Ophthalmic Payments National User Group Meeting 2 nd July 2009.
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Transcript of Ophthalmic Payments National User Group Meeting 2 nd July 2009.
Ophthalmic Payments
National User Group Meeting 2nd July 2009
Closed Change Requests2981 Newcastle, CSV option within Post Payment Checks reports
6th February 2009
2986 Dudley, Preset list box for domiciliary visit reasons on Pre Notify Visits
12th February2009
2740 Stockport, Permit practitioner name reuse
3rd March 2009
Closed Change Requests2992 Birmingham, Parameter to allow warning on input of individual GOS claim if claim is inappropriate to the contractor
18th May 2009
2838 Kent, Email payment statements
11th June 2009
Open Change Requests
2742 Dorset (on hold for discussion today)
Batched Additional Services claims
2851 Hampshire (on pilot but requires further discussion today)
Improve linking of pre-notification lists to residential homes
3084 Dudley Retain practice code for entry of next individual claim
3092 Suffolk Claims user role to include pre-notification premises details
Open Change Requests
3105 Kent Private Sight Test statements, including email option
3106 Kent Statement adjustment fields (+/-) for Glaucoma
3110 Lancashire Submission date shown for batches when approving/rejecting electronic claims
3122 Birmingham Frequency of re-test reason report to include sub-setting by practice
Open Change Requests
3123 Cambridge Select payment cycle when using EC batch approval
3124 LASCA 6 more local enhanced service codes
3125 LASCA Batched Additional Services claims
Batched Additional Service claims CR 2742
• Questions– Is there someone from Dorset
present ?– Is there enough support from you to
prioritise this change request ?– Do you wish to reject it ?
Import Pre-notification detailsCR 2851
• Pilot at Hampshire– Started on 13th February 2009
• Pilot has raised some issues and questions
Import Pre-notification detailsCR 2851
• Issues– Usage of at least 6 different forms
• None of them complete for import process
• Other data item issues
– Involvement of Domi Eye Care Committee
Import Pre-notification detailsCR 2851
• Questions– Is there enough support from you to
complete this change request
– Agreement to use standard form– Ask CfH to build new form based on
official form to enable import process
Proposed import form
Electronic StatementsCR 2838
• Setup
• Sending electronic statements
• NHS Ophthalmic Decrypt Utility
• Available downloads
Electronic StatementsCR 2838
• Setup– Sending email address
• Set email address for your Payment Authority
– Practice email address & password• Practitioner electronic claims settings
• Sending payment statements– All statement reports (email option)
Electronic StatementsSending email address
Electronic StatementsPractice email & password
Electronic StatementsSending emails
Electronic StatementsCR 2838
• NHS Ophthalmic Decrypt Utility
– All electronic statements are encrypted
– A practice can use our decrypt utility for free but
– Agrees to terms & conditions of use
Electronic StatementsCR 2838
• Available downloads
– User guide– FAQs– NHS Ophthalmic Payments Decrypt
Utility Overview & file– NHS Ophthalmic Payments Decrypt
Utility terms & conditions of use
Electronic Links Project
• Phase I - Activity Details
– 175 activation requests processed– 156 active stores– 92 stores using automatic process– 64 PCTs– 33 payment agencies
Electronic Links Project
• Phase I - Claims Volumes
– Period May 2007 – July 2009• 611,618 manual approvals• 704,011 automatic approvals• 1,370,058 total claims
Electronic Links Project
• Phase II – GOS3, GOS4 & GOS5
– NHS development completed for April 2009
– Ocuco have sent test GOS3, GOS4 & GOS5 claims for processing
– No supplier asked to be accredited to submit GOS3, GOS4 or GOS5 claims
Electronic Links Project
• Best Practice
– Specsavers IT guide published by end July 2009
– NHS CfH published advice on possible duplicates
Electronic Links Project
• Possible Duplicates– More individual GOS1 claims stored
– More possible duplicate claims identified
– Raised questions regarding the GOS Regulations when a patient is tested and advised otherwise on their previous sight test date
Electronic Links Project
• Possible Duplicates– DoH response:
• providing that the sight test is done in good faith, claim should be paid
• a matter of judgement locally as to whether the PCT thinks the patient was deceptive or mistaken and then whether they want to pursue
Electronic Links Project
• Possible Duplicates– Electronic Processing changes for
possible duplicates:• Improve validation checks to enable
PCT to control how to proceed on each possible duplicate claim
• Listing screen updated to show possible duplicate claims separately
Electronic Links Project
• Accreditation
– Optix• first Optix pilot site active on 7th July
2009 (Collison’s)
LHB Restructuring & Ophthalmic Payments
• New LHBs commence on 1st October 2009
• Implemented within Ophthalmic system during October 2009– following final September / October
payment within each Paying Organisation
– 1 day migration process
LHB Restructuring & Ophthalmic Payments
• LHB Migration Data menu
– Practitioner Reference List– Supplementary Reference List– Migration Details
• Menu to be removed once migration completed
LHB Migration Data menu
Practitioner Reference List
Practitioner Reference Edit
New LHB Organisations
Practitioner Reference Edit
Supplementary Reference List
LHB Migration Details
LHB Restructuring & Ophthalmic Payments
• Time table– Migration Data menu active 15th July– LHBs to complete migration
reference data by 7th September 2009
– Proposed migration date• BT LHBs – 7th October• IM LHBs – 14th October• NW LHBs – 12th October
LHB Restructuring & Ophthalmic Payments
• Prior to processing the Monthly Cleardown for payment Sept – Oct
– If your LHB codes are changing, contact the National Help Desk (01392 251289)
– Raise a Priority 1 call, requesting further advice regarding your LHB migration and next payment cycle
– Do not execute the Monthly Cleardown process for payment Sept – Oct
LHB Restructuring & Ophthalmic Payments
• Prior to processing the Monthly Cleardown for payment Sept – Oct
– Do not open another payment cycle for the next payment (Oct – Nov)
– Await further instruction from the Ophthalmic Payments team regarding the processing of your LHB migration and your next payment cycle
LHB Restructuring & Ophthalmic Payments
• Issues
– Migrating Mobile Practices
– Duplicate Local Practitioner Codes
– Exeter BP screen is not affected by restructuring and is available to use for payment of September / October payment
LHB Restructuring & Ophthalmic Payments
• Issues
– Access to archive information
• use View Old Organisations Only to access this information using the menus
• not all menu functions are available to old organisations
Organisation contact details
• Requested at last OPUG meeting 22nd January 2009
– Activated on 28th April 2009• 121 organisations with missing details
– On 1st July 2009• 15 organisations with missing details