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Salesforce Health Cloud is a powerful platform that allows healthcare organizations to manage patient data, streamline processes, and improve patient outcomes. The Health Cloud Accredited Professional certification is designed to ensure that professionals who work with the Health Cloud have the knowledge and skills necessary to maximize its potential. Salesforce Health Cloud Accredited Professional certification covers a wide range of topics, including patient management, care coordination, data management, and security. Individuals who Pass Health-Cloud-Accredited-Professional Exam are recognized as experts in the field of healthcare technology and are highly sought after by healthcare organizations looking to implement or optimize their Health Cloud systems.
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The Salesforce Health Cloud Accredited Professional certification program is designed to test an individual's knowledge of the Salesforce Health Cloud platform, including technical skills, industry best practices, and regulatory compliance standards. Health-Cloud-Accredited-Professional Exam consists of multiple-choice questions and is administered online. To pass the exam, candidates must demonstrate their understanding of key concepts such as patient management, care coordination, interoperability, and security.
Salesforce Health Cloud Accredited Professional Sample Questions (Q64-Q69):
NEW QUESTION # 64
A provider is looking to view a patient's insurance coverage, including co-pay and deductible information, prior to their appointment. Using Health Cloud, which two steps should a consultant take to access this information in the Benefit Verification component?
- A. Create a named credential to support authenticated callouts.
- B. Configure the Connection Label with the source systems API details
- C. Configure the link to the clearinghouses endpoint using a Uniform Resource Identifier (URI) path.
- D. Create a new record for the HCBenVerConnect custom setting
Answer: A,D
Explanation:
B is correct because creating a new record for the HCBenVerConnect custom setting is required to access the Benefit Verification component in Health Cloud. The HCBenVerConnect custom setting stores the configuration details for the connection to the external benefit service that provides the patient's insurance coverage information.
D is correct because creating a named credential to support authenticated callouts is required to access the Benefit Verification component in Health Cloud. A named credential specifies the URL of the external benefit service and the authentication protocol and credentials to use for callouts to that service.
NEW QUESTION # 65
A payer needs to work with plan members and medical providers to influence decisions through a case-by-case review of the appropriateness of care.
When gathering requirements for this use case, which two Utilization Management processes should a consultant discuss with the client?
Choose 2 answers
- A. Designing Next Best Action and Recommendations for the care management team
- B. Considering the Request Review Types; Prior Authorization Review, Concurrent Review, and Retrospective Review
- C. Considering the number of Intake agents who will be using Health Cloud
- D. Designing Care Requests to seek authorization from a health plan for drugs, services, and admissions
Answer: B,D
Explanation:
Utilization Management is a critical component in healthcare that focuses on ensuring the appropriateness, necessity, and efficiency of healthcare services. For payers working with plan members and medical providers, the case-by-case review of care appropriateness requires thorough processes to streamline authorization and review tasks.
Designing Care Requests to Seek Authorization (Answer B):
Purpose: The Care Request object in Health Cloud is essential for seeking authorizations from a health plan for specific healthcare services, drugs, or admissions. This object ensures that requests are appropriately documented and tracked.
Functionality:
It allows users to create and manage care requests linked to plan members.
Integrates with payer systems to capture critical details for authorization, such as service codes, plan information, and medical necessity documentation.
Supports automation through workflows and approvals, speeding up the decision-making process.
Relevance: By designing efficient Care Requests, the consultant ensures that all required details for preauthorizations or service reviews are captured seamlessly, meeting regulatory and operational needs.
Considering Request Review Types (Answer C):
Purpose: UM processes in Health Cloud must address the three primary types of reviews:
Prior Authorization Review: Conducted before the service is provided to determine medical necessity.
Concurrent Review: Evaluates the necessity of ongoing care during hospitalization or service delivery.
Retrospective Review: Analyzes the appropriateness of care after it has been delivered.
Implementation in Health Cloud:
The consultant must design workflows and data models to capture the details of these review types, including timestamps, reviewer notes, and outcomes.
Health Cloud supports tracking and documenting these reviews within the UM module, ensuring compliance with healthcare regulations.
Relevance: These review types allow the payer to influence decisions by ensuring appropriate care is provided while managing costs and maintaining high-quality outcomes.
Why the Other Options Are Less Relevant:
A . Designing Next Best Action and Recommendations for the Care Management Team: While recommendations and next-best-action features are beneficial for care management, they are not directly tied to the case-by-case review process of Utilization Management, which focuses more on care appropriateness and authorizations.
D . Considering the Number of Intake Agents Using Health Cloud: While operational considerations like staffing are important, this is not a Utilization Management process. It's a broader organizational concern unrelated to the core functionality of UM in Health Cloud.
Reference:
Utilization Management Overview: Salesforce documentation outlines how to handle prior authorizations, service approvals, and related processes within Health Cloud. (help.salesforce.com) Care Requests and Authorizations: Details on managing care requests and integrating with payer systems for streamlined authorization workflows. (developer.salesforce.com) UM Process Design in Health Cloud: Guidance on implementing request review types and managing data models to support UM. (architect.salesforce.com) By addressing Care Requests and Request Review Types, the consultant ensures a robust Utilization Management setup, enabling effective collaboration between payers, providers, and members while optimizing care delivery and compliance.
NEW QUESTION # 66
Bloomington Caregivers has created and tested its first care plan template In a sandbox, which Includes problems, goals, and tasks. The company has deployed this template to its final environment using Data Loader.
Which two steps should a consultant recommend, following this deployment, to enable users to successfully leverage this new template?
Choose 2 answers
- A. Confirm User access to Care Plan objects.
- B. Conduct end-user training on the use of the care plan template.
- C. Activate the new care Plan template.
- D. Activate the problems, goals, and tasks associated with the template.
Answer: A,C
Explanation:
After deploying a care plan template to the final environment, it is crucial to perform the following steps to ensure users can successfully leverage it:
* Activate the New Care Plan Template (A):
* After deployment via Data Loader, the care plan template remains inactive by default. You must activate it in the final environment to make it available for users to apply to patient cases.
* Activation ensures that care providers can use the template to assign care plans that include problems, goals, and tasks to their patients.
* Confirm User Access to Care Plan Objects (B):
* Users need the appropriate permissions to access care plan objects (e.g., Problems, Goals, and Tasks). Verify and assign the correct profiles or permission sets to ensure users can view, edit, and apply these components within the care plan template.
Why Other Options Are Incorrect:
* C. Conduct end-user training on the use of the care plan template:While beneficial for user adoption, training is not a technical or mandatory step to enable users to leverage the template post- deployment.
* D. Activate the problems, goals, and tasks associated with the template:Individual components like problems, goals, and tasks are activated as part of the template. Activating the template itself (Option A) suffices.
References:
Administer Health Cloud
Salesforce Documentation on Care Plan Template Management
NEW QUESTION # 67
Which solution includes pre-built APIs, connectors ,implementation templates, and a prescriptive end-to-end reference architecture to enable EHR connectivity and power a patient 360 from any HER into HC using HL7 V2 or FHIR standards?
- A. Specialty vendors
- B. Mulesoft Accelerator for HealthCare
- C. Tableau CRM for HealthCare
- D. Shield
Answer: B
NEW QUESTION # 68
Which three types of customizations can be managed through the Health Cloud Admin app? (Choose three.)
- A. Household Relationships
- B. Permission Set Assignments
- C. Patient Card Configurations
- D. Timeline View Configurations
- E. Cross Object Relationships
Answer: C,D,E
Explanation:
Reference and details below.
NEW QUESTION # 69
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