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The Salesforce Health-Cloud-Accredited-Professional Exam covers several topics, including healthcare industry regulations, data privacy and security, patient management, care management, and health analytics. It requires a thorough understanding of the Salesforce Health Cloud platform and its capabilities to deliver patient-centric care effectively. Salesforce Health Cloud Accredited Professional certification exam includes 60 multiple-choice questions, and candidates have 105 minutes to complete it. The passing score is 68%.
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To become a Salesforce Health Cloud Accredited Professional, candidates must pass a 60-question multiple-choice exam with a passing score of 67%. Health-Cloud-Accredited-Professional Exam Tests the candidate's knowledge of Health Cloud's features and functionalities, including patient management, care coordination, and analytics. Salesforce Health Cloud Accredited Professional certification is valid for two years, after which candidates must renew their certification by passing a renewal exam.
Salesforce Health Cloud Accredited Professional Sample Questions (Q16-Q21):
NEW QUESTION # 16
When setting up Intelligent Sales, which three types of records should an administrator create for a Field Sales Agent before Visit records can be created? (Choose three.)
- A. Opportunities
- B. Locations
- C. Contacts
- D. Accounts
- E. Assets
Answer: B,C,D
NEW QUESTION # 17
Service cloud organization is migratingto health cloud, and only certain teams of users have health cloud use cases .Which users are......
- A. Care request facility
- B. Care request providers
- C. Users with health cloud use cases or users who need access to health cloud objects require health cloud permission set licences.
What three types ofancillary information can be included in a single care request. - D. A, C, D
- E. Care request drug
- F. Care request diagnosis
- G. Care request reviews
Answer: C,D
NEW QUESTION # 18
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. Care Authorizations
- B. Utilization Management
- C. Integrated Care Management
- D. Intelligent Document Automation
Answer: B,D
Explanation:
To automate the capture of data from faxes for clinical reviews and manage the approval process in Salesforce Health Cloud, the following capabilities are recommended:
1. Utilization Management (A):
Utilization Management in Health Cloud supports the payer's clinical review process by enabling workflows for reviewing medical necessity and care appropriateness.
It provides structured workflows for processing clinical documents, making it ideal for end-to-end determination and approval processes.
Features include care authorizations, review tracking, and decision management.
2. Intelligent Document Automation (C):
Intelligent Document Automation extracts data from documents (e.g., faxes, PDFs) and populates corresponding Salesforce records.
This capability reduces manual data entry, improves accuracy, and ensures data is automatically captured from the faxes received.
Paired with Salesforce workflows, it can trigger approvals or further reviews based on extracted data.
Why Other Options Are Incorrect:
B . Integrated Care Management: Focuses on patient care plans and coordination, not clinical review or payer processes.
D . Care Authorizations: Handles care approvals but does not support document data extraction or end-to-end review processes.
Reference:
Utilization Management in Health Cloud
Intelligent Document Automation Overview
NEW QUESTION # 19
A provider's office wants to verify a patient's insurance plan information and coverage when they call into the call center to book an appointment.
Which capability should a consultant leverage to address this requirement?
- A. Identity Verification
- B. Intelligent Appointment Management
- C. Utilization Management
- D. Benefits Eligibility and Verification
Answer: D
Explanation:
Step 1: Requirement Analysis
* The provider's office needs toverify a patient's insurance plan information and coveragewhen a patient calls to book an appointment.
* This means checking whether the patient's insurance is active, what services are covered, and any applicable copays or eligibility details.
Step 2: Health Cloud Out-of-the-Box Capability
Benefits Eligibility and Verificationis the dedicated Health Cloud capability that allows provider offices and payers toverify a patient's insurance coverage, eligibility, and benefit details in real time, either through integration with payers or using Health Cloud workflows.
Extract:
"Health Cloud offers Benefits Eligibility and Verification, enabling providers and payers to confirm a patient' s plan information and coverage eligibility, reducing the risk of denied claims and improving the patient experience." Administer Health Cloud - Benefits Eligibility and Verification Step 3: Review of Options
* A. Benefits Eligibility and Verification:Directly addresses insurance plan and coverage verification.
* B. Intelligent Appointment Management:For scheduling, not insurance verification.
* C. Utilization Management:For prior authorizations and care request reviews.
* D. Identity Verification:For confirming patient identity, not insurance coverage.
NEW QUESTION # 20
A health plan provider would like to manage prior authorizations with predefined approval criteri a. Which three features in Health Cloud should a consultant recommend in this case?
- A. Out-of-the-box Process libraries
- B. Claims data model
- C. Intelligent Appointment Management
- D. Utilization Management data model
- E. Business Rules Engine
Answer: A,D,E
Explanation:
The three features in Health Cloud that the consultant should recommend to the health plan provider are Business Rules Engine, Utilization Management data model, and Out-of-the-box Process libraries. These features enable the provider to manage prior authorizations with predefined approval criteria, store and track care requests, and leverage best practices and templates for common scenarios .
NEW QUESTION # 21
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