WellCare 2024 Study Guide Exam Questions with Verified Answers Latest Update, Exams of Nursing

Download WellCare 2024 Study Guide Exam Questions with Verified Answers Latest Update and more Exams Nursing in PDF only on Docsity! WellCare 2024 Study Guide Exam Questions with Verified Answers Latest Update. Which is an example of a top beneficiary complaint that affects Star Ratings? - Correct Answer: The beneficiary did not understand that enrolling in a WellCare plan would change their current Medicare Advantage plan An SEP is a period outside of the ICEP, AEP, or MA OEP when beneficiaries can enroll based solely on life events that qualify for an SEP period. - Correct Answer: True Prior to the beginning of the enrollment process, a broker/agent is required to cover certain beneficiary specific information, including but not limited to: - Correct Answer: All 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? - Correct Answer: NOT - Serving Government Customers WellCare 2024 Study Guide Exam Questions with Verified Answers Latest Update. Once the enrollment is completed, you can save a copy of the application for your reference. - Correct Answer: False The Mastery Exam will lock for a period of 48 hours after each failed attempt. - Correct Answer: False The TPMO disclaimer must be used by any TPMO that sells plans on behalf of more than one MA plan provider. The disclaimer must be: (Select all that apply.) - Correct Answer: All A request to the plan from a member or provider for a formal review of an Action (Denial) or Adverse Plan Determination (Medicare) is a/an: - Correct Answer: Appeal Which of the following statements about Scope of Appointment (SOA) is FALSE - Correct Answer: An electronic SOA submitted in Ascend must be in a Pending status prior to beginning the appointment