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October 2020
Conduent™ CyberAccess & SmartPA Help Desk Behavioral Health Report
Executed by HISNT\ssrivastava at 11/2/2020 2:00:32 AM
Page 1 of 48
©2017 Conduent Business Services, LLC. All rights reserved. Conduent and Conduent Agile Star are trademarks of Conduent Business Services, LLC in the United States and/or other countries.
October 2020
Group Therapy 4 1 25.00 % 3 75.00 % 0 0 0.22 %
Family Therapy–Continued Services
8 0 0.00 % 8 100.00 % 0 0 0.43 %
Family Therapy w/out Patient Present–Continued Services
3 0 0.00 % 3 100.00 % 0 0 0.16 %
Family Therapy w/out Patient Present
26 8 30.77 % 16 61.54 % 2 0 1.40 %
Family Therapy – Continued Services
2 0 0.00 % 0 0.00 % 2 0 0.11 %
Family Therapy 82 24 29.27 % 51 62.20 % 7 0 4.42 %
ABA Intervention 41 0 0.00 % 41 100.00 % 0 0 2.21 %
ABA Continued Intervention 44 0 0.00 % 44 100.00 % 0 0 2.37 %
ABA Assessment for Intervention Planning
62 0 0.00 % 62 100.00 % 0 0 3.34 %
Total CA Approved % SPA Approved
% CA Crit Not Met SPA Denied % All Service Type
October 2020
Conduent™ CyberAccess & SmartPA Help Desk Behavioral Health Report
Executed by HISNT\ssrivastava at 11/2/2020 2:00:32 AM
Page 2 of 48
©2017 Conduent Business Services, LLC. All rights reserved. Conduent and Conduent Agile Star are trademarks of Conduent Business Services, LLC in the United States and/or other countries.
Initial Therapy 1,161 0 0.00 % 1,161 100.00 % 0 0 62.52 %
Individual Therapy–Continued Services
60 0 0.00 % 60 100.00 % 0 0 3.23 %
Individual Therapy – Continued Services
14 0 0.00 % 0 0.00 % 14 0 0.75 %
Individual therapy 350 150 42.86 % 192 54.86 % 8 0 18.85 %
Total 1,857 183 1,641 33 0
To Date
Family Therapy 30,821 6974 22.63 % 22,971 74.53 % 860 16 18.48 %
ABA Intervention 1,569 0 0.00 % 1,554 99.04 % 0 15 0.94 %
ABA Continued Intervention 2,014 0 0.00 % 1,999 99.26 % 0 15 1.21 %
ABA Assessment for Intervention Planning
2,327 0 0.00 % 2,279 97.94 % 0 48 1.40 %
Total CA Approved % SPA Approved
% CA Crit Not Met SPA Denied % All Service Type
October 2020
Conduent™ CyberAccess & SmartPA Help Desk Behavioral Health Report
Executed by HISNT\ssrivastava at 11/2/2020 2:00:32 AM
Page 3 of 48
©2017 Conduent Business Services, LLC. All rights reserved. Conduent and Conduent Agile Star are trademarks of Conduent Business Services, LLC in the United States and/or other countries.
Individual Therapy–Continued Services
286 0 0.00 % 286 100.00 % 0 0 0.17 %
Individual Therapy – Continued Services
184 0 0.00 % 0 0.00 % 184 0 0.11 %
Individual therapy 101,004 30516 30.21 % 68,653 67.97 % 1,716 119 60.57 %
Group Therapy – Continued Services
6 0 0.00 % 0 0.00 % 6 0 0.00 %
Group Therapy 2,984 879 29.46 % 2,026 67.90 % 69 10 1.79 %
Family Therapy–Continued Services
26 0 0.00 % 26 100.00 % 0 0 0.02 %
Family Therapy w/out Patient Present–Continued Services
8 0 0.00 % 8 100.00 % 0 0 0.00 %
Family Therapy w/out Patient Present – Continued Services
1 0 0.00 % 0 0.00 % 1 0 0.00 %
Family Therapy w/out Patient Present
4,757 1487 31.26 % 3,210 67.48 % 56 4 2.85 %
Family Therapy – Continued Services
17 0 0.00 % 0 0.00 % 17 0 0.01 %
Total CA Approved % SPA Approved
% CA Crit Not Met SPA Denied % All Service Type
October 2020
Conduent™ CyberAccess & SmartPA Help Desk Behavioral Health Report
Executed by HISNT\ssrivastava at 11/2/2020 2:00:32 AM
Page 4 of 48
©2017 Conduent Business Services, LLC. All rights reserved. Conduent and Conduent Agile Star are trademarks of Conduent Business Services, LLC in the United States and/or other countries.
