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PAYMENT PROCESS WITHIN CCG JANET WILLIAMSON, JENNY CHEUNG AND LAURA FOX.

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Presentation on theme: "PAYMENT PROCESS WITHIN CCG JANET WILLIAMSON, JENNY CHEUNG AND LAURA FOX."— Presentation transcript:

1 PAYMENT PROCESS WITHIN CCG JANET WILLIAMSON, JENNY CHEUNG AND LAURA FOX

2 INTRODUCTION LOCALLY COMMISSIONED SERVICES ARE PROCESSED ON A QUARTERLY AND MONTHLY BASIS. MONTHLY PAYMENTS ARE FOR A FIXED AMOUNT EACH MONTH. QUARTERLY WHERE THE PAYMENT IS LINKED TO DATA SUBMITTED BY THE PRACTICES. FIGURES ARE SUBMITTED TO THE ENHANCED SERVICES TEAM.

3 SHARED CARE PRESCRIBING SHARED CARE PRESCRIBING ENABLES PATIENTS BEING TREATED WITH SPECIFIC DRUGS WHICH NEED REGULAR BLOOD MONITORING TO BE CARRIED OUT IN A PRIMARY CARE SETTING. NUMBERS ARE SUBMITTED QUARTERLY TO THE PRESCRIBING TEAM WHO VERIFY AND AUTHORISE PAYMENT.

4 PERSONAL ADMINISTERED DRUGS PERSONAL ADMINISTERED DRUGS. PAYMENT IS FOR DRUGS PRESCRIBED DIRECT BY PRACTICES AND DRUGS DISPENSED BY DISPENSING DOCTORS.PAYMENTS ARE PAID MONTHLY BY THE CCG VIA PCSS. THE FIGURES ARE FORWARDED BY THE PRACTICES TO THE PRICING DIVISION OF THE BSA IN NEWCASTLE WHO AUTHORISE THE PAYMENTS.

5 FEES FOR ATTENDING MEMBERSHIP GROUP FEES FOR ATTENDING MEMBERSHIP GROUP AND CLINICAL NET WORK MEETINGS ARE PAID QUARTERLY VIA PCSS. THE DATA IS TAKEN FROM THE SIGNING IN SHEET OF EACH MEETING.

6 LOCALLY COMMISSION SERVICES (LSC) RICHMOND QUARTERLY PAYMENTS PROCESS Janet Williamson

7 RICHMOND PROCESS AT THE END OF EACH QUARTER THE CCG SEND OUT TO EACH PRACTICE A LOCALLY COMMISSIONED SERVICES QUARTERLY RETURN. THE PRACTICES INPUT THEIR DATA INTO THE RETURN WHICH AUTOMATICALLY CALCULATES THE AMOUNT THEY WILL RECEIVE FOR EACH SERVICE THAT QUARTER.THE DEADLINE FOR SUBMITTING THE DATA IS STATED ON THE COVERING .

8 RETURNS THE RETURNS ARE CHECKED FOR ACCURACY. ANY INCONSISTANCES FOUND WILL BE QUERIED WITH THE PRACTICE BEFORE PAYMENT IS MADE. ONCE THE PAYMENTS ARE AUTHORISED THEY ARE PLACED ONTO A RETURN WHICH IS SUBMITTED TO PCSS SURBITON. THE DEADLINE FOR SUBMITTING THE RETURNS TO PCSS ARE; PMS 2 ND MONTHLY GMS 13 TH MONTHLY

9 PAYMENT DATE THE PAYMENT SHOULD BE RECEIVED BY THE PRACTICES ON THE FIRST SBS PAYMENT RUN AFTER 13 TH OF THE MONTH FOR PMS PRACTICES AND 26 TH OF THE MONTH FOR GMS PRACTICES.

10 RICHMOND PAYMENT CODES LOCALLY COMMISSIONED SERVICE PCSS/EXETER CODE ANTI-COAGULANT MONITORINGZCOANG HOME DELIVERY CAREZIPCG MSK DEMAND MANAGEMENTZDEMMG SHARED CARE PRESCRIBINGZSHACG DIABETESZDIABG GP LED MODEL OF CAREZADSPG SECONDARY CARE WOUND MANAGEMENT ZCCG COMPLEX LEG ULCERS MANAGEMENTZLEGUG HORMONE IMPLANTS TREATMENTZLIHSG INFLUENZA CAMPAIGNFLU1 CLINICAL MEETINGSZCCGLG

11 ANY QUESTIONS Please contact Janet Williamson Finance Analyst


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