Salesforce Salesforce Certifications HEALTH-CLOUD-ACCREDITED-PROFESSIONAL Questions & Answers

• Question 141:

  A Health Cloud administrator has setup risk recalculation by setting the recalculate flag to TRUE but is not seeing the recalculation score for the patient. Which of the following is most likely the reason why recalculation score for the patient is not displaying?

  A. Use the CMS recalculation API

  B. Risk scores are only recalculated for patients who are affiliated with a care program.

  C. CMS scores cannot be recalculated in health cloud.

  D. Use a 3 - Apply to Real World / Analyze / Evaluated party API to recalculate CMS risk score.

  Correct Answer: B

  Reference and details below.

  

  According to the Health Cloud Data Model Developer Guide, Risk scores are only recalculated for patients who are affiliated with acare program is the most likely reason why recalculation score for the patient is not displaying. Risk scores are calculated based on CMS-HCC (Centers for Medicare and Medicaid Services - Hierarchical Condition Categories) model, which assigns risk factors to patients based on their diagnoses and demographic factors. Risk scores are used to adjust payments for health plans and providers. Risk scores are only recalculated when the recalculate flag is set to TRUE and the patient is affiliated with a care program. Using CMS recalculation API is not a valid reason, as CMS recalculation API is not a feature of Health Cloud. CMS scores cannot be recalculated in health cloud is not a valid reason, as CMS scores can be recalculated in health cloud by setting the recalculate flag to TRUE. Using a third party API to recalculate CMS risk score is not a valid reason, as it has nothing to do with displaying the recalculation score.

• Question 142:

  During a sprint demo, a customer wants to update fields in theUl on the Patient Medication Manager component. Which two objects is a consultant able to add and/or remove fields from? (Choose Two)

  A. Medication Dispense

  B. Medication Strength

  C. Medication Details

  D. Medication Request

  Correct Answer: AD

  Explanation: The two objects that aconsultant is able to add and/or remove fields from in the UI on the Patient Medication Manager component are Medication Dispense and Medication Request. These objects arepart of the Health Cloud data model and store information about the medication orders and deliveries for a patient.

• Question 143:

  When setting up Intelligent Sales, which three types of records should an administratorcreate for a Field Sales Agent before Visit records can be created? (Choose Three)

  A. Contacts

  B. Opportunities

  C. Locations

  D. Accounts

  E. Assets

  Correct Answer: ACE

  Explanation: To create Visit records for a Field Sales Agent using Intelligent Sales, the administrator must create Contacts, Locations, and Assets records for the agent. Contacts are the people that the agent visits or interacts with during their sales cycle. Locations are the places where the agent conducts their visits or activities. Assets are the products or devices that the agent sells or services during their visits. Opportunities and Accounts are not required for creating Visit records using Intelligent Sales.

• Question 144:

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

  A. Configure Account

  B. Leverage Contact-Contact

  C. Configure Contact

  D. Leverage Person Account

  Correct Answer: D

  D is correct because leveraging Person Account is the recommended way to model a patient in Health Cloud. A Person Account is a special type of account that combines the attributes of an account and a contact. It allows users to store information about individual people, such as name, address, phone number, email,and health details. Health Cloud uses Person Accounts to represent patients and members, and to enable various features and functionality, such as household data model, clinical data model, care management, and provider network management. References: : Health Cloud Data Models for Healthcare : Take a Look at the Household Data Model

• Question 145:

  A payer needs to implement a program to address the rising healthcare expenses and ensure affordable care for its members. The payer aims to strike a balance between quality care and managing the cost of care effectively by streamlining its approval processes for care requests.

  Which capability in Health Cloud helps the payer accomplish this?

  A. Provider Network Management

  B. Intelligent Appointment Management

  C. Utilization Management

  D. Integrated Care Management

  Correct Answer: C

  Explanation: Utilization Management is the capability in Health Cloud that helps the payer accomplish its goal ofbalancing quality care and managing the cost of care effectively. It enables the payer to streamline its approval processes for care requests using predefined rules and workflows.

