1 / 10

NHS Dental Services

NHS Dental Services. Darren Boelema Customer Liaison Manager. NHS Dental Services. Became part of NHS Business Services Authority in April 2006 with the 5 way merger of Dental, Prescriptions, Pensions, Logistics and Counter Fraud

locke
Download Presentation

NHS Dental Services

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. NHS Dental Services Darren BoelemaCustomer Liaison Manager

  2. NHS Dental Services • Became part of NHS Business Services Authority in April 2006 with the 5 way merger of Dental, Prescriptions, Pensions, Logistics and Counter Fraud • DS Core Services to Customers:Processing and Payment OperationInformation ServicesMonitoring and Risk Management Services

  3. Processing FP17 ‘Claims’ • Process 40 million FP17s per annum • 10,000 dental practices • Make payments on behalf of Health Bodies in excess of £2 billion per annum • Process 80+Million Unity of Dental Activity • 85% submitted electronically

  4. History of Transmitting Dentists • Received dental claims electronically since 1990 • Until 2004 claims submitted using Global Crossing (Racal) using X400 Store and Forward technology • 2004 piloted use of Internet (WebEDI) • From April 2008 all claims submitted using WebEDI • Until 2006 there was a £900 grant for practices moving to electronic submission

  5. Submission of Electronic Claims 1 • Dentists register to use WebEDI with NHSDS • Dentists provided with user id and password for connecting to Webservers • Dentists provided with PIN • For submission of claims, Dental System connects to WebEDI system and is authenticated • Claims sent (128bit SSL ) encrypted to NHSDS • Initial validation / Acknowledgement sent • Invalid forms are returned with explanation • Valid forms are accepted, then subjected to more rigorous validation inc. history checks

  6. Submission of Electronic Claims 2 • On a monthly basis payments calculated and any patient charges submitted on claims are deducted • Monthly reconciliation report is sent to practice • Regular reports provided to PCTs • E Reporting (Business Objects) allows PCTs to interrogate contract data

  7. Dental System Suppliers • 15 certificated Dental System Suppliers • NHSDS certificate the transmission module only • Top 2 suppliers have 80% of the market • Remaining suppliers vary from a few hundred practices to two • Software suppliers are independent from NHS DS • Little funding available to practices but some PCTs are proactive with incentives

  8. Submission of Paper FP17s • 15% paper FP17 • Paper forms are scanned and keyed from image • 48 hour turnaround from receipt to conversion to raw data file • Higher error rate 2% compared to 0.1% for electronic submissions

  9. Patient Signatures • Patient signs PR form at practice • Practice retains PR form and submits claim data electronically • Regs require 2 year retention • BDA advise practices to retain PR forms for 7 years • Only submitted to NHSDS on request • eg. Benefit elegibility checks • Dental Suppliers looking at capturing signature electronically using tablet technology

  10. Issues • Use of EDI not mandated although new policy initiatives require electronic submission • NHS DS is too good at processing paper forms! • Regulation changes / limited notice for DS and System Suppliers • DS and DSSA work closely • PIN security in practices/ Information Governance • Difficulty communicating securely with dental practices/few NHS email accounts • Funding issues – what’s the incentive to spend £5 -20K?

More Related