Certificate Training Aid (1/2)
Help!
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| Different Sales Violations | show 🗑
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| How Sales Violations are Reported | show 🗑
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| show | Allegation (by bene) of sales misrepresentation to an MA bene
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| Difference between major and lesser Section A violation | show 🗑
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| How to access bene ability to understand | show 🗑
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| POA/Guardian guidelines | show 🗑
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| Role of OIG (Office of Inspector General) | show 🗑
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| show | Act in benes best interest + verify bene eligibility + ensure they are in service area + NEADS (NOW, ENJOY, ALTER, DECISION, SUMMARIZE)
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| What if the bene wants to keep a non-Humana sup or Rx plan? | show 🗑
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| When comparing options, make sure to compare the following: | show 🗑
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| show | Humana Privacy Office manages these guidelines - "protect as if the data was your own" - "minimum necessary" standard when taking info from benes - can be disclosed to "designated personal rep like POA
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| show |
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| show | established regulations that govern the marketing/sales of MA products
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| Role of DOI in Medicaid | show 🗑
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| show | maintain regulations regarding telemarketing practices at a federal level
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| show | How often do you see doctor? How many doctors do you have? How is your health? What conditions do you have? When did you last go to hospital? What Rx do you take? Smoke? Exercise?
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| Age-In Enrollees Rule | show 🗑
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| What to do with multiple enrollments with different proposed effective dates? | show 🗑
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| show | True
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| show | Keep the plan until you receive confirmation from plan that the enrollment was approved - then cancel - it will not be auto-cancelled
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If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
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Created by:
cmazzariti
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