Transcript Ophthalmic Payments - Health and Social Care Information

Ophthalmic Payments
National User Group Meeting
20th September 2012
PCT Migrations
• Migration Reference menus and
screens activated
• Will be populated with your PCTs
active Contractors & Performers
• PCT Migration Reference data to
be completed by 18th February
2013
PCT Migrations
• eGOS submissions to be
suspended on a specified date
• No need to ‘book’ your migration
dates
• Ophthalmic Migration Team will
schedule your migration date
PCT Migrations
• Migrations to be split into two
processing parts
PCT Migrations
• Migration process Part 1
– Completed between 25th February
2013 & 25th March 2013
– Migration will be processed by the
Ophthalmic migration team
– Any migration data issues can be
resolved with PCTs & Agencies
PCT Migrations
• Migration process Part 1
– New contractor and performer lists
will be created from the completed
Migration Reference data
PCT Migrations
• After Migration process Part 1
– Your PCT Contractors will have
their ‘date off list’ and ’final
payment date’ set as 31/03/2013
– Your PCT Performers will have
their ‘Date off list’ set as
31/03/2013
– Access to the new Contractors and
Performers lists will not be available
PCT Migrations
• After Migration process Part 1
– Your GOS payments will continue
as normal
PCT Migrations
• Migration process Part 2
– Completed between 29th March
2013 and 1st April 2013
– Closes all PCTs
– Archives all PCT data
PCT Migrations
• Migration process Part 2
– Implements new NHS
organisational structures into the
central Ophthalmic Payments
system
– Activates new Contractors and
Performers lists
PCT Migrations
• Migration process Part 2
– eGOS submissions to be reactivated from 2nd April 2013
– Ophthalmic Payments service
ready for 2nd April 2013
Integrated Single Financial
system
• Referred to as the ISFE
• Pay GPs and Opticians
• In service from 1st April 2013
• Contractors allocated a unique
Vender Code
Integrated Single Financial
System
• Ophthalmic Payment’s contractor
screen to be updated to include
Vendor code
• Contractor’s migration reference
record to hold Vendor Code
Integrated Single Financial
System
• Migration will include the Vendor
Code as part of the new
Contractor detail record
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
•
Activity Details
–
367 active stores
•
•
•
•
246 Specsavers stores
87 practices using the Optix system
24 Vision Express stores use Ocuco
10 Independents
– 34 requested activations pending
– 195 stores using automatic process
– 122 PCT/LHBs over 53 agencies
•
6 new PCTs
Electronic Links
•
Claim Volumes
–
–
–
–
–
6,548,279 GOS 1
3,515 GOS 3
611 GOS 4
3 GOS 5
40 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
4606 SBS, Show the full claim 9th March 2012
amount on eGOS claims listed
for manual processing
4797 LASCA, Amend the
Optician List report to include
Trading Name
9th March 2012
4787 Dudley, Archived
12th April 2012
Payment Analysis Reports
4694 NE PCSA, remove some 27th April 2012
mandatory fields from GOS3
and GOS4 input screens
Completed Change
Requests
4697 Wales, set NHS Reason
automatically for Under 16 &
Over 60 on a GOS 4 &GOS 6
input screen
27th April 2012
4841Staffordshire, list the Pre 27th April 2012
Notification Nursing Home
details on the GOS 3 and GOS
4 individual input screens
4361 Wolverhampton, eGOS 2nd May 2012
for enhanced service claims
Completed Change
Requests
4883 Surrey, Include
9th May 2012
Contractor Code on Pre
Notification Patient list screen
4834 Anglian CIC, batched
11th May 2012
GOS 3/GOS 4 screen has
Number Change fields which
can be used to add or subtract
values
4818 Hants, A new report
30th May 2012
called Duplicate Selected
Statements
Completed Change
Requests
4868 North Yorkshire, KEST
13th June 2012
facility is available within the
enhanced services input
screen
4897 Wales, The Pre Notify
14th June 2012
Patient screen now includes a
month's grace period as part of
the possible duplicate check
Completed Change
Requests
4912 Thames Valley, The Pre
Notification report, List
Possible Duplicate Patient
Claims, has the option to
exclude patients who are 70
years or older from the report
5051 Dudley, Create BACS
File report includes a CSV file
option
29th June 2012
28th August 2012
Completed Change
Requests
5037 Anglian CIC,
13th September 2012
Archive Inactive Pre
Notification Claims
facility now includes the
option to include the Pre
Notification Details
records
Rejected/Withdrawn
Change Requests
4781 LASCA, Auto
Rejected by OPUG 2nd
removal of BACS details February 12
after final payment data
expired
4789 Dudley, Student
age validation checks
4898 Wales, Searching
for patients
Withdrawn 2nd February
12
Withdrawn 20th April
2012
Rejected/Withdrawn
Change Requests
4695 CIC, Batched GOS Rejected 22nd November
3/GOS 4 to use same
entry method as GOS
1/GOS 6
4639 BSC South,
Withdrawn 19th January
Additional audit
information for Cataract
enhanced service claims
4788 Dudley, CSV report Withdrawn 24th January
for Contractor &
Performer list
Open Change Requests
4796 LASCA Amalgamate optician statements
grouped by PCT/LHB code and
(page 29)
email address
4819
Move the ‘Evidence Not Seen’ to
Warwickshire match the GOS 4 form
(page 30)
5032 LASCA GOS 3 & GOS 4 to include a 3
month check on Date Ordered
(page 31)
5047 Dudley
(page 32)
Re-activate the reset password
facility within the Administration Tool
Open Change Requests
5048 Dudley
(page 33)
Allow for 2 pairs of glasses on a
GOS4 input screen