Testing 156 76 48.72 % 70 44.87 % 10 0 0.09 %
Initial Therapy 20,604 0 0.00 % 20,604 100.00 % 0 0 12.36 %
Total 166,764 39,932 123,686 2,919 227
Total CA Approved % SPA Approved
% CA Crit Not Met SPA Denied % All Service Type
October 2020
Conduent™ CyberAccess & SmartPA Help Desk Behavioral Health Report
Executed by HISNT\ssrivastava at 11/2/2020 2:00:32 AM
Page 5 of 48
©2017 Conduent Business Services, LLC. All rights reserved. Conduent and Conduent Agile Star are trademarks of Conduent Business Services, LLC in the United States and/or other countries.
Average # of Approved Precertifications per day (All Sources)
Approved Precertifications by Source
3,1921,7601,4911,3941,8211,4661,4911,4451,4261,4751,4901,4581,641
26011966153919484106103248194133183
SPA Helpdesk
CyberAccess
10/1911/1912/191/202/203/204/205/206/207/208/209/2010/20
October 2020
Conduent™ CyberAccess & SmartPA Help Desk Behavioral Health Report
Executed by HISNT\ssrivastava at 11/2/2020 2:00:32 AM
Page 6 of 48
©2017 Conduent Business Services, LLC. All rights reserved. Conduent and Conduent Agile Star are trademarks of Conduent Business Services, LLC in the United States and/or other countries.
1,0451,1981,0889571,2361,1451,0601,1252,2262,0186756922,081
55350635731742333848845625822428097
SPA Helpdesk
CyberAccess
9/1810/1811/1812/181/192/193/194/195/196/197/198/199/19
October 2020
Conduent™ CyberAccess & SmartPA Help Desk Behavioral Health Report
Executed by HISNT\ssrivastava at 11/2/2020 2:00:32 AM
Page 7 of 48
©2017 Conduent Business Services, LLC. All rights reserved. Conduent and Conduent Agile Star are trademarks of Conduent Business Services, LLC in the United States and/or other countries.
1,0949861,0029581,0641,1961,0811,1221,0551,1331,1421,1891,213
660546495458458580522402660382443509543
SPA Helpdesk
CyberAccess
8/179/1710/1711/1712/171/182/183/184/185/186/187/188/18
October 2020
Conduent™ CyberAccess & SmartPA Help Desk Behavioral Health Report
Executed by HISNT\ssrivastava at 11/2/2020 2:00:32 AM
Page 8 of 48
©2017 Conduent Business Services, LLC. All rights reserved. Conduent and Conduent Agile Star are trademarks of Conduent Business Services, LLC in the United States and/or other countries.
2,3522,5602,3852,3682,3152,1702,6002,4862,6152,2241,1021,0991,106
9611,0301,0199259718921,1049551,2411,156675747531
SPA Helpdesk
CyberAccess
7/168/169/1610/1611/1612/161/172/173/174/175/176/177/17
October 2020
Conduent™ CyberAccess & SmartPA Help Desk Behavioral Health Report
Executed by HISNT\ssrivastava at 11/2/2020 2:00:32 AM
Page 9 of 48
©2017 Conduent Business Services, LLC. All rights reserved. Conduent and Conduent Agile Star are trademarks of Conduent Business Services, LLC in the United States and/or other countries.
2,0203,3072,6301,9801,9251,4962,2622,6992,5682,3762,4182,1752,387
6481,3271,1058917836799631,0781,0001,063945914973
SPA Helpdesk
CyberAccess
6/157/158/159/1510/1511/1512/151/162/163/164/165/166/16
October 2020
Conduent™ CyberAccess & SmartPA Help Desk Behavioral Health Report
Executed by HISNT\ssrivastava at 11/2/2020 2:00:32 AM
Page 10 of 48
©2017 Conduent Business Services, LLC. All rights reserved. Conduent and Conduent Agile Star are trademarks of Conduent Business Services, LLC in the United States and/or other countries.
123,6861,3845,4871,7701,8051,8231,461
39,932293778426399510413
SPA Helpdesk
CyberAccess
Total12/141/152/153/154/155/15
October 2020
Conduent™ CyberAccess & SmartPA Help Desk Behavioral Health Report
Executed by HISNT\ssrivastava at 11/2/2020 2:00:32 AM
Page 11 of 48
©2017 Conduent Business Services, LLC. All rights reserved. Conduent and Conduent Agile Star are trademarks of Conduent Business Services, LLC in the United States and/or other countries.
