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Newest Salesforce Health-Cloud-Accredited-Professional Practice Questions in PDF Format for Quick Preparation
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Salesforce Health-Cloud-Accredited-Professional Exam is a challenging exam that requires a lot of preparation. To pass Health-Cloud-Accredited-Professional exam, professionals need to have a good understanding of the Salesforce Health Cloud platform and its various features. They also need to be familiar with healthcare industry standards and regulations. Professionals who Pass Health-Cloud-Accredited-Professional Exam can demonstrate their expertise in the Salesforce Health Cloud, which can open up new career opportunities for them.
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Salesforce Health Cloud Accredited Professional Sample Questions (Q85-Q90):
NEW QUESTION # 85
Bloomington Caregivers uses Health Cloud and has an integration setup with an external payer system.
Which three business level APIs should a consultant recommend to help the payer organization electronically receive requests for care services?
Choose 3 answers
- A. Admission, Discharge, and Transfer (ADT)
- B. Benefit Verification
- C. Referral Request
- D. Prior Authorization
- E. Care Services
Answer: B,C,D
NEW QUESTION # 86
A payer needs to manage requests for concurrent review of prior authorizations within Health Cloud and wants to use out-of-the-box record types and page layouts for prior However, the payer's Salesforce administrator does not see any preconfigured record types or page layouts for prior authorizations in the payer's Salesforce org.
What should a consultant recommend to the Salesforce administrator to expedite implementation?
- A. Install the Health Cloud Claims unmanaged package.
- B. Install the Health Cloud Care Request Extensions package.
- C. Build custom page layouts and record types to support the requirement.
- D. install an AppExchange prior authorization package.
Answer: B
Explanation:
* Preconfigured Prior Authorization Objects:
Exact Extract:
"The Health Cloud Care Request Extensions package provides out-of-the-box record types, page layouts, and flows for prior authorizations and other payer workflows." Reference:
* Other Options:
Claims unmanaged package is not for prior authorizations.
Building custom layouts is not necessary when a packaged solution exists.
AppExchange prior authorization packages are not officially supported for core Health Cloud prior auth workflows.
NEW QUESTION # 87
A payer receives faxes for clinical review as part of the determination process. The payer needs Health Cloud to automatically capture the data from the documents received from patients and manage the end-to-end approval process.
Which two Health Cloud capabilities should a consultant recommend as a way to build this process?
Choose 2 answers
- A. Integrated Care Management
- B. Utilization Management
- C. Intelligent Document Automation
- D. Care Authorizations
Answer: B,C
Explanation:
Step-by-Step
Intelligent Document Automation:
Exact Extract:
"Intelligent Document Automation in Health Cloud automatically extracts data from incoming documents, including faxes, and creates structured data for downstream workflows." Reference:
Utilization Management:
Exact Extract:
"Utilization Management provides workflows and automation to support end-to-end approval processes, including clinical review and authorizations." Why Not Other Options?
Integrated Care Management: Focuses on care plans and assessments, not document automation or clinical approval processes.
Care Authorizations: Part of Utilization Management but not the capability for document ingestion and process automation.
NEW QUESTION # 88
A customer wants to leverage dependent intervention tasks as part of their care coordination solution using Integrated Care Management.
Which feature should a consultant configure to accomplish this task?
- A. Intervention Templates
- B. Industry Template Library
- C. Action Plan Templates
- D. Care Plan Task Templates
Answer: C
Explanation:
The feature that the consultant should configure to leverage dependent intervention tasks as part of their care coordination solution using Integrated Care Management is Action Plan Templates. Action Plan Templates are reusable sets of tasks that can be assigned to patients or members based on their care needs. Action Plan Templates can include dependent tasks that are triggered by the completion of other tasks.
NEW QUESTION # 89
How should a consultant at a large provider system model a patient in Health Cloud?
- A. Configure Account
- B. Configure Contact
- C. Leverage Person Account
- D. Leverage Contact-Contact
Answer: C
Explanation:
In Salesforce Health Cloud, modeling patients effectively is crucial for maintaining accurate and comprehensive healthcare records. For large provider systems, the recommended approach is to utilize Person Accounts to represent individual patients.
Understanding Person Accounts:
A Person Account in Salesforce is a special type of account that combines the characteristics of both an Account and a Contact into a single record. This structure is particularly beneficial in healthcare settings where the patient is both the individual receiving care (Contact) and the primary account holder (Account).
Advantages of Using Person Accounts in Health Cloud:
* Unified Patient Representation:
* Person Accounts provide a consolidated view of patient information, eliminating the need to manage separate Account and Contact records for the same individual.
* Alignment with Healthcare Data Models:
* Salesforce Health Cloud's data model is designed to work seamlessly with Person Accounts, ensuring compatibility with healthcare standards like FHIR (Fast Healthcare Interoperability Resources). This alignment facilitates interoperability with Electronic Health Record (EHR) systems and other healthcare applications.
* Enhanced Data Management:
* With Person Accounts, healthcare providers can efficiently manage patient demographics, contact information, medical history, and other critical data within a single record, streamlining administrative processes and improving data accuracy.
Implementation Considerations:
* Enabling Person Accounts:
* Person Accounts must be enabled in your Salesforce org. This process is irreversible and should be carefully planned. Consult Salesforce documentation and consider involving a Salesforce administrator or consultant to ensure proper setup.
* Data Migration:
* If transitioning from a system that uses separate Account and Contact records, plan for data migration to consolidate existing patient records into Person Accounts.
* Customization and Integration:
* Ensure that customizations and integrations within your Salesforce org are compatible with Person Accounts. Some third-party applications may require adjustments to work effectively with this data model.
References:
Patient Resource Mapping: Salesforce Health Cloud maps the FHIR Patient resource to Person Accounts, reinforcing the suitability of Person Accounts for patient representation.
Salesforce Developers
Clinical Data Model: Salesforce's Clinical Data Model aligns with FHIR standards and supports the use of Person Accounts for patient data management.
Salesforce Developers
By leveraging Person Accounts, large provider systems can achieve a streamlined and standardized approach to patient data management within Salesforce Health Cloud, enhancing care coordination and supporting interoperability across healthcare platforms.
NEW QUESTION # 90
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