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