No.S.14021/20/2007-MS
Government
of India
Ministry
of Health & Family Welfare
Nirman
Bhavan, New Delhi
Dated 31st May, 2012
OFFICE
MEMORANDUM
Subject: Recognition of P.V.S.Hospital,
Chitradurga (Karnataka) for treatment of Central Government employees
under CS(MA) Rules.1944.
The undersigned is directed to
say that with a view to provide better medical services to the Central
Government employees and their family members at Chitradurga (Karnataka), it has
been decided to renew the recognition of P.V.S.hospital, Chitradurga
(Karnataka) under Central Services (Medical Attendance) Rules, 1944.
2. The Schedule of charges for
the treatment of Central Government Employees and the member of their family
under the CS(MA) Rules, 1944, will be the rates fixed for CGHS, Bangalore. The
approved rates are available on the website of CGHS
(www.mohfw.nic.in//cghs.hml) and may be downloaded/printed.
3. The undersigned is further
directed to clarify as under:-
(a) “Package Rate” shall mean
and include lump sum cost of in-patient treatment/day care/diagnostic
procedure for which a CGHS beneficiary
has been permitted by the competent authority or for treatment under emergency
from the time of admission to the time of discharge, including (but not limited
to)-
(i)Registration charges,
(ii) Admission charges,
(iii) Accommodation charges including patient’s diet,
(iv) Operation charges,
(v) Injection charges,
(vi) Dressing charges,
(vii) Doctor/consultant visit charges,
(viii) ICU/ICCU charges,
(ix)Monitoring charges,
(x) Transfusion charges,
(xi) Anesthesia charges,
(xii)Operation theatre charges,
(xiii) Procedural charges / Surgeon’s fee,
(xiv) Cost of surgical disposables and all sundries used during hospitalization,
(xv) Cost of medicines,
(xvi) Related routine and essential investigations,
(xvii) Physiotherapy charges etc,
(xviii) Nursing care and charges for its services.
(i)Registration charges,
(ii) Admission charges,
(iii) Accommodation charges including patient’s diet,
(iv) Operation charges,
(v) Injection charges,
(vi) Dressing charges,
(vii) Doctor/consultant visit charges,
(viii) ICU/ICCU charges,
(ix)Monitoring charges,
(x) Transfusion charges,
(xi) Anesthesia charges,
(xii)Operation theatre charges,
(xiii) Procedural charges / Surgeon’s fee,
(xiv) Cost of surgical disposables and all sundries used during hospitalization,
(xv) Cost of medicines,
(xvi) Related routine and essential investigations,
(xvii) Physiotherapy charges etc,
(xviii) Nursing care and charges for its services.
(b) Cost of
Implants/stents/grafis is
reimbursable in addition to package rates as per CGHS ceiling rates for
implants/stents/grafis or as per
actual, in case there isno CGHS prescribed ceiling rates.
(c) Treatment charges for new
born baby are separately reimbursable in addition to delivery charges for
mother.
(d) of P.V.S.
Hospital, Chitradurga (Karnataka) shall not charge more than the package rates
fixed for CGHS, Banglore.
(e) Expenses on toiletries,
cosmetics, telephone bills etc. are not reimbursable and are not included
in package rates.
4. Package rates envisage
duration of indoor treatment as follows:
Upto 12 days: for Specialized (Super Specialities) treatment
Upto 7 days: for other Major Surgeries
Upto 3 days: for Laparoscopie
surgeries/normal Deliveries
1 day: for day care/Minor (OPD)
surgeries.
No additional charge on account
of extended period of stay shall be allowed if that extension is due to
infection on the consequences of surgical procedure or due to any improper
procedure and is not justified.
In case, there are no CGHS
prescribed rates for any test/procedure, then AIIMS rates are applicable. 1f
there are no AIIMS rates, then reimbursement is to be arrived at by calculating
admissible amount item-wise (e.g. room rent,investigations, cost of
medicines, procedure charges etc)
as per approved rates/actually, in case of investigations.
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