Information Technology > EXAM > Centene ACT ME Review Questions and Answers with Complete Solutions (All)

Centene ACT ME Review Questions and Answers with Complete Solutions

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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 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 wher [Show More]

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