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NEW QUESTION # 60
Which two data exchange standards support clinical data in Health Cloud?
Choose 2 answers
Answer: C,D
Explanation:
Step-by-Step Explanatio n:
Supported Data Exchange Standards:
Health Cloud natively supports modern clinical data standards such as FHIR R4 and traditional messaging formats like HL7 v2 for interoperability and data exchange.
Exact Extract:
"Health Cloud supports industry standards for data exchange, including FHIR R4 and HL7 v2, to enable clinical interoperability with EHR systems and other healthcare platforms." Reference:
Why Not Other Options?
DICOM 3.0: Used for imaging, not clinical data exchange in Health Cloud.
SDTM v3.2: Used for clinical trials data, not general patient/clinical data exchange in Health Cloud.
Conclusion:
FHIR R4 and HL7 v2 are the two standards officially supported for clinical data in Health Cloud.
NEW QUESTION # 61
While a consultant is implementing Integrated Care Management for a customer, the customer requests that a change is made to the Care Plan creation wizard.
Which underlying component should the consultant customize to achieve this?
Answer: A
NEW QUESTION # 62
A health plan provider would like to manage prior authorizations with predefined approval criteria.
Which three features in Health Cloud should a consultant recommend in this case?
Choose 3 answers
Answer: A,B,D
Explanation:
Comprehensive Detailed Step by Step Explanation with exact Extracts from Salesforce Health Cloud documents that you have with Reference Business Rules Engine (BRE):
Enables you to define, automate, and manage approval criteria for prior authorizations.
Extract:
"Use Business Rules Engine to automate decisions and apply approval criteria for utilization management and prior authorizations."
- OmniStudio: Business Rules Engine
Utilization Management Data Model:
Provides standard Health Cloud objects to manage prior authorizations, including requests, approvals, and denials.
Extract:
"Health Cloud Utilization Management provides a complete data model for tracking prior authorization requests and decisions."
- Health Cloud: Utilization Management Data Model
Out-of-the-box Process Libraries:
Prebuilt processes for common healthcare workflows, including prior authorizations.
Extract:
"Out-of-the-box process libraries provide reusable flows for utilization management, including authorizations, appeals, and notifications."
- Administer Health Cloud: Process Libraries
Incorrect Options:
A . Claims data model: Related to claims, not prior authorizations.
B . Intelligent Appointment Management: Focused on scheduling, not utilization management or prior authorization.
Reference:
OmniStudio: Business Rules Engine
Health Cloud: Utilization Management Data Model
Administer Health Cloud: Process Libraries
NEW QUESTION # 63
While implementing contracting as part of Provider Network Management, a customer wants to manage different types of payments.
Which object should a consultant configure to achieve this?
Answer: C
NEW QUESTION # 64
A payer needs to manage requests for concurrent review of prior authorizations within Health Cloud and wants to use out-of-the-box record types and page layouts for prior However, the payer's Salesforce administrator does not see any preconfigured record types or page layouts for prior authorizations in the payer's Salesforce org.
What should a consultant recommend to the Salesforce administrator to expedite implementation?
Answer: C
Explanation:
* Preconfigured Prior Authorization Objects:
Exact Extract:
"The Health Cloud Care Request Extensions package provides out-of-the-box record types, page layouts, and flows for prior authorizations and other payer workflows." Reference:
* Other Options:
Claims unmanaged package is not for prior authorizations.
Building custom layouts is not necessary when a packaged solution exists.
AppExchange prior authorization packages are not officially supported for core Health Cloud prior auth workflows.
NEW QUESTION # 65
......
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