11111
5544725359524543454750
1144333
912998111114131114
12113112111
11111
1111
11111112212
22222324323
376536671388
612111099131415118
7779591112141612
Testing
Initial Therapy
Individual Therapy–Continued Services
Individual therapy
Group Therapy
Family Therapy–Continued Services
Family Therapy w/out Patient Present–Continued Services
Family Therapy w/out Patient Present
Family Therapy
ABA Intervention
ABA Continued Intervention
ABA Assessment for Intervention Planning
12/191/202/203/204/205/206/207/208/209/2010/20
October 2020
Conduent™ CyberAccess & SmartPA Help Desk Behavioral Health Report
Executed by HISNT\ssrivastava at 11/2/2020 2:00:32 AM
Page 12 of 48
©2017 Conduent Business Services, LLC. All rights reserved. Conduent and Conduent Agile Star are trademarks of Conduent Business Services, LLC in the United States and/or other countries.
311111111
113737119411164
5144434225201719212213
23221224111
33331111221
119984344543
845456551044
8810101161081287
658119991016108
Testing
Initial Therapy
Individual Therapy–Continued Services
Individual therapy
Group Therapy
Family Therapy–Continued Services
Family Therapy w/out Patient Present–Continued Services
Family Therapy w/out Patient Present
Family Therapy
ABA Intervention
ABA Continued Intervention
ABA Assessment for Intervention Planning
1/192/193/194/195/196/197/198/199/1910/1911/19
October 2020
Conduent™ CyberAccess & SmartPA Help Desk Behavioral Health Report
Executed by HISNT\ssrivastava at 11/2/2020 2:00:32 AM
Page 13 of 48
©2017 Conduent Business Services, LLC. All rights reserved. Conduent and Conduent Agile Star are trademarks of Conduent Business Services, LLC in the United States and/or other countries.
11112
4241464343424243464936
22322123211
42422224322
109998108119108
444754410654
65667678696
75869777957
Testing
Initial Therapy
Individual Therapy–Continued Services
Individual therapy
Group Therapy
Family Therapy–Continued Services
Family Therapy w/out Patient Present–Continued Services
Family Therapy w/out Patient Present
Family Therapy
ABA Intervention
ABA Continued Intervention
ABA Assessment for Intervention Planning
2/183/184/185/186/187/188/189/1810/1811/1812/18
October 2020
Conduent™ CyberAccess & SmartPA Help Desk Behavioral Health Report
Executed by HISNT\ssrivastava at 11/2/2020 2:00:32 AM
Page 14 of 48
©2017 Conduent Business Services, LLC. All rights reserved. Conduent and Conduent Agile Star are trademarks of Conduent Business Services, LLC in the United States and/or other countries.
111211111
9582495143454444374453
35412241322
77323223223
33301011101091091010
12324333535
35347523445
54754435985
Testing
Initial Therapy
Individual Therapy–Continued Services
Individual therapy
Group Therapy
Family Therapy–Continued Services
Family Therapy w/out Patient Present–Continued Services
Family Therapy w/out Patient Present
Family Therapy
ABA Intervention
ABA Continued Intervention
ABA Assessment for Intervention Planning
3/174/175/176/177/178/179/1710/1711/1712/171/18
October 2020
Conduent™ CyberAccess & SmartPA Help Desk Behavioral Health Report
Executed by HISNT\ssrivastava at 11/2/2020 2:00:32 AM
Page 15 of 48
©2017 Conduent Business Services, LLC. All rights reserved. Conduent and Conduent Agile Star are trademarks of Conduent Business Services, LLC in the United States and/or other countries.
1111111111
8375928186858282748095
34235443226
53455676568
3230363430333033303335
13112332363
1111221351
32222373134
Testing
Initial Therapy
Individual Therapy–Continued Services
Individual therapy
Group Therapy
Family Therapy–Continued Services
Family Therapy w/out Patient Present–Continued Services
Family Therapy w/out Patient Present
Family Therapy
ABA Intervention
ABA Continued Intervention
ABA Assessment for Intervention Planning
4/165/166/167/168/169/1610/1611/1612/161/172/17
October 2020
Conduent™ CyberAccess & SmartPA Help Desk Behavioral Health Report
Executed by HISNT\ssrivastava at 11/2/2020 2:00:32 AM
Page 16 of 48
©2017 Conduent Business Services, LLC. All rights reserved. Conduent and Conduent Agile Star are trademarks of Conduent Business Services, LLC in the United States and/or other countries.
1111111111
518611888727163829310084
33634322333
23332222434
2425433631302628353933
4111
1212
Testing
Initial Therapy
Individual Therapy–Continued Services
Individual therapy
Group Therapy
Family Therapy–Continued Services
Family Therapy w/out Patient Present–Continued Services
Family Therapy w/out Patient Present
Family Therapy
ABA Intervention
ABA Continued Intervention
ABA Assessment for Intervention Planning
5/156/157/158/159/1510/1511/1512/151/162/163/16
October 2020
Conduent™ CyberAccess & SmartPA Help Desk Behavioral Health Report
Executed by HISNT\ssrivastava at 11/2/2020 2:00:32 AM
Page 17 of 48
©2017 Conduent Business Services, LLC. All rights reserved. Conduent and Conduent Agile Star are trademarks of Conduent Business Services, LLC in the United States and/or other countries.
