Contractor reminder: Don’t forget to claim for your CPCS payments

Contractor reminder: Don’t forget to claim for your CPCS payments

December 2, 2019

As the first full month of the Community Pharmacist Consultation Service (CPCS) comes to an end, community pharmacy contractors are reminded of the need to submit their claims in a timely manner for any completed CPCS consultations between 29th October and 30th November 2019.

Claims for payments must be made using the NHS Business Services Authority’s (NHSBSA) Manage Your Service (MYS) portal; no paper-based claims process is available for the service.

IMPORTANT: The CPCS IT system (PharmOutcomes or Sonar) will be able to pre-populate claim information in MYS each month, so that the contractor then just needs to login to MYS at the start of the following month to confirm that the information is correct and to submit the claim. Any queries about the pre-population of CPCS claims into MYS should be directed to the system supplier providing the CPCS IT system in your area.

PSNC recommends that contractors take the following actions:

  1. Although claims will be accepted within six months of the month of a completed consultation it is good practice to submit claims as soon as possible to reduce the chances of error.
  2. Remember to login to the MYS portal to confirm the information is correct and submit the claim. This needs to be completed by the fifth day of the month following that in which the completed CPCS consultations were completed, to receive payment in the same month as the prescriptions being submitted from the previous month. For example, completed CPCS consultations submitted by 5th November 2019 will be paid in the Schedule of Payments on 31st January 2020.
  3. The FP10DT EPS dispensing tokens should be sent to the NHSBSA as part of the month end submission, clearly separated within the batch, for example, by placing them in an envelope marked CPCS or bundling them together, covered by a paper note clearly stating CPCS.
  4. Reconcile the declared number of completed consultations submitted using MYS against the Schedule of Payments (the payments will be separately itemised on the Schedule of Payments as follows: CPCS Remuneration Payment, CPCS Reimbursement Payment and CPCS Sign-up Fee).
  5. If you believe that the NHSBSA has made an error with your CPCS payment, contact them immediately to resolve any payment issues swiftly. They will endeavour to resolve your query as soon as they can; however, depending upon the nature of the query it may require referral to NHS England and NHS Improvement for a decision.

Monthly overview report for CPCS claims

From 20th December 2019, contractors or users with management level access to MYS will be able to access CPCS management information (MI) reports directly from the portal to provide information about any claims submitted over a defined period. The MI report will be able to be generated at company level to view CPCS claim activity across all branches. Contact the MYS helpdesk at nhsbsa.mys@nhs.net if you require assistance with management level access.

FAQs

Q. If we don’t agree with the CPCS claim information pre-populated into MYS by Sonar or PharmOutcomes, what should we do?
A.
The claim information pre-populated into MYS will be a direct feed from Sonar or PharmOutcomes, based on the consultation information you have entered into whichever system is used in your pharmacy. If the data in MYS does not tally with your expectation, you should first check that all relevant referrals have been correctly processed in Sonar and PharmOutcomes; if a consultation has not been completed within the system, it will not appear in your MYS claim. Any consultations subsequently completed after the month end will appear in the claim created for the subsequent month.

If the above guidance does not address the discrepancy, you should contact Sonar or PharmOutcomes, as appropriate.

Q. Do I need to print an FP10DT EPS dispensing token for each urgent supply referral I receive from NHS 111?
A.
No, not for all urgent supply referrals. An FP10DT EPS dispensing token only needs to be printed out, with the reverse of the form being completed by the patient, where the pharmacy makes an urgent supply and the patient is claiming exemption for the NHS prescription charge. However, as with normal prescriptions, where the patient is age exempt and their age or date of birth is included in the referral from NHS 111, an FP10DT EPS dispensing token would not need to be printed and then completed by these patients.

 



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