WellCare Mastery 2024 Test 150
QUESTIONS AND CORRECT DETAILED
ANSWERS ALREADY GRADED A
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.a.30 b.45 c.60 d.90
- 60
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 a.Complaint Tracking Module (CTM) c.Grievance d.Secret Shop Finding Brokers/Agents can submit a support ticket online through their Centene Workbench portal.True False True When an enrollment application is completed in Ascend, brokers/agents can complete a Health Risk Assessment (HRA) directly in Ascend after the enrollment application, through the Value-Based Enrollment (VBE) portal.True False True Which of the following is not an example of Protected Health Information (PHI)?a.Medical records 1 / 2
b.Payment history c.Library card
- Library card
A Health Risk Assessment (HRA):
a.Provides physicians with an overview of a member's health status.b.Helps us understand the unique health situation of each of our members and allows us to make sure they receive the services that meet their needs.c.Is an important part of our quality initiative, directly impacting our Star Ratings.d.All of these
- All of these
The online Centene Workbench self-service portal enables you to:
a.Upload applications b.Use the self-service workflows and ticketing system c.Locate valuable documents and resources d.All of these
- All of these
Communication of PHI can be:
(Select all that apply.) a.Written b.Electronic c.Verbal a.Written b.Electronic c.Verbal
You can help prevent grievances by:
(Select all that apply.) a.Always confirming availability of the beneficiary's primary and specialist providers by using the provider search tool available on the plan's website.
b.Always using plan materials to clearly explain plan benefits and cost (including medications) and check for understanding.
c.Always confirming a beneficiary's intent to enroll before accepting their enrollment application.a.Always confirming availability of the beneficiary's primary and specialist providers by using the provider search tool available on the plan's website.
- / 2