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Centene ACT ME Review | with 100% Correct Answers

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Agents may be investigated after being suspected of noncompliant activity reported through a Complaint Tracking Module (CTM), grievance, secret shop finding, internal audit or reporting. - ✔✔True Which of the followin ...

Agents may be investigated after being suspected of noncompliant activity reported through a Complaint Tracking Module (CTM), grievance, secret shop finding, internal audit or reporting. - ✔✔True Which of the following health plans are now available through Centene Corporation? Select the best answer. - ✔✔Health Net, Fidelis Care, Allwell, Ascension Complete, WellCare True or False: The four stages of coverage are NOT the same for PDP and MAPD. - ✔✔False True or False: PII stands for Personally Identifiable Information and includes any information that permits the identity of an individual to be inferred, including information linked or linkable to the individual. - ✔✔True True or False: When enrolling a beneficiary, you should ensure that you enter the provider ID of a specialist and not a primary care physician (PCP). - ✔✔False True or False: An agent could 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. - ✔✔True True or False: A complaint or violation that could not be proven and where no pattern of compliance issues exists is a founded complaint. - ✔✔False Beneficiaries who are first eligible for Medicare have a seven-month Initial Enrollment Period to enroll in a Medicare Advantage Plan. If eligible for Medicare, beneficiaries can sign up during the seven-month period that: - ✔✔All the above True or False: Centene will offer 6 Part D standalone plans in all 34 regions across all 50 states; 204 plans nationwide. - ✔✔True True or False: For plan year 2021, our PPO offerings have doubled - ✔✔True Which of the following is not an ancillary benefit on Centene's Medicare Advantage plans? - ✔✔Personal shopping services True or False: The Minimum Necessary Rule within the Privacy Rule requires that any request or distribution of PHI includes only the minimum amount of PHI required to complete the intended task. This includes email and physical distribution.

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