Ophthalmic Payments
description
Transcript of Ophthalmic Payments
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 re-activated 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 amount on eGOS claims listed for manual processing
9th March 2012
4797 LASCA, Amend the Optician List report to include Trading Name
9th March 2012
4787 Dudley, Archived Payment Analysis Reports
12th April 2012
4694 NE PCSA, remove some mandatory fields from GOS3 and GOS4 input screens
27th April 2012
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 Notification Nursing Home details on the GOS 3 and GOS 4 individual input screens
27th April 2012
4361 Wolverhampton, eGOS for enhanced service claims
2nd May 2012
Completed Change Requests
4883 Surrey, Include Contractor Code on Pre Notification Patient list screen
9th May 2012
4834 Anglian CIC, batched GOS 3/GOS 4 screen has Number Change fields which can be used to add or subtract values
11th May 2012
4818 Hants, A new report called Duplicate Selected Statements
30th May 2012
Completed Change Requests
4868 North Yorkshire, KEST facility is available within the enhanced services input screen
13th June 2012
4897 Wales, The Pre Notify Patient screen now includes a month's grace period as part of the possible duplicate check
14th June 2012
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
29th June 2012
5051 Dudley, Create BACS File report includes a CSV file option
28th August 2012
Completed Change Requests
5037 Anglian CIC, Archive Inactive Pre Notification Claims facility now includes the option to include the Pre Notification Details records
13th September 2012
Rejected/Withdrawn Change Requests
4781 LASCA, Auto removal of BACS details after final payment data expired
Rejected by OPUG 2nd February 12
4789 Dudley, Student age validation checks
Withdrawn 2nd February 12
4898 Wales, Searching for patients
Withdrawn 20th April 2012
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 Requests4796 LASCA
(page 29)
Amalgamate optician statements grouped by PCT/LHB code and email address
4819 Warwickshire
(page 30)
Move the ‘Evidence Not Seen’ to match the GOS 4 form
5032 LASCA
(page 31)
GOS 3 & GOS 4 to include a 3 month check on Date Ordered
5047 Dudley
(page 32)
Re-activate the reset password facility within the Administration Tool
Open Change Requests5048 Dudley
(page 33)
Allow for 2 pairs of glasses on a GOS4 input screen