The SAOA and GEMS meet at least twice per annum as per arrangement with the appointed administrator in attendance. On 30 August 2021, the SAOA met with GEMS and Opticlear where concerns raised by the SAOA were addressed; such concerns included random audits, claim rejections, requests for record cards following claims for services rendered to children under nine years, incorporation of ‘dispensing’ within the comprehensive eye examination procedural code, amongst others.
With reference to the random audits, the SAOA was assured that, moving forward, audits of practices will only be based on justifiable reasons. In addition, the tone of related correspondence will be reviewed. It appears that the Section 59 Investigations into the conduct of schemes, instituted by the Council for Medical Schemes (CMS), also had relevance.
Another dedicated meeting is to be held as a matter of urgency to address all clinically related matters. SAOA members will be updated accordingly. In the meantime, SAOA members are requested to please provide examples where (unreasonable) motivations have been requested by Opticlear and/or claims have been rejected by Opticlear/GEMS; please forward to email@example.com.
Of particular interest, for the very first time, a member of the Opticlear Optometric Advisory panel attended the meeting with GEMS and Opticlear, but remained anonymous throughout the engagement.
To view notes of the meeting held on 30 August, click here.
FINAL YEAR STUDENT WEBINAR: 21 & 22 SEPTEMBER 2021
A webinar for final year optometry and dispensing opticianry students, to stretch over two evenings, is scheduled to take place on 21 and 22 September 2021. The thrust of the programme is to prepare students as they are about to exit university life and enter the world of practice.
HEALTH DG CRISP: FORCED VACCINATIONS THE 'WRONG APPROACH'
South Africa's National Health Department wants mandatory vaccination in certain industries. But while ‘jabbing’ is regarded as important, acting DG Nicholas Crisp stated that forcing vaccination by law was the wrong approach.
ANOTHER COURT RULING AGAINST HPCSA ON FOREIGN-QUALIFIED DOCTORS
An urgent application by foreign-qualified doctors ordering the Health Professions Council of SA to allow them to sit their Board examinations, has been granted unopposed in the Pretoria High Court. An earlier court order to the same effect had been ignored by the HPCSA.
The Joint Standing Committee on Defence is "extremely concerned" by the R1bn of never-ending repair and maintenance programme (Ramp) at 1 Military Hospital in Pretoria, which has contributed to it losing its accreditation as a level-4 hospital by the African Union and United Nations to support external and international peace-keeping operations.
Neuro-optometric Examination & Eye related Neurological conditions and Management
SPEAKERS: Mr D J Bhoola & Prof Anand Moodley
Date: Thursday 7 October 2021 | Time: 18h30 to 20h30
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