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Salesforce Health Cloud Accredited Professional Sample Questions (Q12-Q17):

NEW QUESTION # 12
A provider is looking to implement Utilization Management in Health Cloud and submit and track pror authorizations. Which two capabilities should a consultant customize to achieve this?
Choose 2 answers

A. Create a new UtilizationManagementSettings record in Custom Settings.
B. Create a new Support Process to match the customer's process steps.
C. Customize the Service Request object.
D. Integrate using MuleSoft Direct for electronic Prior Authorizations (ePA).

Answer: C,D

Explanation:
Implementing Utilization Management in Salesforce Health Cloud to handle prior authorizations involves customizing specific components to streamline the submission and tracking processes.
1. Integrate Using MuleSoft Direct for Electronic Prior Authorizations (ePA):
MuleSoft Direct for Health Cloud facilitates seamless integration between Electronic Health Record (EHR) systems and Health Cloud. This integration enables providers to electronically submit and track prior authorization requests, eliminating manual processes and reducing decision times. By leveraging electronic prior authorization (ePA), healthcare organizations can automate workflows, ensure timely approvals, and enhance patient care delivery.
Salesforce
2. Customize the Service Request Object:
The Service Request object in Health Cloud serves as a central repository for managing various patient-related requests, including prior authorizations. Customizing this object allows organizations to align the authorization process with their specific business requirements. Enhancements may include adding custom fields to capture necessary clinical information, modifying page layouts for improved user experience, and implementing validation rules to ensure data accuracy. Such customizations facilitate efficient tracking and management of authorization requests, ensuring that all relevant information is readily accessible to care teams.
Reference:
Get Started with Health Cloud Utilization Management
Manage Authorization Requests in a Provider's Office

NEW QUESTION # 13
During a design session, the client asks for best practices around when to use DataRaptors vs For which scenario should a consultant advise the client to use a single DataRaptor?

A. The action must perform a SendMail task and check for any errors.
B. The dataset requires connecting to an external data source, such as CSV or REST API
C. The task requires both a read and write of SObject data
D. The dataset required needs to read two SObjects with a clearly defined relationship.

Answer: D

Explanation:
C is correct because the dataset required needs to read two SObjects with a clearly defined relationship is a scenario where a single DataRaptor can be used. A DataRaptor Extract can query data from one or more Salesforce sObjects and their related fields using SOQL. A DataRaptor Load can save data to one or more Salesforce sObjects by creating or updating records.

NEW QUESTION # 14
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 an AppExchange prior authorization package.
B. Build custom page layouts and record types to support the requirement.
C. Install the Health Cloud Claims unmanaged package.
D. Install the Health Cloud Care Request Extensions package.

Answer: D

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 # 15
How should a consultant at a large provider system model a patient in Health Cloud?

A. Leverage Person Account
B. Configure Account
C. Configure Contact
D. Leverage Contact-Contact

Answer: A

Explanation:
Step-by-Step Explanation:
* Person Account as Patient Model:Salesforce Health Cloud is designed to leverage thePerson Account model to represent patients, especially for large provider systems.
* Exact Extract:
"Health Cloud uses person accounts to represent patients as individuals with whom you do business. Person accounts combine the functionality of accounts and contacts into a single record." Reference:Administer Health Cloud - Enable Person Accounts Why Not Other Options?
Account:Used for organizations, not individuals (patients).
Contact:Contacts are linked to Accounts; on their own, they don't support the full Health Cloud data model.
Contact-Contact:Not a recommended or documented model for patients in Health Cloud.
Conclusion:To model a patient in Health Cloud, thePerson Accountmodel is theofficially recommended approach.

NEW QUESTION # 16
Bloomington Caregivers needs to monitor care plan adherence for the patients at various facilities within its network. What is available to extend the reporting capability of Health Cloud?

A. Reporting unmanaged package
B. Care Management Extension
C. CRM Analytics for Health Cloud
D. Insights for Health Cloud

Answer: C

Explanation:
To extend the reporting capability of Health Cloud, a consultant should recommend CRM Analytics for Health Cloud. This is a feature that provides pre-built dashboards and reports that help users analyze various aspects of health care delivery, such as care plan adherence, patient outcomes, referral management, network performance, and more12. CRM Analytics for Health Cloud also allows users to customize and create their own dashboards and reports based on their specific needs13. Care Management Extension, Insights for Health Cloud, or Reporting unmanaged package are not features that can extend the reporting capability of Health Cloud.

NEW QUESTION # 17
......

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