• Question 146:

  An Health Cloud administrator has a requirement to display a custom field from the HealthCondition object that categorizes High Risk Conditions on the Patient Card. Which two are steps required to achieve this? (Choose Two)

  A. Add the newly created custom formula field on the Patient Card referencing the HelthCondition object.

  B. Create a custom formula the Account object.

  C. Create a custom formula field on the Custom HealhCondition object.

  D. Create an APEX Trigger to categorize the High Risk Conditions.

  Correct Answer: AC

  Explanation: The steps required to display a custom field from the HealthCondition object that categorizes High Risk Conditions on the Patient Card are:

  Create a custom formula field on the Custom HealthCondition object. This field can use logic to determine whether a health condition is high risk or not based on certain criteria.

  Add the newly created custom formula field on the Patient Card referencing the HealthCondition object. This can be done by creating or editing a patient card configuration record and adding the field API name in the Field Name column.

• Question 147:

  An external provider wants to get a patient's allergy information from Bloomington Caregivers' Health Cloud system. Which HealthCloud API should a consultant recommend?

  A. AllergyMedication API

  B. Patient Healthcare API

  C. Interoperability API

  D. Clinical Summary Healthcare API

  Correct Answer: C

  Explanation: To get a patient's allergy information from Bloomington Caregivers' Health Cloud system, anexternal provider should use the Interoperability API. This API allows external systems to access and exchange clinical data with Health Cloud using FHIR standards. The Interoperability API supports various FHIR resources, including AllergyIntolerance, which represents a patient's allergic or intolerant reaction to a substance1. AllergyMedication API, Patient Healthcare API, or Clinical Summary Healthcare API are not APIs that exist in Health Cloud.

• Question 148:

  Bloomington Caregivers is implementing Health Cloud to reduce manual processes for its Contact Center agents. To help streamline caller authentication, the company plans to leverage out-of-the-box Health Cloud features.

  Which Health Cloud feature should a consultant recommend the company use in this scenario?

  A. Customer Identity OmniScript Templates

  B. Reusable Verification FlexCards

  C. Verify Customer Identity Process Flow

  D. Identity Verification Flow Templates

  Correct Answer: D

  Explanation: To help streamline caller authentication for Contact Center agents, a consultant should recommend Bloomington Caregivers use the Identity Verification Flow Templates feature in Health Cloud. This feature allows agents to launch a flow from the utility bar or a record page to verify a caller's identity before processing their requests involving sensitive information. The flowprompts the agent to search for the caller in Health Cloud, select a reason for the call, ask verification questions based on predefined rules, and capture engagement details8. Customer Identity OmniScript Templates, Reusable Verification FlexCards, or Verify Customer Identity Process Flow are not features that exist in Health Cloud.

• Question 149:

  Which statement is true about using PurchaserPlan and MemberPlan together when onboarding new insurance members?

  A. Multiple purchaser plans can be associated to multiple Member Plans.

  B. Purchaser Plan and Member Plan has a master detail relationship

  C. there is no relationship between MemberPlan and Purchaser Plan.

  D. PurchasePlan is to be used as a template for creating MemberPlan.

  Correct Answer: D

  Explanation: According to the Salesforce documentation, PurchasePlan is an object in Health Cloud that stores information about a plan purchased by an employer or an individual from a payer. PurchasePlan is to be used as a template for creating MemberPlan records for each member enrolled in the plan. MemberPlan is an object in Health Cloud that stores information about a member's enrollment in a plan, such as effective date, termination date, coverage type, and benefits.

• Question 150:

  A pharma customer requires a scheduling tool to book infusions with multiple steps as part of its Health Cloud implementation. It needs a solution for care coordinators to book appointments without having to manually check availability andresources themselves.

  Which solution should a consultant recommend?

  A. Intelligent Appointment Management

  B. Procedure Scheduling

  C. Salesforce Scheduler

  D. Advanced Therapy Management

  Correct Answer: A

  A is correct because Intelligent Appointment Management(IAM) is a solution for care coordinators to book appointments without having to manually check availability and resources themselves. IAM aggregates multiple scheduling engines, such as Salesforce Scheduler or Electronic Health Record (EHR) scheduling engines, or both, so that schedulers and patients can see all available appointments in one place. IAM also supports complex appointment types, such as infusions, that require multiple steps or resources. References: : Meet Intelligent Appointment Management : Intelligent Appointment Management