Question 1

Which data model is used to represent information via standard object and covered?

Options :

A : Health Insurance data model

B : Coverage data model

C : Payer data model

D : Plan data model

E : Benefit data model

Answer: A

Question 2

A healthcare organization is launching a new gene therapy program, and an administrator needs to leverage Advanced Therapy Management. In which two ways does Advanced Therapy Management assist the healthcare organization with its complex scheduling requirements?

Options :

A : Schedule a telehealth appointment.

B : Reschedule part of the appointment chain.

C : Book multi-step appointments.

D : Optimize appointment chain with Einstein.

Answer: B,C

Question 3

Care Requests seek authorization from a health plan for drugs, services, and admissions. They can also contain request for review, appeals, complaints and grievances. Which Care Request review ensure that a member is getting the right care in timely and cost-effective way?

Options :

A : Disposition Review

B : Concurrent Review

C : Care Review

D : Preauthorization Review

E : Retrospective Review

Answer: B

Question 4

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 5

Which type of files can be uploaded as Consent Documents in secure folders of Health Cloud for a Care Program? (Choose two)

Options :

A : Copy-protected PDF files

B : Opt out consent documents

C : Authorization consent forms

D : Files that are smaller than 2 Simple Application 5MB

E : Password protected files

Answer: C,D