111
70
3
54141161645859
347334
1
1
384223
174047252526
4
7
7
Testing
Initial Therapy
Individual Therapy–Continued Services
Individual therapy
Group Therapy
Family Therapy–Continued Services
Family Therapy w/out Patient Present–Continued Services
Family Therapy w/out Patient Present
Family Therapy
ABA Intervention
ABA Continued Intervention
ABA Assessment for Intervention Planning
Total12/141/152/153/154/15
October 2020
Conduent™ CyberAccess & SmartPA Help Desk Behavioral Health Report
Executed by HISNT\ssrivastava at 11/2/2020 2:00:32 AM
Page 18 of 48
©2017 Conduent Business Services, LLC. All rights reserved. Conduent and Conduent Agile Star are trademarks of Conduent Business Services, LLC in the United States and/or other countries.
Precertifications Created by CyberAccess (Approved)
26011966153919484106103248194133183
21397571147585728091176155117150
2617341431
1152124264261448
341162095916546251224
Total
Testing
Individual therapy
Group Therapy
Family Therapy w/out Patient Present
Family Therapy
10/1911/1912/191/202/203/204/205/206/207/208/209/2010/20
October 2020
Conduent™ CyberAccess & SmartPA Help Desk Behavioral Health Report
Executed by HISNT\ssrivastava at 11/2/2020 2:00:32 AM
Page 19 of 48
©2017 Conduent Business Services, LLC. All rights reserved. Conduent and Conduent Agile Star are trademarks of Conduent Business Services, LLC in the United States and/or other countries.
5095435535063573174233384884562582242897
25131
3914334423932872543152803683682451841980
61711168419821641541
292624321820211333254723
81677660443955376557518313
Total
Testing
Individual therapy
Group Therapy
Family Therapy w/out Patient Present
Family Therapy
7/188/189/1810/1811/1812/181/192/193/194/195/196/197/199/19
October 2020
Conduent™ CyberAccess & SmartPA Help Desk Behavioral Health Report
Executed by HISNT\ssrivastava at 11/2/2020 2:00:32 AM
Page 20 of 48
©2017 Conduent Business Services, LLC. All rights reserved. Conduent and Conduent Agile Star are trademarks of Conduent Business Services, LLC in the United States and/or other countries.
675747531660546495458458580522402660382443
1112
562621417527436396356366465399329492304356
21121819294196111210281111
193326282031192639386331020
73817086616464596472571055756
Total
Testing
Individual therapy
Group Therapy
Family Therapy w/out Patient Present
Family Therapy
5/176/177/178/179/1710/1711/1712/171/182/183/184/185/186/18
October 2020
Conduent™ CyberAccess & SmartPA Help Desk Behavioral Health Report
Executed by HISNT\ssrivastava at 11/2/2020 2:00:32 AM
Page 21 of 48
©2017 Conduent Business Services, LLC. All rights reserved. Conduent and Conduent Agile Star are trademarks of Conduent Business Services, LLC in the United States and/or other countries.
1,0639459149739611,0301,0199259718921,1049551,2411,156
521213153
774742665713703777759689719657831722949844
2912231229101810141315141817
3124223136384135463542405757
224165203217193203201191191184215174217235
Total
Testing
Individual therapy
Group Therapy
Family Therapy w/out Patient Present
Family Therapy
3/164/165/166/167/168/169/1610/1611/1612/161/172/173/174/17
October 2020
Conduent™ CyberAccess & SmartPA Help Desk Behavioral Health Report
Executed by HISNT\ssrivastava at 11/2/2020 2:00:32 AM
Page 22 of 48
©2017 Conduent Business Services, LLC. All rights reserved. Conduent and Conduent Agile Star are trademarks of Conduent Business Services, LLC in the United States and/or other countries.
7784263995104136481,3271,1058917836799631,0781,000
115418223
5553012803632934981,007797651578507738832770
349141011283221141612192514
1910172311162218122114131719
1701068811497105266264210167138191202194
Total
Testing
Individual therapy
Group Therapy
Family Therapy w/out Patient Present
Family Therapy
1/152/153/154/155/156/157/158/159/1510/1511/1512/151/162/16
October 2020
Conduent™ CyberAccess & SmartPA Help Desk Behavioral Health Report
Executed by HISNT\ssrivastava at 11/2/2020 2:00:32 AM
Page 23 of 48
©2017 Conduent Business Services, LLC. All rights reserved. Conduent and Conduent Agile Star are trademarks of Conduent Business Services, LLC in the United States and/or other countries.
