Ophthalmic Payments

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Ophthalmic Payments

• National User Group Meeting
• 7th September 2006

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Closed Change Requests
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Closed Change Requests
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Change Requests Prioritised New
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Change Requests Prioritised New
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Current Activity

• Schedule D, Fraud Prevention Patient Search
  facility, granted at 288 out of 305 PCTs
• 59,556 Schedule D searches in August 2006
• 13.46 GOS1 claims were individually entered
  during August 2006

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NHS Restructuring Ophthalmic Payments

• New PCTs commence on 1st October 2006
• Implemented within Ophthalmic system during
  October 2006
• following final September / October payment
  within each Paying Organisation
• possible 2 day migration process

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NHS Restructuring Ophthalmic Payments

• PCT Migration Data menu
• Practitioner Reference List
• Supplementary Reference List
• Migration Details
• Menu to be removed once migration completed

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PCT Migration Data menu
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Practitioner Reference List
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Practitioner Reference List
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New PCT Organisations
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Practitioner Reference List
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Supplementary Reference List
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Migration Details
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NHS Restructuring Ophthalmic Payments

• Prior to processing the Monthly Cleardown for
  payment Sept Oct
• If your PCT codes are changing, contact the
  National Help Desk (01392 251289)
• Raise a Priority 1 call, requesting further
  advice regarding your PCT migration and next
  payment cycle
• Do not execute the Monthly Cleardown process

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NHS Restructuring Ophthalmic Payments

• Prior to processing the Monthly Cleardown for
  payment Sept Oct
• Do not open another payment cycle for the next
  payment (Oct Nov)
• Await further instruction from the Ophthalmic
  Payments team regarding the processing of your
  PCT migration and your next payment cycle

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NHS Restructuring Ophthalmic Payments

• Issues
• Patient searches may not function correctly
  during this period
• Migrating Mobile Practices
• Duplicate Local Practitioner Codes

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NHS Restructuring Ophthalmic Payments

• Issues
• PCTs moving to new Paying Organisations
• inform us of the these new responsibilities ASAP
  or use the Notes area
• Sight Test Domiciliary 2006 Back Pay
• guidance issued if required
• Exeter BP screen is not affected by restructuring
  and is available to use for payment of September
  / October payment

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NHS Restructuring Ophthalmic Payments

• Issues
• Claims for October / November payment
• continues as normal for PCTs not affected
• to be clarified for new PCTs following migration
  process by Ophthalmic Payments team

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NHS Restructuring Ophthalmic Payments

• Issues
• Access to archive information
• use View Old Organisations Only to access this
  information using the menus
• not all menu functions are available to old
  organisations

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Electronic Links Project

• Strategic Planning Group funded Project
• Project Board members
• Project Executive Gary Snowball
• Senior User Nikki Hobman
• Senior Supplier Sean Walsh (NHSCFH)
• Project Manager Steve Daniels (NHSCFH)
• Work Package Managers
• Mark Green (NHSCFH)
• Stuart Glanville (NHSCFH)
• Lynn Turner (NHSCFH)

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Electronic Links Project

• Development progressing well
• Accreditation Process
• Pilot during early 2007

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Electronic Links Processing

• Data file sent to mail box
• Data file format checked
• GOS claims verified
• GOS regulations applied
• Errors sent back to sender, response file

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Electronic Links Processing

• Valid GOS claims ready for payment, these are
  REQUESTED claims
• Requested claims can not be paid
• Requested Claims can be entered into an open
  payment cycle-
• Automatically
• Manually

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Viewing Requested Claims
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To Approve or Reject a Requested Claim
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CET Claims
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Updating your Organisations

• From the Main Menu
• Select System Administrator Setup
• Select Setup Details
• Select Enter Organisation Details
• Select your PCT
• In the bottom left hand corner is an Ophthalmic
  Team Contact Name Contact Number. This is where
  you need to enter your details, then click Update.

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Updating your Organisations
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Updating your Organisations
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Updating your Organisations
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Updating your Organisations