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Salesforce Health-Cloud-Accredited-Professional Exam Syllabus Topics:

SectionObjectives
Topic 1: Care Coordination and Care Plans- Care team collaboration and task management
- Care plan creation and lifecycle management
Topic 2: Reporting and Analytics- Healthcare reporting and dashboards
- Tracking outcomes and operational insights
Topic 3: Security, Compliance, and Privacy- Data access controls, sharing models, and consent management
- HIPAA-related considerations in Salesforce Health Cloud
Topic 4: Integration and Interoperability- Use of APIs and healthcare data exchange standards (e.g., HL7/FHIR concepts)
- Integration with EHR systems and external healthcare systems
Topic 5: Health Cloud Fundamentals- Healthcare industry concepts and use cases for Health Cloud
- Core Health Cloud features and capabilities
Topic 6: Data Model and Patient / Member Management- Patient / member data organization and relationships
- Person accounts, contacts, and care team structures

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Salesforce Health Cloud Accredited Professional Sample Questions (Q22-Q27):

NEW QUESTION # 22
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-to-end approval process.
Which two Health Cloud capabilities should a consultant recommend as a way to build this process?
Choose 2 answers

Answer: A,C

Explanation:
To automate the capture of data from faxes for clinical reviews and manage the approval process in Salesforce Health Cloud, the following capabilities are recommended:
1. Utilization Management (A):
Utilization Management in Health Cloud supports the payer's clinical review process by enabling workflows for reviewing medical necessity and care appropriateness.
It provides structured workflows for processing clinical documents, making it ideal for end-to-end determination and approval processes.
Features include care authorizations, review tracking, and decision management.
2. Intelligent Document Automation (C):
Intelligent Document Automation extracts data from documents (e.g., faxes, PDFs) and populates corresponding Salesforce records.
This capability reduces manual data entry, improves accuracy, and ensures data is automatically captured from the faxes received.
Paired with Salesforce workflows, it can trigger approvals or further reviews based on extracted data.
Why Other Options Are Incorrect:
B . Integrated Care Management: Focuses on patient care plans and coordination, not clinical review or payer processes.
D . Care Authorizations: Handles care approvals but does not support document data extraction or end-to-end review processes.
Reference:
Utilization Management in Health Cloud
Intelligent Document Automation Overview


NEW QUESTION # 23
Which three are the main consideration when transforming the individual ..........

Answer: A,C,E

Explanation:
The main considerations when transforming the individual data model to person accounts are:
Transforming the individual data model to person accounts in production orgs is irreversible.
Organization-wide default sharing settings for accounts and contacts.
Integration between Salesforce and third-party systems.


NEW QUESTION # 24
A payer needs to enable its agents to answer questions from members regarding their benefits coverage. The payer has already set up the required objects to be populated with the necessary information through an integration.
Which Health Cloud component should a consultant recommend for the Member record page?

Answer: B

Explanation:
To enable agents to answer questions from members regarding their benefits coverage, a consultant should recommend the Benefits Coverage component for the Member record page. This component displays information such as plan name, effective date, termination date, deductible amount, coinsurance percentage, copay amount, and out-of-pocket maximum for each benefit plan that the member is enrolled in. Benefits Verification, Eligibility Validation, or Coverage Confirmation are not components that exist in Health Cloud.


NEW QUESTION # 25
An 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 mostly likely the reason why the recalculation score for the patient is not displaying?

Answer: D

Explanation:
Risk scores are recalculated only for patients that are affiliated with a Care Program is the most likely reason why the recalculation score for the patient is not displaying. CMS risk scores can be recalculated in Health Cloud (A), so this is not a reason for the score not displaying. CMS risk scores can be recalculated using both third party APIs and Salesforce APIs (B), so this is not a reason for the score not displaying. Risk scores can be calculated using both the CMS recalculation API and other methods (D), so this is not a reason for the score not displaying.


NEW QUESTION # 26
Which three medication related FHIR resources are supported in the new data model of Health cloud (Choose Three)

Answer: A,C,D


NEW QUESTION # 27
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