39,932293
76
30,516235
8793
1,48717
6,97438
Total
Testing
Individual therapy
Group Therapy
Family Therapy w/out Patient Present
Family Therapy
Total12/14
October 2020
Conduent™ CyberAccess & SmartPA Help Desk Behavioral Health Report
Executed by HISNT\ssrivastava at 11/2/2020 2:00:32 AM
Page 24 of 48
©2017 Conduent Business Services, LLC. All rights reserved. Conduent and Conduent Agile Star are trademarks of Conduent Business Services, LLC in the United States and/or other countries.
October 2020
Conduent™ CyberAccess & SmartPA Help Desk Behavioral Health Report
Executed by HISNT\ssrivastava at 11/2/2020 2:00:32 AM
Page 25 of 48
©2017 Conduent Business Services, LLC. All rights reserved. Conduent and Conduent Agile Star are trademarks of Conduent Business Services, LLC in the United States and/or other countries.
Approved Precertifications Created by SmartPA (Helpdesk)
000001153956526360
205156174130144128140182194171148192
3751417322523
000000034658
000000001223
1110974971417121216
513844243242504755503851
292738343528194545674441
465060576146376673774444
504738505434297875996462
Individual Therapy–Continued Services
Individual therapy
Group Therapy
Family Therapy–Continued Services
Family Therapy w/out Patient Present–Continued Services
Family Therapy w/out Patient Present
Family Therapy
ABA Intervention
ABA Continued Intervention
ABA Assessment for Intervention Planning
11/1912/191/202/203/204/205/206/207/208/209/2010/20
October 2020
Conduent™ CyberAccess & SmartPA Help Desk Behavioral Health Report
Executed by HISNT\ssrivastava at 11/2/2020 2:00:32 AM
Page 26 of 48
©2017 Conduent Business Services, LLC. All rights reserved. Conduent and Conduent Agile Star are trademarks of Conduent Business Services, LLC in the United States and/or other countries.
0000000000000
809759691807799726730381350356431383381
281512242514396521484
0000000000000
0000000000000
3230345147504516109172623
1791611482041581301529457739810584
52321749252529333840295128
43472756495462574165516051
54442843416166495658528464
Individual Therapy–Continued Services
Individual therapy
Group Therapy
Family Therapy–Continued Services
Family Therapy w/out Patient Present–Continued Services
Family Therapy w/out Patient Present
Family Therapy
ABA Intervention
ABA Continued Intervention
ABA Assessment for Intervention Planning
10/1811/1812/181/192/193/194/195/196/197/198/199/1910/19
October 2020
Conduent™ CyberAccess & SmartPA Help Desk Behavioral Health Report
Executed by HISNT\ssrivastava at 11/2/2020 2:00:32 AM
Page 27 of 48
©2017 Conduent Business Services, LLC. All rights reserved. Conduent and Conduent Agile Star are trademarks of Conduent Business Services, LLC in the United States and/or other countries.
0000000000000
720711650752863705791719820826809835690
31202030302023271324204034
0000000000000
0000000000000
30343030513847384235323462
157170163169204162177169180163182169154
18182516173724203029422840
11192325166131382428455534
18274742155729432437585230
Individual Therapy–Continued Services
Individual therapy
Group Therapy
Family Therapy–Continued Services
Family Therapy w/out Patient Present–Continued Services
Family Therapy w/out Patient Present
Family Therapy
ABA Intervention
ABA Continued Intervention
ABA Assessment for Intervention Planning
9/1710/1711/1712/171/182/183/184/185/186/187/188/189/18
October 2020
Conduent™ CyberAccess & SmartPA Help Desk Behavioral Health Report
Executed by HISNT\ssrivastava at 11/2/2020 2:00:32 AM
Page 28 of 48
©2017 Conduent Business Services, LLC. All rights reserved. Conduent and Conduent Agile Star are trademarks of Conduent Business Services, LLC in the United States and/or other countries.
0000000000000
1,6551,5431,5471,5041,4191,6581,5781,7221,395768819757787
74496944343677486937111836
0000000000000
0000000000000
98861261029112611212810750274729
700637591610567685674666549174190191169
14231418253614102418112423
1167923367184015164326
17271421112222223939252421
Individual Therapy–Continued Services
Individual therapy
Group Therapy
Family Therapy–Continued Services
Family Therapy w/out Patient Present–Continued Services
Family Therapy w/out Patient Present
Family Therapy
ABA Intervention
ABA Continued Intervention
ABA Assessment for Intervention Planning
8/169/1610/1611/1612/161/172/173/174/175/176/177/178/17
October 2020
Conduent™ CyberAccess & SmartPA Help Desk Behavioral Health Report
Executed by HISNT\ssrivastava at 11/2/2020 2:00:32 AM
Page 29 of 48
©2017 Conduent Business Services, LLC. All rights reserved. Conduent and Conduent Agile Star are trademarks of Conduent Business Services, LLC in the United States and/or other countries.
