420 likes | 567 Views
Ophthalmic Payments. National User Group Meeting 2 nd July 2009. Closed Change Requests. Closed Change Requests. Open Change Requests. Open Change Requests. Open Change Requests. Batched Additional Service claims CR 2742. Questions Is there someone from Dorset present ?
E N D
Ophthalmic Payments National User Group Meeting 2nd July 2009
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
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 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 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