Now Reading: KIMS hospital gets show-cause notice over Ayushman Bharat irregularities
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KIMS hospital gets show-cause notice over Ayushman Bharat irregularities
KIMS hospital gets show-cause notice over Ayushman Bharat irregularities
The Odisha State Health Assurance Society has issued a show-cause notice to Kalinga Institute of Medical Sciences (KIMS) Hospital in Bhubaneswar over alleged irregularities under the Ayushman Bharat PM-JAY and BSKY/GJAY schemes.…
The Odisha State Health Assurance Society has issued a show-cause notice to Kalinga Institute of Medical Sciences (KIMS) Hospital in Bhubaneswar over alleged irregularities under the Ayushman Bharat PM-JAY and BSKY/GJAY schemes. The notice cites issues in the pre-authorisation process, up-coding and manipulation of clinical records, and showing OPD patients as IPD patients.
The hospital has also been accused of collecting additional amounts from beneficiaries and discrepancies in ICU admission criteria. Irregularities were reportedly found in the cases of six beneficiaries. The notice gives KIMS five days to respond and warns of disciplinary action if it fails to reply in time.
KIMS authorities said they had not received the notice and would respond once they do.
Indian Opinion Analysis
This is not the first time a private hospital in Odisha has faced scrutiny under the state's flagship health assurance schemes. The BSKY scheme, launched in 2018, provides Rs 5 lakh health cover per family and is administered alongside the central Ayushman Bharat programme. Private hospitals empanelled under these schemes are subject to regular audits by the state health society. If the allegations are upheld, KIMS could face de-empanelment or financial penalties, affecting thousands of beneficiaries who rely on the hospital for cashless treatment. The hospital's response, due within five days, will determine whether the matter escalates to a formal inquiry.
Source: odishatv.in
This brief was synthesised by AI from the source linked above.
