Ophthalmic Payments - Health and Social Care Information

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Transcript Ophthalmic Payments - Health and Social Care Information

Ophthalmic Payments

National User Group Meeting 7 th July 2011

• Optix

Electronic Links

– Accredited for GOS 3, GOS 4, GOS 5 & GOS 6 during February 2011 – Pilot scheduled for 4 th July 2011

Electronic Links

• Ocuco – Accredited for GOS 3 in March 2011 – Accredited for GOS 4 in April 2011 – Accredited for GOS 5 in May 2011 – Pilot commenced on 15 th May 2011 for GOS 3, GOS 4 & GOS5 claims

Electronic Links

• Optisoft – Accredited for GOS 1 in April 2011 – Pilot practice to be confirmed shortly

Electronic Links

• Activity Details – 285 active stores • • • • 205 Specsavers stores 57 practices using the Optix system 19 Vision Express stores use Ocuco 4 Independent (Ocuco & Opticabase) – 27 outstanding activation requests – 169 stores using automatic process – 109 PCT/LHBs over 51 agencies

Electronic Links

• Claim Volumes – – – – –

4,214,299

GOS 1

443

GOS 3

55

GOS 4

2

GOS 5

4

GOS 6

Practice wishing to use links

– – Check for accredited supplier at the practice 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

Web-based transmissions of GOS forms

Ophthalmic User Group (OPUG) to investigate the potential take up by contractors and agencies, before any commitment to develop Open Exeter as an alternative to the existing electronic claims system

Completed Change Requests

4194 LASCA, Update the Contractor Type 4295 BSC Centre, Move the ‘Notes’ field on the pre notification patient screen 4215 BSC Centre, Daily Input List reports user option for pagination 16 th February 17 th February 23 rd February

Completed Change Requests

3532 Bromley, Patient Search audit report 10 th March 4324 WYCSA, Electronic statements to use multiple address and remove encryption for NHS.NET email accounts 17 th March 4329 Kent, Evidence Not Seen Post Payment Checks module can now exclude claims where evidence has been seen 18 th March

Completed Change Requests

8 th April 4260 LASCA, Batched Enhanced Services screen highlights entries where an expired fee has been selected 4259 LASCA, Print Historic Batched and Individual Claims added to the Historic Payments Reports area 4389 Hull, PPC to export the patient's surname and forenames as separate fields 14 th April 12 th May

Completed Change Requests

4237 BSC Centre, Patient eligibility & outcome recorded on WECE & Pears services 4257 LASCA, Enhanced Service Patient Statement & Payment Analysis reports include batched enhancement service totals 4258 LASCA, Local service description for the 20 Enhanced Service Local types 18 th May 18 th May 18 th May

Completed Change Requests

4449 BSC Centre, Patient eligibility & outcome marked as mandatory for Welsh WECE & Pears claims 15 th June 4048 Stafford, BACS transfer for all Levy payment values 16 th June 4313 LASCA, Duplicate claims checks to use first part of patient's forename (switchable) 16 th June

Completed Change Requests

4367 SBS, CRB disclosure number & date added to performer list 4356 BSC Centre, Original date on list added to supplementary list 4492 SBS, Check Voucher and Repair Totals reports now include the number of claims processed 22 nd June 22 nd June 23 rd June

Rejected/Withdrawn Change Requests

4270 ASP, Security Matrix feature for access roles Rejected by OPUG 27 th January 4357 BSC Centre, Automatic check on GOC number Rejected 3 rd May 4421 LASCA Specsavers internal system request Withdrawn 10 th May

Open Change Requests

3815 WYCSA 4316 BSC Centre 4361 Wolverhampton 4373 ASP Batched GOS3/GOS4 claims ( currently in pilot at WYCSA ) Electronic statements to be ‘zipped’ together for each contractor ( currently in peer test ) Electronic input for enhanced service claims Amend contractor code utility for Pre Notification detail records

Open Change Requests

4402 Hull 4439 Newcastle 4450 BSC Centre PPC DSS audit reports to include actual payment value(s) Allow multiple fees for batched enhanced service claims To have one Daily Input List report, to include all claim types 4491 TVPCA Utility to remove unprocessed Pre Notification patient records ( currently in peer test ) 4499 TVPCA Indicator on Pre Notification Patient records to ensure a re-test code is provided on the subsequent GOS 6

Electronic Statements • Setup • Sending electronic statements • NHS Ophthalmic Decrypt Utility (Version 1.3) • Available downloads

Electronic Statements • 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 Statements Sending email address

Electronic Statements Practice email & password

Electronic Statements Sending emails

Electronic Statements • NHS Ophthalmic Decrypt Utility (Version 1.3) – All electronic statements are encrypted for non NHS.NET email accounts – A practice can use our decrypt utility for free but – Agrees to terms & conditions of use

Electronic Statements • Available downloads – User guide – FAQs – NHS Ophthalmic Payments Decrypt Utility Overview & file (Version 1.3) – NHS Ophthalmic Payments Decrypt Utility terms & conditions of use

NHS Ophthalmic Decrypt Utility • Version 1.3 was released 21 st June 2011 – ‘

How to

’ help has been updated

• Sight Test & Domiciliary fees 2011/2012 England – – Confirmed no increase in fees Back pay not required • Wales – to be confirmed by Welsh Assembly

On-line Help • Most individual screen help has been updated • Main on-line help is currently being updated • Please refer to on-line help to resolve questions etc