Health Professionals
Payment Verification (PV) teams are responsible for providing assurance to NHS Boards that the payments made on their behalf to Primary Care contractors are accurate and valid.
As far as possible, the validity of payments will be verified by pre-payment checking. However, where necessary, this will be enhanced by a programme of post-payment verification.
The following are examples of post payment verification:
Patient Registration Checks
Work undertaken to ensure the validity of patient registration data held on the Community Health Index (CHI), which contributes to the calculation of the Global Sum.
Documentary Checks
Work undertaken to substantiate the data provided in respect of claims, eg Seniority, Influenza, etc.
Trend Analysis
Work undertaken to analyse changes in the Quality and Outcomes Framework (QoF) Disease Register sizes, Exception Coding and Enhanced Services activity during the course of the financial year.
Practice Visits
Work undertaken via the review of patient data to ensure that services provided are in line with an agreed specification.
The payment verification procedures are outlined in the Family Health Services - Payment Verification Procedures (PDF), which also refer to the Pharmacy, Ophthalmic and Dental payment streams.
The contents of this document have been reviewed and agreed with the appropriate professional bodies.
To contact your regional office payment verification team please go to the Medical Contact Details section.
If you're looking for information about GPs and the NHS services they provide, visit the Public section of this web site.