0000000000000
2,3051,7561,3031,2921,0111,6471,8861,7451,5901,5971,4551,5911,584
80255833292419643844453729
0000000000000
0000000000000
56653937393765446994566584
866784579561414549717703649657581660625
00000412141131110
0000000000233
0000011191624211915
Individual Therapy–Continued Services
Individual therapy
Group Therapy
Family Therapy–Continued Services
Family Therapy w/out Patient Present–Continued Services
Family Therapy w/out Patient Present
Family Therapy
ABA Intervention
ABA Continued Intervention
ABA Assessment for Intervention Planning
7/158/159/1510/1511/1512/151/162/163/164/165/166/167/16
October 2020
Conduent™ CyberAccess & SmartPA Help Desk Behavioral Health Report
Executed by HISNT\ssrivastava at 11/2/2020 2:00:32 AM
Page 30 of 48
©2017 Conduent Business Services, LLC. All rights reserved. Conduent and Conduent Agile Star are trademarks of Conduent Business Services, LLC in the United States and/or other countries.
2860000000
68,6531,0374,1391,2481,2441,1869381,489
2,026201162435553829
260000000
80000000
3,21044612534514352
22,9712831,170473492529442450
1,5540000000
1,9990000000
2,2790000000
Individual Therapy–Continued Services
Individual therapy
Group Therapy
Family Therapy–Continued Services
Family Therapy w/out Patient Present–Continued Services
Family Therapy w/out Patient Present
Family Therapy
ABA Intervention
ABA Continued Intervention
ABA Assessment for Intervention Planning
Total12/141/152/153/154/155/156/15
October 2020
Conduent™ CyberAccess & SmartPA Help Desk Behavioral Health Report
Executed by HISNT\ssrivastava at 11/2/2020 2:00:32 AM
Page 31 of 48
©2017 Conduent Business Services, LLC. All rights reserved. Conduent and Conduent Agile Star are trademarks of Conduent Business Services, LLC in the United States and/or other countries.
1,7601,4911,3941,8211,4661,4911,4451,4261,4751,4901,4581,641
202212000100
1,3631,1561,0241,5161,1311,1841,1459509539481,0361,161
Total
Testing
Initial Therapy
11/1912/191/202/203/204/205/206/207/208/209/2010/20
October 2020
Conduent™ CyberAccess & SmartPA Help Desk Behavioral Health Report
Executed by HISNT\ssrivastava at 11/2/2020 2:00:32 AM
Page 32 of 48
©2017 Conduent Business Services, LLC. All rights reserved. Conduent and Conduent Agile Star are trademarks of Conduent Business Services, LLC in the United States and/or other countries.
1,1981,0889571,2361,1451,0601,1252,2262,0186756922,0813,192
1002102011014
00000001,5901,4607101,3632,553
Total
Testing
Initial Therapy
10/1811/1812/181/192/193/194/195/196/197/198/199/1910/19
October 2020
Conduent™ CyberAccess & SmartPA Help Desk Behavioral Health Report
Executed by HISNT\ssrivastava at 11/2/2020 2:00:32 AM
Page 33 of 48
©2017 Conduent Business Services, LLC. All rights reserved. Conduent and Conduent Agile Star are trademarks of Conduent Business Services, LLC in the United States and/or other countries.
9861,0029581,0641,1961,0811,1221,0551,1331,1421,1891,2131,045
1300010100101
0000000000000
Total
Testing
Initial Therapy
9/1710/1711/1712/171/182/183/184/185/186/187/188/189/18
October 2020
Conduent™ CyberAccess & SmartPA Help Desk Behavioral Health Report
Executed by HISNT\ssrivastava at 11/2/2020 2:00:32 AM
Page 34 of 48
©2017 Conduent Business Services, LLC. All rights reserved. Conduent and Conduent Agile Star are trademarks of Conduent Business Services, LLC in the United States and/or other countries.
2,5602,3852,3682,3152,1702,6002,4862,6152,2241,1021,0991,1061,094
1407012111023
0000000000000
Total
Testing
Initial Therapy
8/169/1610/1611/1612/161/172/173/174/175/176/177/178/17
October 2020
Conduent™ CyberAccess & SmartPA Help Desk Behavioral Health Report
Executed by HISNT\ssrivastava at 11/2/2020 2:00:32 AM
Page 35 of 48
©2017 Conduent Business Services, LLC. All rights reserved. Conduent and Conduent Agile Star are trademarks of Conduent Business Services, LLC in the United States and/or other countries.
