including MA/MAPD and PDP: Allwell, Ascension Complete, Fidelis Care, Health Net, & WellCare; Unlimited Attempts: You can take the mastery exam as many times as you would like. c. At the end of a shift, each cashier counts the cash in his or her cash register, unlocks the cash register record, and compares the amount of cash with the amount on the record to determine cash shortages and overages. %PDF-1.5 % The NEW online Centene Workbench self-service portal enables you to: - ANSWER All of the above At that time, any new medical sales commissions due will be paid, starting from the first 2023 application. \quad\text{Depreciation and Amortization}&\text{750,000}\\ Monitoring action plan - ANSWER 3 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? Centene's Interviews. Grievances may be filed by which of the following methods? Pharmacology. *Tier 2 and Tier 3 copay of 2.5x the 30 day Preferred. Wellcare's quality focus consists of six drivers. Terms of Use Help . Once the enrollment is completed, you can save a copy of the application for your reference. Note: Each course must be completed in order. - ANSWER True - ANSWER True 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. $7. In the event you need to use a paper Scope of Appointment (SOA) form, it must be completed____ hosting the sales presentation. 19 terms. All PDPs will continue to offer $0 tier 1 preferred cost-sharing through CVS Medication Home Delivery (Mail Order). \quad\text{Operating/Program Expenses}&\text{2,150,000}\\ - ANSWER True 30 terms. Once logged in, your $50 discount will be calculated during the payment process. The following procedures were recently installed by The China Shop: a. 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). What is the application tracker in Agent Connect used for? 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? Sales made during an Open Enrollment or a Special Enrollment Period are eligible. - ANSWER Classic. Contact Broker Support if you have any questions: 800-234-9488. The debits are not distinguished from the credits. Dental Insurance Commissions The dental commission structure pertains to business with effective dates of 1/1. And dont get me started on the unofficial holiday song that was released back in 1994 (yes, we are talking about Mariah Careys single: All I want for Christmas is you). 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. 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. kturner1988. Which Prescription Drug Plan (PDP) is best for dual-eligible members? During an appointment, you may not discuss any products not agreed to in advance by the beneficiary. \textbf{Preclosing Trial Balance}\\ Wellcare offers a range of Medicare plans to provide members with affordable access to: - ANSWER All of the above By: Michelle M. Saavedra The most wonderful time of the year is here! To ensure accurate data entry, you should repeat the Medicare ID back to the beneficiary. Recent flashcard sets. After your application has been reviewed you will be sent notification of the result. wildindigoambyy. -Received incorrect plan benefit information or were dissatisfied with plan benefits. We're available through e-mail, live chat and Facebook. -Never leave laptops, PHI, or PII in an unattended vehicle. Which of the following actions are you required to do when contacted regarding an allegation of noncompliant activity? 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? Provides an Appointment ID to use for an agent-assisted online application. Commissions will be paid on posted premiums applied to the agents or agencys clients eligible cases. Other Quizlet sets. A complaint or vialation that could not be substaintied and where no pattern of compliance issues exists is a founded complaint. \quad\text{Undelivered Orders-2020}&\text{310,000}\\ You may have an initial screening interview which will be conducted over the phone or in an online format. Take the tests in a quiet place where you can concentrate. Please be advised eligible producers will be paid commission for existing medical policies scheduled to renew 1/1/2023 under this 2023 commission schedule. Centene continues to expand its reach by offering more products in a wider geography. - ANSWER All of the above 30 terms. Per CMS guidelines, you can take a 2020 application beginning October 1, 2019 but the application cannot be submitted until October 15, 2019. Ambetter plans to expand access to their value network in Florida. They are number 61 on the Fortune 500 list and serve 2 international markets, as well as 29 states. This webcast provides a great opportunity to get you up to speed on the fastest selling Medicare Advantage product in Worcester Country. - ANSWER -Did not consent to enroll in the plan. 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. You pay only $125. ACT Test Exam Option 2022 . 30 terms. \quad\text{Cumulative Results of Operations-10/1/19}&\text{1,009,000}\\ Records and saves the Scope of Appointment (SOA) per CMS regulations via a live agent speaking with the beneficiary Each cashier is assigned a separate cash register drawer to which no other cashier has access. Quizlet Plus for teachers. fufa_kasprzak. BrenTied. 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 Follow the Simple Process Below to begin training: We're Here to Help! b. Are you contracted with Ambetter yet? Course Hero is not sponsored or endorsed by any college or university. 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. 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. \end{array} 0 - Paper Application PDF Upload. Wellcare PDP is consolidating from six plan offerings to three plan offerings for 2022. Sarah-Yeaple. But before creating any type of content, insurance agents must be able to identify the key traits that characterize their ideal audience. -Do not include PHI or PII in the subject line or body of an email. \quad\text{Accumulated Depreciation-Plant and Equipment}&\text{5,350,000}\\ Click hereto access the Centene Learning Center. ______ 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. 12. 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. Open-Book Exam: The entire training course is available for download in PDF format . 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 standalone Prescription Drug Plan is best for "dual-eligible" members? 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. If you suspect inappropriate conduct within WellCare, you should report it to: District Sales Managers 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} - ANSWER True \quad\text{Operating Materials and Supplies}&\text{63,000}\\ 2021 Centene ACT Mastery Exam Flashcards | Quizlet. - ANSWER True 2023 Wellcare ACT Mastery Certification Answered. 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 If this interview goes well, you will be asked to go in for an . You will want all of your focus to be on the tests. 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. Be more than ready for plan year 2023!
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