Payment Verification - Adherence of Claim Coding
Dear NHS National Services Scotland,
I am aware that Practitioner Services (PSD) / Counter Fraud Services (CFS) carry out Payment Verification (PV) exercises regularly in relation to primary care independent dental practitioners to verify adherence of claim coding to the narrative of the Scottish Dental Reference (SDR).
Can you please provide information in the year ending 2013 in relation to PV requests to independent dental practitioners with regards to:
1) What were the total number of PV requests issued to independent dental practitioners in year ending 2013?
2) Of the PV's issued, what number ( numerical or percentage ) were found to have demonstrated code mis-claiming that lead to financial correction or a further investigation.
3) Of those PV requests which showed mis-claiming / financial correction / further investigation, what was:
a) The highest amount to recover?
b) The lowest amount to recover?
c) The average amount in relation to all 'positive' PV requests?
d) The total sum of money identified for recovery during the period to year ending 2013?
Yours faithfully,
Donald Fisher
Thank you for contacting Customer Engagement and Development.
Today (Friday 21 September) the team are out of the office, and will be
unable to regularly check this mailbox. We will be back in the office on
Monday 24 September and will respond to you on our return.
If you have an urgent media enquiry please call the press office on 0141
433 5880.
Thank you for your understanding.
Dear Mr Fisher,
Freedom of Information Reference: FOI-2018-000329
I refer to your freedom of information request which we received on 20^th
September 2018, requesting the following information:
· I am aware that Practitioner Services (PSD) / Counter Fraud
Services (CFS) carry out Payment Verification (PV) exercises regularly in
relation to primary care independent dental practitioners to verify
adherence of claim coding to the narrative of the Scottish Dental
Reference (SDR).
· Can you please provide information in the year ending 2013 in
relation to PV requests to independent dental practitioners with regards
to:
1) What were the total number of PV requests issued to independent
dental practitioners in year ending 2013?
2) Of the PV's issued, what number ( numerical or percentage ) were
found to have demonstrated code mis-claiming that lead to financial
correction or a further investigation.
3) Of those PV requests which showed mis-claiming / financial
correction / further investigation, what was:
a) The highest amount to recover?
b) The lowest amount to recover?
c) The average amount in relation to all 'positive' PV requests?
d) The total sum of money identified for recovery during the period to
year ending 2013?
I confirm that under the terms of the Freedom of Information (Scotland)
Act 2002, a response to your information request will be sent within 20
working days of receipt, i.e. no later than 18^th October 2018.
Many thanks and kindest regards,
Roddy
Roddy Mitchell
Corporate Records & FOI Organisational Lead
Strategy & Governance Directorate
NHS National Services Scotland
Area 027
Gyle Square
1 South Gyle Crescent
Edinburgh, EH12 9EB
T: + 44 (0) 131 314 5604
[1][IMG]
Please consider the environment before printing this email.
NHS National Services Scotland is the common name for the Common Services
Agency for the Scottish Health Service [2]www.nhsnss.org
Dear Mr Fisher
Please find attached a letter seeking clarification before we can proceed
and respond to the above Freedom of Information (Scotland) Act 2002
request.
I will not be able to take this matter further without extra information
from you. Until you make contact with me, we consider that this
information request is suspended and that the 20 working day response
timescale will not recommence.
Kind regards.
Tina
Tina Robertson
Information Governance Department
Practitioner & Counter Fraud Services
NHS National Services Scotland
Gyle Square
1 South Gyle Crescent
Edinburgh, EH12 9EB
T: 0131 275 6026
F: 0131 275 7195
[1]http://www.psd.scot.nhs.uk/professionals...
Please consider the environment before printing this email.
NHS National Services Scotland is the common name for the Common Services
Agency for the Scottish Health Service. [2]www.nhsnss.org
We work to defend the right to FOI for everyone
Help us protect your right to hold public authorities to account. Donate and support our work.
Donate Now