3,3072,6301,9801,9251,4962,2622,6992,5682,3762,4182,1752,3872,352
0012300101212
0000000000000
Total
Testing
Initial Therapy
7/158/159/1510/1511/1512/151/162/163/164/165/166/167/16
October 2020
Conduent™ CyberAccess & SmartPA Help Desk Behavioral Health Report
Executed by HISNT\ssrivastava at 11/2/2020 2:00:32 AM
Page 36 of 48
©2017 Conduent Business Services, LLC. All rights reserved. Conduent and Conduent Agile Star are trademarks of Conduent Business Services, LLC in the United States and/or other countries.
123,6861,3845,4871,7701,8051,8231,4612,020
700100200
20,6040000000
Total
Testing
Initial Therapy
Total12/141/152/153/154/155/156/15
October 2020
Conduent™ CyberAccess & SmartPA Help Desk Behavioral Health Report
Executed by HISNT\ssrivastava at 11/2/2020 2:00:32 AM
Page 37 of 48
©2017 Conduent Business Services, LLC. All rights reserved. Conduent and Conduent Agile Star are trademarks of Conduent Business Services, LLC in the United States and/or other countries.
October 2020
Conduent™ CyberAccess & SmartPA Help Desk Behavioral Health Report
Executed by HISNT\ssrivastava at 11/2/2020 2:00:32 AM
Page 38 of 48
©2017 Conduent Business Services, LLC. All rights reserved. Conduent and Conduent Agile Star are trademarks of Conduent Business Services, LLC in the United States and/or other countries.
Criteria Not Met Outcomes through CyberAccess
October 2020
Conduent™ CyberAccess & SmartPA Help Desk Behavioral Health Report
Executed by HISNT\ssrivastava at 11/2/2020 2:00:32 AM
Page 39 of 48
©2017 Conduent Business Services, LLC. All rights reserved. Conduent and Conduent Agile Star are trademarks of Conduent Business Services, LLC in the United States and/or other countries.
36252624281617241467181625342933
00000000000000000
1512151780654347918131714
107611199119228261458
21001000000000000
00000002000100000
00000100000000000
13204111000020012
00020301010000312
82344214101231457
Total
Testing
Individual Therapy – Continued Services
Individual Therapy
Group Therapy – Continued Services
Group Therapy
Family Therapy w/out Patient Present – Continued Services
Family Therapy w/out Patient Present
Family Therapy – Continued Services
Family Therapy
6/197/198/199/1910/1911/1912/191/202/203/204/205/206/207/208/209/2010/20
October 2020
Conduent™ CyberAccess & SmartPA Help Desk Behavioral Health Report
Executed by HISNT\ssrivastava at 11/2/2020 2:00:32 AM
Page 40 of 48
©2017 Conduent Business Services, LLC. All rights reserved. Conduent and Conduent Agile Star are trademarks of Conduent Business Services, LLC in the United States and/or other countries.
1730233340121521313835272235352733130
000100000000000000
0000000000000000017
121915232310111119282822162622172428
000000000000000002
000010000000010020
000000000000000000
100000110100110005
000000000000000004
411891623912975571310774
Total
Testing
Individual Therapy – Continued Services
Individual Therapy
Group Therapy – Continued Services
Group Therapy
Family Therapy w/out Patient Present – Continued Services
Family Therapy w/out Patient Present
Family Therapy – Continued Services
Family Therapy
12/171/182/183/184/185/186/187/188/189/1810/1811/1812/181/192/193/194/195/19
October 2020
Conduent™ CyberAccess & SmartPA Help Desk Behavioral Health Report
Executed by HISNT\ssrivastava at 11/2/2020 2:00:32 AM
Page 41 of 48
©2017 Conduent Business Services, LLC. All rights reserved. Conduent and Conduent Agile Star are trademarks of Conduent Business Services, LLC in the United States and/or other countries.
424045675539394031505140323639192225
001110100010000000
000000000000000000
242328413931272714242726181619131218
000000000000000000
021000020224427100
000000000000000000
120000110120000000
000000000000000000
171315251581010172319101018135107
Total
Testing
Individual Therapy – Continued Services
Individual Therapy
Group Therapy – Continued Services
Group Therapy
Family Therapy w/out Patient Present – Continued Services
Family Therapy w/out Patient Present
Family Therapy – Continued Services
Family Therapy
6/167/168/169/1610/1611/1612/161/172/173/174/175/176/177/178/179/1710/1711/17
October 2020
Conduent™ CyberAccess & SmartPA Help Desk Behavioral Health Report
Executed by HISNT\ssrivastava at 11/2/2020 2:00:32 AM
Page 42 of 48
©2017 Conduent Business Services, LLC. All rights reserved. Conduent and Conduent Agile Star are trademarks of Conduent Business Services, LLC in the United States and/or other countries.
