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Free HEALTH-CLOUD-ACCREDITED-PROFESSIONAL Exam Braindumps (page: 11)

Page 10 of 58
PDF with 237 Questions

Which three standard objects are used in the workflow to manage utilization data? (Choose 3)

  1. Care Request Plan
  2. Care Diagnosis
  3. Care Authorization
  4. Care Request
  5. Care Request Drug

Answer(s): A,C,D

Explanation:

According to the Salesforce documentation2, the following standard objects are used in the workflow to manage utilization data:
Care Request Plan: A care request plan is an object that stores information about the plan of care for a member. It includes details such as the diagnosis, the service type, the start and end dates, and the status of the plan.

Care Authorization: A care authorization is an object that stores information about the approval or denial of a service or payment by a payer. It includes details such as the authorization number, the decision date, the decision reason, and the status of the authorization. Care Request: A care request is an object that stores information about the request for a service or payment by a provider or a member. It includes details such as the request type, the request date, the priority, and the status of the request.



Which is true about choosing a care request type when setting up a new care request record?

  1. Any case record type can be chosen when creating care request.
  2. A care request type cannot be chosen when creating a new care request.
  3. A case record type can be chosen to identify a single care request type for each care request.
  4. Multiple care request types can be chosen for a single care request.

Answer(s): C

Explanation:

According to the Salesforce documentation3, when setting up a new care request record, you need to choose a case record type to identify the care request type. The care request type determines what fields and values are available on the care request record. There are four predefined care request types in Health Cloud: Physician Request, Drug Request, Admission Request, and Appeal Request. You can also create custom care request types to suit your business needs.



Healthcare companies face challenges from a variety of sources.
What are three common challenges they could encounter that HC solves for? (Choose 3)

  1. There are not enough Providers for the amount of the Care Requests.
  2. Insufficient funds allocated to Research and Development.
  3. The need to drive sales while reducing cost.
  4. Growing customer expectations for delivery of care everywherE.
  5. Growing demand for a more personalized care experience.

Answer(s): C,D,E

Explanation:

According to the Salesforce website, Health Cloud solves for some of the common challenges that healthcare companies face from various sources. Some of these challenges are:
The need to drive sales while reducing cost: Health Cloud helps healthcare companies increase their revenue and efficiency by streamlining their processes, automating their workflows, and optimizing their resources.
Growing customer expectations for delivery of care everywhere: Health Cloud helps healthcare companies deliver personalized and collaborative care across every touchpoint, whether it is in person, online, or on mobile devices.

Growing demand for a more personalized care experience: Health Cloud helps healthcare companies provide tailored and holistic care for each customer by leveraging data insights, artificial intelligence, and digital engagement tools.



Which permission set is needed to grant users read access to health insurance records and also create, read and update access to Utilization Management records?

  1. HC Utilization Management Permission Set
  2. HC Foundation permission set
  3. HC Permission set license
  4. The Health Cloud Member Services Permission Set

Answer(s): A

Explanation:



According to the Salesforce documentation, to grant users read access to health insurance records and also create, read and update access to utilization management records, you need to assign them the HC Utilization Management permission set. This permission set grants users access to various objects, fields, tabs, apps, and components related to utilization management in Health Cloud.






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