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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?

A.

Install the Health Cloud Care Request Extensions package.

B.

Install the Health Cloud Claims unmanaged package.

C.

Build custom page layouts and record types to support the requirement.

D.

install an AppExchange prior authorization package.

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

A.

Integrated Care Management

B.

Utilization Management

C.

Intelligent Document Automation

D.

Care Authorizations

A payer needs to work with plan members and medical providers to influence decisions through a case-by-case review of the appropriateness of care.

When gathering requirements for this use case, which two Utilization Management processes should a consultant discuss with the client?

Choose 2 answers

A.

Designing Next Best Action and Recommendations for the care management team

B.

Considering the Request Review Types; Prior Authorization Review, Concurrent Review, and Retrospective Review

C.

Considering the number of intake agents who will be using Health Cloud

D.

Designing Care Requests to seek authorization from a health plan for drugs, services, and admissions

Bloomington Caregivers is looking to streamline the user experience for its call center agents. On the patient's record, the company wants the ability to:

Inform agents about changes in information

View basic details about a patient's insurance

Have a complete view of all engagement interactions in one place

Which three components from Contact Center for Health Cloud should a consultant use to achieve this?

A.

Identity Verification

B.

Record Alerts

C.

Timeline

D.

Action Launcher

E.

Member Plan FlexCard

Prior to go-live for Bloomington Caregivers, a consultant loads the future system users into Salesforce.

Which two permission set licenses should the consultant assign to the users to give them access to Health Cloud?

Choose 2 answers

A.

Health Cloud permission set license

B.

Health Cloud Foundation permission set license

C.

Health Cloud Platform permission set license

D.

Health Cloud Standard permission set license

Care managers at Bloomington Caregivers call patients after they are discharged from a hospital to ask a series of questions, which the care manager enters into Health Cloud. The patient is then automatically assigned a personalized care plan based on the answers they provided.

Which two capabilities should a consultant leverage together to fulfill this requirement?

Choose 2 answers

A.

Care Programs

B.

Salesforce Surveys

C.

Integrated Care Management

D.

Discovery Framework

Bloomington Caregivers has decided to enable Integrated Care Management so that its end users can leverage Health Cloud Assessments. Administrators must now configure their org to be able to use Assessments.

Which three steps should the administrator take as part of the org setup to enable Assessments?

Choose 3 answers

A.

Enable Discovery Framework in Setup.

B.

Add the Assessment component to the Patient page.

C.

Update sharing settings in Setup.

D.

Enable users to view and complete Assessments.

E.

Download and Install OmniStudio.

A consultant is implementing clinical assessment to track intake for a hospital leveraging the Discovery Framework.

Which three functions is the consultant able to leverage with Health Cloud?

Choose 3 answers

A.

Encrypted Text

B.

Question Bank

C.

Branching

D.

Scoring

E.

Image Analysis

An administrator for Bloomington Caregivers has added an Enhanced Timeline to an existing Patient Lightning page showing patient interactions, including records from a custom object developed to track caregiver preferences.

What else should the administrator complete post deployment of the enhanced timeline?

A.

Add the custom object to the Timeline after deployment, then add it to the Timeline component.

B.

Add the Timeline component to the Patient Lightning page and activate the Timeline.

C.

Add the Timeline component to the Patient Lightning page and select the Timeline.

D.

Assign the users permissions to be able to view the Timeline before adding It to the Timeline component.

Bloomington Caregivers has identified the need to encrypt data to comply with the Health Insurance Portability and Accountability Act (HIPAA).

What are three key considerations when complying with HIPAA regulations using Salesforce Shield in conjunction with Bloomington Caregivers' data strategy?

Choose 3 answers

A.

Ensuring that sensitive data is encrypted both In transit and at rest

B.

Providing access to third-party auditors to regularly review Shield implementation settings

C.

Using third-party data backup solutions to store backups of sensitive data off-site

D.

Implementing audit trails and regularly reviewing them to detect unauthorized access attempts

E.

Configuring data retention policies to ensure that records are retained for the appropriate length of time