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NEW QUESTION # 20
Bloomington Caregivers has been using the legacy Health Cloud electronic health record (EHR) data model and wants to move to the FHIR R4 clinical data model.
Which two steps should a consultant take to complete this?
Answer: A,D
NEW QUESTION # 21
A provider is looking to implement Utilization Management in Health Cloud and submit and track prior authorizations.
Which two capabilities should a consultant customize to achieve this?
Choose 2 answers
Answer: B,C
Explanation:
Health Cloud supports Utilization Management (UM) through the Service Request object, which tracks prior authorization requests, and through integration with electronic prior authorization systems using MuleSoft.
Customize the Service Request object:
Extract:
"The Service Request object is at the core of the Utilization Management process in Health Cloud. You can customize fields, page layouts, and automation to match your business processes for prior authorization." (Source: Administer Health Cloud - Utilization Management) Integrate using MuleSoft Direct for ePA:
Extract:
"Integrate Health Cloud Utilization Management with external systems using MuleSoft Direct, enabling electronic submission and tracking of prior authorizations." (Source: Administer Health Cloud - Utilization Management Integration) Why not B or D?
There is no standard custom setting called UtilizationManagementSettings for this process.
Support Process is more for standard Salesforce Cases and not directly linked to Utilization Management flows in Health Cloud.
NEW QUESTION # 22
A healthcare organization is launching a new gene therapy program, and an administrator needs to leverage Advanced Therapy Management.
In which two ways does Advanced Therapy Management assist the healthcare organization with its complex scheduling requirements?
Choose 2 answers
Answer: A,C
Explanation:
Step 1: Requirement Analysis
Admin needs to leverage Advanced Therapy Management for complex gene therapy scheduling.
Step 2: Key Capabilities of Advanced Therapy Management
Book multi-step appointments: Supports sequencing and booking complex, interdependent appointments and procedures (e.g., cell collection, manufacturing, infusion).
Reschedule part of the appointment chain: Enables rescheduling one step in a multi-step process without rebooking the entire chain.
Extract:
"Advanced Therapy Management allows for the orchestration of complex, multi-step appointment chains and the flexibility to reschedule individual steps in the chain." Administer Health Cloud - Advanced Therapy Management Other options:
A: Telehealth scheduling is not a specific feature of Advanced Therapy Management.
D: Einstein is not natively used for chain optimization in Advanced Therapy Management as per current documentation.
Verified Answers:
B . Book multi-step appointments.
C . Reschedule part of the appointment chain.
NEW QUESTION # 23
Bloomington Caregivers has set up Health Cloud and needs to analyze patient referrals through Salesforce reports and dashboards.
Which Health Cloud unmanaged package should a consultant recommend to deliver a prebuilt dashboard and reports?
Answer: B
Explanation:
* The Health Cloud Reports for Patient Referral Management unmanaged package provides prebuilt reports and dashboards to analyze referrals.
Extract:
"The Health Cloud Reports for Patient Referral Management unmanaged package includes reports and dashboards that help track patient referrals in Salesforce." (Source: Administer Health Cloud - Reports and Dashboards)
* Other options are either not standard package names or do not match referral reporting.
NEW QUESTION # 24
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-toend approval process. Which two Health Cloud capabilities should a consultant recommend as a way to build this process?
Answer: B,C
Explanation:
Intelligent Document Automation (IDA) captures, extracts, and digitizes data from received faxes/documents using OCR. Utilization Management (UM) manages the end-to-end clinical review and determination
/approval process for care authorizations. Utilization Management structures care requests, authorization review, medical-necessity determination, concurrent review, and related payer-provider approval workflows.
Intelligent Document Automation and related document-reading capabilities transform inbound healthcare documents into structured Salesforce information while supporting document review and downstream workflows. From a solution-design perspective, the selection fits the requirement because it uses the Health Cloud capability or data model that directly represents the business need, rather than introducing a parallel custom structure or a feature intended for a different stage of the patient, member, provider, or payer lifecycle.
The remaining options do not directly satisfy the stated requirement; they either address a different functional domain, provide only part of the required behavior, or introduce unnecessary customization compared with the selected Health Cloud approach. This approach also keeps the solution aligned with the standard Agentforce Health data and process model, which is important for maintainability, reporting, interoperability, and consistent user access. In practical terms, the consultant should configure and validate the selected elements (Utilization Management; Intelligent Document Automation) against the scenario ' s acceptance criteria and confirm that the intended users can access the underlying records and functionality.
Study Guide references/topics:Design - Utilization Management; Intelligent Document
NEW QUESTION # 25
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