Ophthalmic Payments

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Ophthalmic Payments National User Group Meeting 20 th September 2012

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Ophthalmic Payments. National User Group Meeting 20 th 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 18 th February 2013. PCT Migrations. - PowerPoint PPT Presentation

Transcript of Ophthalmic Payments

Page 1: Ophthalmic Payments

Ophthalmic Payments

National User Group Meeting 20th September 2012

Page 2: Ophthalmic Payments

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

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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

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PCT Migrations

• Migrations to be split into two processing parts

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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

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PCT Migrations

• Migration process Part 1

– New contractor and performer lists will be created from the completed Migration Reference data

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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

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PCT Migrations

• After Migration process Part 1

– Your GOS payments will continue as normal

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PCT Migrations

• Migration process Part 2

– Completed between 29th March 2013 and 1st April 2013

– Closes all PCTs

– Archives all PCT data

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PCT Migrations

• Migration process Part 2

– Implements new NHS organisational structures into the central Ophthalmic Payments system

– Activates new Contractors and Performers lists

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PCT Migrations

• Migration process Part 2

– eGOS submissions to be re-activated from 2nd April 2013

– Ophthalmic Payments service ready for 2nd April 2013

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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

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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

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Integrated Single Financial System

• Migration will include the Vendor Code as part of the new Contractor detail record

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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

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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

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Electronic Links

• Claim Volumes

– 6,548,279 GOS 1– 3,515 GOS 3– 611 GOS 4– 3 GOS 5– 40 GOS 6

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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Open Change Requests5048 Dudley

(page 33)

Allow for 2 pairs of glasses on a GOS4 input screen