Monday, 23 SEPTEMBER 2024 | PNS | DEHRADUN
The State Health Authority (SHA) will take steps to put a check on hospitals indulging in fraud under the Ayushman Yojana in the State. The SHA chairman Arvind Singh Hyanki has directed the anti-fraud unit of the State to be active to check such irregularities. Chairing a review meeting with officials concerned, the SHA chairman directed the anti-fraud unit of the State to remain alert regarding frauds by hospitals under the Ayushman Yojana. He also directed the officials to conduct the audit more carefully and with a focus on quality. The SHA chairman said that in special audits, the beneficiary audit should also be conducted before and after the treatment. Feedback of the patients will also be taken especially in claims rejected by the team, particularly in instances related to monetary demands submitted by the hospitals. The officials will also check if beneficiaries of the schemes are getting access to cashless and better treatment in hospitals under the scheme, he said.
In order to avoid discrepancies in details of beneficiaries under the scheme, all the hospitals will have to fill detailed information about the beneficiaries properly in the manifesto. Stressing on the need for training employees in the call centre, the SHA chairman said that this will also help in ensuring a prompt probe. If any fraud is ascertained following the inquiry, strict action will be taken against the hospital concerned according to the guidelines issued by the National Health Authority, he said. The director (Medical Quality) Dr Vinod Tolia said that action is being taken in accordance with the instructions issued. The probe teams have been directed to be more alert and more active, he added.
