Transcript Ophthalmic Payments - Health and Social Care Information

Ophthalmic Payments
National User Group Meeting
21st February 2013
Ophthalmic Payments
Service
• Central Ophthalmic Payments
system continues as usual from 1st
April 2013
• NHS Connecting for Health
– Including Systems and Service
Delivery
– Lift & Shifted into HSCIC
Ophthalmic Payments
Service
• The central Ophthalmic Payments
system will continue to operate
using PCT organisational structures
– NHS CB approved
– Minimising risk
– Minimal change
• No PCT migrations
Ophthalmic Payments
Service
• From 1st April 2013 the NHS CB
Area Teams & their Primary Care
Support teams will process GOS
claims using the central Ophthalmic
Payments system
Ophthalmic Payments
Service
• Your monthly payment processing
will remain unchanged, i.e.;
creating new payment cycles,
defining cut-off dates and payments
dates remain under your control
• Payment made by the Integrated
Single Financial Environment
Ophthalmic Payments
Service
• Practices using eGOS will continue
to operate unchanged
• User access remains unchanged
– Ophthalmic administration tool to
assist with user requests
Ophthalmic Payments
Service
• The Ophthalmic Payment’s Bulletin
Board will be updated to show
software changes and any
ophthalmic service information
• An FAQ will be published soon, to
cover transition, ISFE, Area Teams
etc
ISFE
• NHS Shared Business Services
(SBS) have been awarded the
contract to make GP and Optical
payments from 1st April 2013
• This service is being referred to as
the Integrated Single Financial
Environment - ISFE
ISFE
• ISFE covers all English GPs and
Optical contractors
• Each contractor will be allocated a
unique Vendor Site Reference
(VSR) Number provided by ISFE
ISFE
• Plan to update VSR Number
electronically within ophthalmic
system by 22nd March for matching
contractors
• Implementation date is 23rd March
2013 for both Ophthalmics & GP
payments
ISFE
• All optical payments on or after 23rd
March 2013 will be made using
ISFE
• Removal of the 20 local enhanced
service codes from 23rd March
2013
ISFE
• Removal of enhanced service types
not supported by ISFE from 23rd
March 2013
– Unsupported services to be confirmed
by ISFE by 22nd March 2013
– Fees & unpaid claims to be removed
by the Ophthalmic Payments team
from 23rd March 2013
ISFE
•
All optical payments on or after
23rd March 2013 will be made
using ISFE
•
No other payment route possible
for English opticians
ISFE
•
On-line help updated
•
ISFE support line available (TBC)
ISFE
•
Welsh LHBs are not affected at
all and continue to make
payments as normal
–
–
Exeter BACS
External ledger
ISFE Changes required in
Ophthalmic System
• Add the VSR Number on the
contractor details screen
• Generate statements will only
create statements when each
contractor, within the PCTs
assigned into the selected
payment cycle, has been allocated
their VSR number
ISFE Changes required in
Ophthalmic System
• Transfer to Exeter BACS facility
unavailable to PCTs
• Produce the ISFE payment file
• All BACS transfer switches for
PCT organisations and PCT
contractors will be set to NO and
access removed
ISFE Changes in
ophthalmic system
• Removal of 20 local enhanced
service types & fees
• Removal of unsupported enhanced
service types, fees & unpaid
claims
• Removal of ‘other’ adjustments
ISFE Changes in
ophthalmic system
• No other payment route possible
for English opticians from 23rd
March 2013
Contractor – VSR Number
Generate Statements –
VSR Number missing
ISFE Interface Payment
File
• Access restricted to Local
Administrator, Operator & Claim
User roles only
• ISFE interface file is not protected
and it’s security is the
responsibility of the Area Team
ISFE Interface Payment
File
ISFE File Transfer
•
Upload to ISFE via website
•
User must be registered
•
Confirmation of email sent to
user once ISFE receive payment
file
ISFE File Transfer
•
Errors reported back to sender
via email
•
Corrected within ISFE
•
ISFE manual payments available
but requires approval
Area Team Details
•
Update the name and address
details accordingly for your
responsible organisations
–
–
PCT
Payment Authority / Agency
Area Team Reports
Area Team Reports
Area Team Reports
• User access
– Users wishing to access the Area
Team Reporting module will need
to register their interest by
contacting our National Helpdesk
(0845 371 3671) while we develop
a new authentication process for
such requests
GOS Fees 2013/2014
• England
– Voucher values should be available
from 1st April 2013
– Sight test & domiciliary fees are
currently being negotiated
• Wales - TBC
GOS Regulations for
English Performers
• Uniform List Number has been
removed
• Replaced by Professional
Registration Number
– GOC Number
– GMC Number
GOS Regulations for
English Performers
• GOC/GMC number will be
updated to become a linked field,
like the Performer’s Uniform List
Number
• Performer’s Uniform List Number
will remain as a linked field
GOS Regulations for
Performers
Pension Changes
• New Pension Tiers from 1st April
2013
Electronic Links
• Accredited Suppliers, Pilots &
Electronic Links Activity
– There is a link, called national
availability & pilots, now available
on the Ophthalmic Payments
Bulletin Board showing latest eGOS
activity and pilot information
–
https://nww.openexeter.nhs.uk/nhsia/opthelp/Ophthalmics/eng/ECActivity.html
Electronic Links (eGOS)
•
Activity Details
–
371 active stores
•
•
•
•
247 Specsavers stores
89 practices using the Optix system
24 Vision Express stores use Ocuco
11 Independents
– 122 PCT/LHBs over 53 payment
agencies
Electronic Links (eGOS)
•
Claim Volumes from May 2007
–
–
–
–
–
7,158,590 GOS 1
4,622 GOS 3
849 GOS 4
3 GOS 5
52 GOS 6
Practice wishing to use
links
•
Check for accredited supplier at
the practice (using activity page)
–
–
–
If yes, follow usual activation
process found on the Bulletin Board
If no, then pass on the URL for the
NHS CfH Ophthalmic payments
electronic links website & ask the
practice to forward it to their system
supplier
http://www.connectingforhealth.nhs.uk/systemsandservices/ssd/prodserv/ecophthalmics
Completed Change
Requests
5145 Hull, Performer List
20th December
export file to include forename 2012
& surname as separate fields
Rejected Change
Requests
4819 Warwickshire,
Rejected by OPUG 20th
Amend GOS 4 screen to September
match location of
Evidence Not Seen box
5047 Dudley, Reinstate
the user password reset
function
Rejected by our Security
Manager, Steve Daniels
5048 Dudley, Permit two Rejected by OPUG 20th
glasses on one GOS 4
September
claim
Cancelled Change
Requests
5146 Suffolk, Redirecting user after
closing a GOS 6 claim,
linked to the Pre
Notification claim
Cancelled 12th
November 2012
Open Change Requests
4796 LASCA Amalgamate optician statements
grouped by PCT/LHB code and
(page 8)
email address
5032 LASCA
(page 9)
5108 Suffolk
(page 10)
GOS 3 & GOS 4 to include a 3
month check on Date Ordered
5140 Hamp
(page 11)
Block claims for small glasses if
patient is a child not under 7 years
Allow duplicate statements for
performers outside of responsible
area
Open Change Requests
5143 LASCA Batched Enhanced Service details
to be included within the General
(page 12)
Purpose Audit report
5183 Kent
(page 13)
New report to list the Contactors
electronic claim settings