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Salesforce Health-Cloud-Accredited-Professional Exam Sample Questions


Question # 1

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?
A. Designing Next Best Action and Recommendations for the care management team
B. Designing Care Requests to seek authorization from a health plan for drugs, services, and admissions
C. Considering the number of intake agents who will be using Health Cloud
D. Considering the Request Review Types; Prior Authorization Review, Concurrent Review, and Retrospective Review


B. Designing Care Requests to seek authorization from a health plan for drugs, services, and admissions
D. Considering the Request Review Types; Prior Authorization Review, Concurrent Review, and Retrospective Review




Question # 2

If a Health Cloud administrator wanted to consume the content of an HL7 v2 – Simple Application message, which step would they need to take?
A. Do Nothing – Health Cloud works out of the box with native HL7 message
B. Use salesforce Connect
C. Write a custom apex class to consume parse and store a native HL7 message
D. Use an HL7 broker/engine to transform the text based HL7 message into JSON and pass it to the Health Cloud.


A. Do Nothing – Health Cloud works out of the box with native HL7 message




Question # 3

Which three medication related FHIR resources are supported in the new data model of Health cloud (Choose Three)
A. Medical Administration
B. Medication
C. Dosage
D. Medication Dispense
E. Medical Request


B. Medication
C. Dosage
E. Medical Request




Question # 4

A sales Representative wants to request a Rep-to-Rep Transfer. What two paths are available to request the transfer? (Choose two)
A. Under visit, choose to navigate to visit Products.
B. The transfer can be requested while creating an Order Authorization for a Visit.
C. To Request the transfer, navigate to product, then choose the specific inventory location against which to request the transfer.
D. During Visit creation you can request the transfer while selecting products required for a visit.


C. To Request the transfer, navigate to product, then choose the specific inventory location against which to request the transfer.

D. During Visit creation you can request the transfer while selecting products required for a visit.





Question # 5

A Payer Service Cloud org uses Accounts and contacts to model Health Insurance Members. While all teams within the organization Work with all members, only some teams require HC capabilities. What is the recommended best practice for modeling members in HC for this organization?
A. Only groups needing HC capabilities need to use Person Accounts.
B. Model as Person Accounts, whether they are using HC capabilities or not.
C. Account Record Types for existing members can remain as-is. Future members should be created as Person Accounts.
D. Use the individual model with HC


B. Model as Person Accounts, whether they are using HC capabilities or not.
Explanation:

According to the Health Cloud Implementation Guide, the recommended best practice for modeling members in Health Cloud for a payer service cloud org that uses accounts and contacts to model health insurance members is to model them as person accounts, whether they are using Health Cloud capabilities or not. Person accounts are a type of account that combines account and contact information in a single record. They are suitable for representing individual consumers in healthcare and life sciences. Using person accounts for all members can simplify data management and avoid data duplication. Only groups needing Health Cloud capabilities need to use person accounts is not a recommended best practice, as it can create inconsistency and complexity in data modeling. Account record types for existing members can remain as-is is not a recommended best practice, as it can limit the functionality and integration of Health Cloud features. Using the individual model with Health Cloud is not a valid option, as the individual model is not supported by Health Cloud.



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