Thursday 11 July 2019

Govt to put in place more checks on hospitals as Ayushman frauds pile up

A senior government official explained how some of these hospitals use loopholes in protocols
Representative Image
Since the dispatch of Ayushman Bharat — the lead heath care program of the Narendra Modi government — nine months back, most instances of misrepresentation have been accounted for from Uttarakhand and Jharkhand. Subsequently, the administration has fixed various guidelines to counteract these.
The main case was stopped in Nainital. From that point forward, government authorities have stopped first data reports (FIRs) and slapped fines to the tune of Rs 1 crore on emergency clinics engaged with cheats. A senior government authority clarified how a portion of these emergency clinics use escape clauses in conventions.
“Medical clinics need to get pre-authorisation inside six hours of conceding and treating patients under the plan,” he said. “In the event that the specialist concerned does not endorse inside six hours, it is esteemed to be affirmed and the medical clinic can proceed with the treatment.” The medical clinics would intentionally send cases late around evening time when there would be nobody to favor.
“Presently, we have changed the standards with the goal that customary solicitations will be engaged uniquely between 10 am and 5 pm. At different occasions, just crises will be investigated,” the authority included. Sources in the administration said they had likewise recognized some abnormal patterns and were making conventions stringent. One ailment that has been utilized by fake cases is enteric fever. Seeing that more than anticipated patients were being treated for it, the legislature has made Vidal tests compulsory for treating enteric fever…
Read More: Ayushman Bharat

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