GOS 1 Returns and Early Re-test Reason Codes
A number of you have contacted Staffordshire LOC because you have had a number of GOS claims (particularly GOS 1 forms) returned to you by PCSE recently. Apparently this is happening across the board, and there has been a recent spike in the volume of returns.
The criteria for rejecting GOS 1 claims hasn't changed, but contractors are reminded to make sure all mandatory information is included. Many of these returns have arisen because the date of last sight test hasn't been written down, but a significant number of others have been returned because an early re-test reason code hasn't been entered.
The LOC wants to help optical practices ensure that returns are kept to a minimum. One resource the committee wishes to share with its contractors and performers is FODO's "Vouchers at a Glance" table, which lists the Early Re-test Reason Codes among other items. The link to the table is as follows: < http://www.fodo.com/downloads/fodovouchers-at-a-glance2018-final.pdf >
For more guidance on how to avoid rejected GOS claims, please refer to LOCSU Hot Brief Issue 71, which Alison sent to you on 25 June.
Staffordshire LOC Chair and Officers