28473631432036555058120931141271361067253
000000000000000121
000000000000000000
82924192091331263486647990103815643
000000000000000000
530120221431614000
000000000000000000
111102001300331110
000000000000000000
1414111021921222217312826332823139
Total
Testing
Individual Therapy – Continued Services
Individual Therapy
Group Therapy – Continued Services
Group Therapy
Family Therapy w/out Patient Present – Continued Services
Family Therapy w/out Patient Present
Family Therapy – Continued Services
Family Therapy
12/141/152/153/154/155/156/157/158/159/1510/1511/1512/151/162/163/164/165/16
October 2020
Conduent™ CyberAccess & SmartPA Help Desk Behavioral Health Report
Executed by HISNT\ssrivastava at 11/2/2020 2:00:32 AM
Page 43 of 48
©2017 Conduent Business Services, LLC. All rights reserved. Conduent and Conduent Agile Star are trademarks of Conduent Business Services, LLC in the United States and/or other countries.
2,919
10
184
1,716
6
69
1
56
17
860
Total
Testing
Individual Therapy – Continued Services
Individual Therapy
Group Therapy – Continued Services
Group Therapy
Family Therapy w/out Patient Present – Continued Services
Family Therapy w/out Patient Present
Family Therapy – Continued Services
Family Therapy
Total
October 2020
Conduent™ CyberAccess & SmartPA Help Desk Behavioral Health Report
Executed by HISNT\ssrivastava at 11/2/2020 2:00:32 AM
Page 44 of 48
©2017 Conduent Business Services, LLC. All rights reserved. Conduent and Conduent Agile Star are trademarks of Conduent Business Services, LLC in the United States and/or other countries.
October 2020
Conduent™ CyberAccess & SmartPA Help Desk Behavioral Health Report
Executed by HISNT\ssrivastava at 11/2/2020 2:00:32 AM
Page 45 of 48
©2017 Conduent Business Services, LLC. All rights reserved. Conduent and Conduent Agile Star are trademarks of Conduent Business Services, LLC in the United States and/or other countries.
Denied Precertifications Created by SmartPA (Helpdesk)
248358112111111
010000001011110
000000000000001
000000000000000
000000001000000
000105100100000
013133000000000
225120010000000
Total
Individual therapy
Group Therapy
Family Therapy w/out Patient Present
Family Therapy
ABA Intervention
ABA Continued Intervention
ABA Assessment for Intervention Planning
5/176/177/178/179/1710/1711/1712/173/189/181/194/195/196/209/20
October 2020
Conduent™ CyberAccess & SmartPA Help Desk Behavioral Health Report
Executed by HISNT\ssrivastava at 11/2/2020 2:00:32 AM
Page 46 of 48
©2017 Conduent Business Services, LLC. All rights reserved. Conduent and Conduent Agile Star are trademarks of Conduent Business Services, LLC in the United States and/or other countries.
1217761089869516203
1082566626801601
001000100000000
000000100000010
122121000010000
010001140000000
000000020020000
1620200001200192
Total
Individual therapy
Group Therapy
Family Therapy w/out Patient Present
Family Therapy
ABA Intervention
ABA Continued Intervention
ABA Assessment for Intervention Planning
2/163/164/165/166/167/168/169/1610/1611/1612/161/172/173/174/17
October 2020
Conduent™ CyberAccess & SmartPA Help Desk Behavioral Health Report
Executed by HISNT\ssrivastava at 11/2/2020 2:00:32 AM
Page 47 of 48
©2017 Conduent Business Services, LLC. All rights reserved. Conduent and Conduent Agile Star are trademarks of Conduent Business Services, LLC in the United States and/or other countries.
22732312147523387
11920012127413257
101120010000110
40000010010000
160110000100020
150000000000000
150000000000000
480000000000000
Total
Individual therapy
Group Therapy
Family Therapy w/out Patient Present
Family Therapy
ABA Intervention
ABA Continued Intervention
ABA Assessment for Intervention Planning
Total12/142/153/154/155/156/157/158/159/1510/1511/1512/151/16
October 2020
Conduent™ CyberAccess & SmartPA Help Desk Behavioral Health Report
Executed by HISNT\ssrivastava at 11/2/2020 2:00:32 AM
Page 48 of 48
©2017 Conduent Business Services, LLC. All rights reserved. Conduent and Conduent Agile Star are trademarks of Conduent Business Services, LLC in the United States and/or other countries.
