In article <[log in to unmask]>, Graham Balin
<[log in to unmask]> writes
>Has anyone come across this little gem from NE Essex HA?
>In order to 'prove' that T/R's were seen,a photocopy of both sides of
>the TR form is needed, else the claim gets disallowed.
>
>Paper Not Patients Initiative presumably.
>
>Has anyone else had this applied to them?
>
No
But I spent 2 hours demonstrating that our 'virtually' paper-free system
that is RFA & Reg/IOS links compliant was incapable of submitting
fraudulent IOS unless a fictitious record was created - which would
clearly be unprofessional!
They were rather non-plussed as all the practices visited previously had
kept paper records giving them something to look at.
They did manage one way to submit a dodgy claim: temporary patient
arrives for appointment and is entered onto the system thus creating
electronic T/R claim but won't wait for his appointment and DNA'ing -
leaving IOS claim with no clinical record. I had to admit that this was
possible but had not happened so far - at least in my experience.
The preselected list of claims for verification were all follow-ups to
some postal enquiries after contraception claims - some patients who
admitted attending the surgery denied receiving any advice - clearly our
warnings about extra contraceptive cover with antibiotic use for OCP
users are falling on deaf ears.
Well they do say that patients only remember 25% of anything said during
consultations.
--
David J Brown
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