Post on 04-Jan-2016
transcript
Ophthalmic Payments
National User Group Meeting 2nd February 2012
Electronic Links
• Ocuco (Acuitas)
– Pilot commenced on 15th May 2011 for GOS 3, GOS 4 & GOS 5 claims
Electronic Links
• Optisoft
– Accredited for GOS 3 in January 2012
– GOS 1 pilot commenced in August 2011
• pilot to be completed in February 2012
– GOS 3 pilot to commence shortly
Electronic Links
• Optinet
– Accredited for GOS 1, GOS 3, GOS 4, GOS 5 & GOS 6 in September 2011
– GOS 1 pilot commenced in January 2012
Electronic Links
• Optix
– GOS 3 & GOS 4 pilot completed
– GOS 3 & GOS 4 national implementation now available
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– 324 active stores
• 218 Specsavers stores• 75 practices using the Optix system• 24 Vision Express stores use Ocuco• 7 Independents
– 34 requested activations pending– 184 stores using automatic process– 116 PCT/LHBs over 53 agencies
• 7 new PCTs & 2 agencies
Electronic Links
• Claim Volumes
– 5,252,758 GOS 1– 1,563 GOS 3– 218 GOS 4– 2 GOS 5– 22 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
Raising Ophthalmic Change Requests
• Ensure new CRs are raised 1 week before next OPUG meeting
• Multiple places to raise a new Ophthalmic CR
– ‘Contact Details’ from OE login– OE Bulletin Board– Ophthalmic Bulletin Board
• http://nww.connectingforhealth.nhs.uk/nhais/prodservs/cr_form
Raising Ophthalmic Change Requests
Raising Ophthalmic Change Requests
Raising Ophthalmic Change Requests
Completed Change Requests
4402 Hull, PPC reports to include actual GOS payment values
21st July
3815 WYCSA, Batched GOS 3 & GOS 4 claims
27th July
4491 Thames Valley, Delete Pre Notifications Patient records
28th July
4316 BSC South, include all electronic statements in one email to contractor
2nd August
Completed Change Requests
4373 Suffolk, Update process on Pre Notification Detail includes the Contractor Code
9th August
4499 Thames Valley, force GOS 6 re-test code from Pre Notification Patient claims
9th August
4541 LASCA, Contractor screen includes original date of inclusion onto the list
31st August
4562 SBS, ‘Input Type’ is now available on the List Historic Claims screen
7th September
Completed Change Requests
4450 BSC South, One daily input list report for all claim types
12th September
4614 LASCA, Enhanced Services Summary Statement has been included within the Selected Statement report
18th October
4642 BSC Centre, General Purpose Audit Report can report on GOS 1 & GOS 6 claims separately
19th October
Completed Change Requests
4569 Hampshire, NHS Ophthalmic Payment Encryption Utility (version 1.4) can automatically extract payment statement PDF files from an encrypted Zip file
27th October
4564 SBS, Frequency of Re-Test Reasons Report can report on selected payment cycles and includes a file output (CSV) option
3rd November
Completed Change Requests
4732 CIC, Archive Inactive Pre Notification Claims Older than 6 months utility now includes records with a GOS 6 claim
4th January
4683 Bromley, General Purpose Audit Report facility includes the Claims for Enhanced Services report, showing details focused on enhanced service claims, PDF report & CSV options available
11th January
Completed Change Requests
4765 Surrey, Pre Notify Patient screen now has short-cut keys, using ALT-S for save and ALT-U for update
23rd January
Rejected/Withdrawn Change Requests
4439 NE CSA, Allow multiple fees for enhanced services
Rejected by OPUG 7th July
4538 Kent, Duplicate checking
Withdrawn 2nd August
4557 ASB, Automatic check on performer details
Rejected 6th September
4581 LASCA, Reduce some fields on input screens for different roles
Rejected 7th September
Rejected/Withdrawn Change Requests
4695 CIC, Batched GOS 3/GOS 4 to use same entry method as GOS 1/GOS 6
Rejected 22nd November
4639 BSC South, Additional audit information for Cataract enhanced service claims
Withdrawn 19th January
4788 Dudley, CSV report for Contractor & Performer list
Withdrawn 24th January
Open Change Requests4361 Wolverhampton
(page 32)
Electronic input for enhanced service claims
(currently in development)
4606 SBS (page 33)
Electronic claims waiting for approval should pre-populate and display the correct payment value
(currently in peer testing)
Open Change Requests4694 NE PCSA
(page 34)
Postcode & Date Collected to be made optional fields on GOS 3/GOS 4 claims
(to be discussed by OPUG)
4697 BSC Centre
(page 35)
Default patient reason to ‘Under 16’ on GOS 4 and ‘Over 60’ for GOS 6 entry screens
(to be discussed by OPUG)
4781 LASCA
(page 36)
Remove BACS payment detail when practice end date entered
(to be discussed by OPUG)
Open Change Requests4787 Dudley
(page 38)
Payment Analysis reports to have archive facility
4789 Dudley
(page 39)
Students age validation should be 16 – 18
Change Requests missing in final report
4796 LASCA Amalgamate optician statements grouped by PCT/LHB code and email address
4797 LASCA Include Trading Name on contractor list screen
Online Help Review
• Completed during December 2011
– Main help & individual pages– Seen by us as a success
• analysis of logs shows a 50% reduction in numbers for December 2010 & 2011
• improvements to continue
– Please use the available help to seek advice & guidance