Question 1

In which two ways can an administrator ensure that Patient Risk scores are recalculated periodically? (Choose Two.)

Options :

A : Setup a scheduled Apex batch job.

B : Use the CMS recalculation API

C : Use a third party API to recalculate CMS risk score

D : Setup a Apex batch job and run the job manually

E : Create a Healthcare Provider enrollment flow.

Answer: A,D

Question 2

Bloomington Caregivers is looking to view potential drug-to-drug interactions for its patients' medications and make recommendations based on that data within Health Cloud. Which Health Cloud add-on should a consultant recommend to fulfill this requirement?

Options :

A : Allergy intolerance

B : RxNorm DDI connectivity

C : Medication interactions

D : Medication Management

Answer: D

Question 3

Users need to analyze their patient or member referrals through a prebuilt dashboard that includes reports on important aspects of their referral management. What should a consultant do in this case?

Options :

A :

Install the add-on package that delivers Health Cloud Reports for Utilization Management and Health Cloud (or Patient Referral Management.

B :

Upload a Provider Referral Dashboard Template and enable the action bar so that users can generate a Patient referral Management report.

C :

Install the unmanaged extension package that delivers Health Cloud Reports for Patient Referral Management.

D :

Add extra picklist values to Account record type and add fields on the page layout for patient referral data for CRM Analytics to generate a Patient Referral Management report.

Answer: C

Question 4

A consultant is working with an insurance provider to set up prior authorizations in Health Cloud. The provider requires a display of preauthorization outcomes from its external system which manages the end-to-end prior authorization process Which solution is appropriate to meet this use case?

Options :

A : Service Preauth and Preauth Detail

B : Care Request and Care Request Item

C : Plan Benefit and Plan Benefit Item

D : Care Preauth and Care Preauth Item

Answer: B

Question 5

Which credentials are available to track against providers with standard Health Cloud? (Choose two.)

Options :

A : Specialties

B : Facility Relationship

C : Business License

D : Board Certification

Answer: A,D

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