Transcript Ophthalmic Payments - Health and Social Care Information

Ophthalmic Payments
National User Group Meeting
27th January 2011
Electronic Links
• Opticabase
– accredited for GOS 1 during
September 2010
– accredited for GOS 3, GOS 4, GOS
5 & GOS 6 during November 2010
Electronic Links
• Opticabase pilot at LASCA
– 200 GOS 1 submitted
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now on automatic processing
102 GOS 3 submitted (manual)
13 GOS 4 submitted (manual)
3 GOS 5 submitted (manual)
2 GOS 6 submitted (manual)
2nd practice to start at LASCA
during February 2011
Electronic Links
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Activity Details
–
259 active stores
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203 Specsavers stores
43 practices using the Optix system
11 Vision Express stores use Ocuco
2 Independent (Ocuco & Opticabase)
– 6 outstanding activation requests
– 141 stores using automatic process
– 94 PCT/LHBs over 43 agencies
Electronic Links
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GOS1 Claim Volumes
– Period May 2007 – Jan 2011
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1,627,633 manual approvals
1,842,597 automatic approvals
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3,470,230 total claims
Web-based transmissions
of GOS forms
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Ophthalmic User Group (OPUG)
to investigate the potential takeup by contractors and agencies,
before any commitment to
develop Open Exeter as an
alternative to the existing
electronic claims system
Completed Change
Requests
3932 ASP, Monthly
Expenditure Report levy
switch
3340 & 3341 Suffolk, System
check if more than 2 high
rates are entered
4001 WYCSA, User defined
upper limit on adjustment
values
23rd July (OPUG
High 2)
30th July
3rd August
3971 BSC Mid & West Wales, 12th August
add KOD on Enhanced
Services input screen
Completed Change
Requests
3883 North Yorkshire,
contractor selection list box
preserves last position on the
NHS batch input screen
17th August
3973 BSC Mid & West Wales, 18th August
A general note field included
on the patient record within the
Pre-Notification module
3975 Kent, The Enhanced
Services Payment Analysis
report now includes Hospital
Referral information
24th August
Completed Change
Requests
4047 LASCA, Include email
6th September
address on Opticians Details
Report
4069 Sheffield, The General
28th September
Purpose Audit report now
includes the beneficiary details
4083 East Sussex,
1st October
Inconsistent/Duplicate report
now includes the option to
select GOS 1 or GOS 6 or
both
Completed Change
Requests
4033 LASCA, Performer
1st October
details now include optician's
GOC registration date. This
information and the optician's
date of birth are now included
on the Performer List report
3927 LASCA, All the individual 26th October
GOS input screens and the
Enhanced Services input
screen display an amendment
history. Claim notes facility is
now included on the Enhanced
Services input screen
Completed Change
Requests
4114 LASCA, Opticians List
report includes the contractor's
fax number
3939 Herts, Batch method to
update contractor code on
selected incorrectly entered
individual GOS claims
4113 Worcester, The Post
Payment Checks patient
exemption letters now have
the facility to allow some user
defined text to be included on
the letter
27th October
4th November
(OPUG High 3)
19th November
Completed Change
Requests
4144 LASCA, The
23rd November
electronic transfer to
Exeter BACS payments
report can be re-printed
prior to the monthly clear
down
4156 BSC Mid & West
1st December
Wales, Transfer the
substitute date from the
Pre-Notification Details
screen onto the GOS 6
claim screen
Completed Change
Requests
4140 Kent, The claims
list screens can display
different columns
4163 LASCA,
Processing flags now
prevent the GOS claims
from being entered
4155 BSC Mid & West
Wales, Updates
permitted on patient
records listed as
possible dups within the
Pre-Notification module
3rd December
14th December
17th December
Completed Change
Requests
4061 Sheffield
Withdrawn, already
existing function
4068 Kent
Withdrawn, as support
log raised
4177 Kent
Withdrawn, already
existing function
4235 LACSA
Rejected, as outside our
remit
Open Change Requests
3532
Bromley
3815
WYCSA
Include patient search when
processing electronic claims
(currently in peer test)
Batched GOS3/GOS4 claims
(currently in pilot at WYCSA)
4048 South
Include Levy payment within Exeter
Staffordshire BACS facility
4194 LACSA Contractor type:- update the OO
entry to GOS or if this is not
possible, amend the entry to
GOS/OO (see screen picture)
CR 4194 - Contractor type
Open Change Requests
4215 BSC
Wales
4237 BSC
Wales
Pagination on Daily Input Lists
reports
(currently in peer test)
WECI information required on
WECE & PEARS additional service
claims to include exemption reason
& outcome
4257 LASCA Include the batch input enhanced
services values onto the patient
enhanced services statement &
analysis report
Open Change Requests
4258 LASCA Reference table to define enhanced
services local codes
4259 LASCA Report to show paid batched sight
test & domiciliary, enhanced
services and GOS3/GOS4 claims
(currently in development)
4260 LASCA Batched enhanced services screen
not to include closed fee rates
4270 Anglia Access grid, as available within the
Exeter system
Health Bill issues for
Ophthalmics
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Information on the closure of
SHAs and PCTs, and
establishment of NHS
Commissioning Board and GP
Consortia
The NHS Commissioning Board
is responsible for the provision of
GOS throughout England
Health Bill issues for
Ophthalmics
• No information yet on new GOS
Regulations and their impact on
Ophthalmic Payments service
within England
• Business as usual
Electronic Statements
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Setup
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Sending electronic statements
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NHS Ophthalmic Decrypt Utility
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Available downloads
Electronic Statements
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Setup
– Sending email address
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Set email address for your Payment
Authority
– Practice email address & password
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Practitioner electronic claims settings
Sending payment statements
– All statement reports (email option)
Electronic Statements
Sending email address
Electronic Statements
Practice email & password
Electronic Statements
Sending emails
Electronic Statements
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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 Statements
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Available downloads
– User guide
– FAQs
– NHS Ophthalmic Payments Decrypt
Utility Overview & file
– NHS Ophthalmic Payments Decrypt
Utility terms & conditions of use