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Skip to mainFortis Escorts, has stopped accepting CGHS beneficiaries since October 7, citing long delays in reimbursement. Other private hospitals, including Medanta and Max, are also likely to follow suit.
Under CGHS, entitled government employees can avail of cashless diagnostics and treatment at hospitals, which send patients' bills directly to the government for settlement. For this, the hospitals and CGHS enter into a contractual agreement for a certain period, under which the price tag for each medical procedure is put down. If a hospital wants to revise any of the rates, it has to enter into a fresh agreement with CGHS.
A notice issued by Fortis Escorts Heart Institute says, with effect from October 7, the hospital will not renew its contract with CGHS. No CGHS beneficiary will be entitled for IPD (indoor patient department) admissions and OPD (outdoor patient department) services at the hospital from this date.
A delay in payment was cited by several other private city hospitals, too. When contacted, Fortis Escorts declined to comment.
The hospitals claims that the services we provide under the scheme are at very low rates. Because of delays in payments, we have to incur interest on the amount," said Naresh Trehan, the chairman and managing director of Medanta, a multi-speciality institute located in Gurgaon. Although Medanta has not discontinued its services to CGHS beneficiaries yet, it may be compelled to do so if payment-related problems are not resolved soon.
Though Max Hospital has also not discontinued the services yet, an executive from this hospital conceded there were serious problems in CGHS payments.
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