Health-Cloud-Accredited-Professional Exam Dumps : Salesforce Health Cloud Accredited Professional Exam (SP25)

To efficiently track a series of problems, goals, and interventions (PGIs) in a repeatable way, Action Plan Templates in Health Cloud are the recommended approach. These templates allow care coordinators to define and automate tasks associated with PGIs.

Benefits of Action Plan Templates for PGIs:

Task Automation: Automatically generates a series of tasks for care coordinators based on predefined templates.

Customization: Templates can be tailored for different care scenarios or patient needs, ensuring consistency across cases.

Efficient Tracking: Allows care coordinators to monitor progress on PGIs and ensure timely interventions.

Why Other Options Are Incorrect:

A: Checklists are manual and lack the automation and repeatability provided by action plan templates.

B: Care program templates are used to define overarching care programs, not detailed PGI tracking.

D: PG libraries provide reusable PG definitions but do not automatically create tasks or track interventions.

To enable a provider to view a patient's insurance coverage, including co-pay and deductible information, prior to an appointment using the Benefit Verification component in Salesforce Health Cloud, the following steps should be taken:

Create a Named Credential to Support Authenticated Callouts (Option B):

Purpose:

Named credentials in Salesforce simplify the process of authenticating to external systems by storing the required authentication settings in a centralized location.

Implementation:

Navigate to Setup in Salesforce.

In the Quick Find box, enter "Named Credentials" and select it.

Click New Named Credential.

Enter the required details:

Label and Name: Descriptive identifiers for the credential.

URL: The endpoint of the external system (e.g., the insurance clearinghouse).

Authentication Protocol: Choose the appropriate method (e.g., OAuth 2.0, Password Authentication) based on the external system's requirements.

Provide the necessary authentication details, such as username, password, or OAuth tokens.

Save the named credential.

Benefit:

This setup allows Salesforce to perform authenticated callouts to external systems securely, ensuring that

Implementing Utilization Management in Salesforce Health Cloud to handle prior authorizations involves customizing specific components to streamline the submission and tracking processes.

1. Integrate Using MuleSoft Direct for Electronic Prior Authorizations (ePA):

MuleSoft Direct for Health Cloud facilitates seamless integration between Electronic Health Record (EHR) systems and Health Cloud. This integration enables providers to electronically submit and track prior authorization requests, eliminating manual processes and reducing decision times. By leveraging electronic prior authorization (ePA), healthcare organizations can automate workflows, ensure timely approvals, and enhance patient care delivery.

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2. Customize the Service Request Object:

The Service Request object in Health Cloud serves as a central repository for managing various patient-related requests, including prior authorizations. Customizing this object allows organizations to align the authorization process with their specific business requirements. Enhancements may include adding custom fields to capture necessary clinical information, modifying page layouts for improved user experience, and implementing validation rules to ensure data accuracy. Such customizations facilitate efficient tracking and management of authorization requests, ensuring that all relevant information is readily accessible to care teams.