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

NEW QUESTION # 22
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: C,D

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 copyright Cases and not directly linked to Utilization Management flows in Health Cloud.


NEW QUESTION # 23
Bloomington Caregivers wants to use patient or member lists for its care coordinators in its current implementation.
What is an important consideration when implementing this in Health Cloud?

Answer: A

Explanation:
* Access to Filtered Fields:
Exact Extract:
"If a user does not have access to a field that is used in a filter on a patient or member list, the list will not be displayed to that user." Reference:
* Other Options:
Filter logic is not controlled by formula fields.
There's no official "override filter field" on the person account for lists.
Lists are not created or managed from the Campaign object in Health Cloud.


NEW QUESTION # 24
Which industry data standard should a consultant consider when designing interoperability with electronic health record (EHR) sources with Health Cloud?

Answer: D

Explanation:
* FHIR R4 Standard:
Exact Extract:
"Health Cloud supports FHIR R4 as an industry data standard for EHR interoperability." Reference:
* Other Options:
HL7 v2 is also supported but FHIR R4 is the recommended modern standard.
Clinical Data Acquisition and PHR are not relevant data standards for EHR interoperability in this context.


NEW QUESTION # 25
A provider uses an external appointment management system. The default solution provided by Health Cloud is not viable for the provider.
How should a consultant implement a robust system for the provider?

Answer: D


NEW QUESTION # 26
Bloomington Caregivers would like to bulk upload information to support Provider Search and Provider Relationship Card.
What are the two best practice recommendations to upload this information?
Choose 2 answers

Answer: A,C


NEW QUESTION # 27
......

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