GOVERNMENT OF ANDHRA
PRADESH
HEALTH, MEDICAL AND FAMILY
WELFARE (I.1) DEPARTMENT
G.O.Ms.No. 82 Dated:18 /05/2017
Read:
G.O.Ms.No. 12, HM & FW (I.1) Dept., dt: 23.01.2017.
ORDER:
In the G.O. read above, Government has issued orders
pertaining to Employees Health Scheme enhancing the prices of procedures by
21.11% applicable from 1st February , 2017.
2. In addition to the escalation of prices
under Employees Health Scheme and Working Journalists Health Scheme, certain
orders were issued by the Government with respect to NABH incentive to the
network hospitals having full NABH accreditation, empanelment of hospitals and
clinical audit by Dr.NTR Vaidyaseva Trust.
3. Government, after careful examination of the
matter, hereby issues the following
amendments to the above G.O read above.
Present
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Amendment
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Point No. 4
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The principles of Insurance shall be made applicable, in a manner that
for NABH empanelled hospitals, NABH incentives shall be made applicable
uniformly for all categories of patients under all schemes. The rate shall be
placed realistically at 2% above the revised EHS package costs.
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Incentive for NABH accredited network hospitals under EHS and WJHS shall
be 11% over and above the package prices and 2% incentive under Dr.NTRVS
over and above the package prices.
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Point No. 5
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Dr.NTR VS Trust shall empanel clinical audit agencies and it would be
mandatory for hospitals to undergo third party clinical audit from any of the
empanelled agencies, for appropriateness and adequacy of care. Non-compliance
to audit shall attract a penalty of 2%. The clinical audit sample size and
periodicity shall be notified by Dr.NTR Vaidyaseva Trust.
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Dr.NTR VS Trust shall empanel clinical audit agencies and it would be
mandatory for hospitals to undergo third party clinical audit from any of the
empanelled agencies, for appropriateness and adequacy of care. Non-compliance
to audit shall attract a penalty of 2%. The clinical audit sample size and
periodicity shall be notified by Dr.NTR Vaidyaseva Trust. The Audit changes
will be paid by the Dr.NTR Vaidyaseva Trust.
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Point No.6
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Hospitals would need to undergo fresh empanelment before 31st
March 2017 declaring all specialties they have. Empanelment application shall
be made for all specialties existing with the respective hospitals and not
piece-meal basis to reduce rejection of patients.
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No fresh empanelment is needed for already empanelled hospitals. Empanelment shall be made for all additional
specialties existing with the respective hospitals within 4 months from the
date of issue of this order.
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4.
The Chief Executive Officer, Dr.NTR Vaidya Seva Trust, A.P., shall take
necessary action accordingly.
(BY ORDER AND IN THE NAME OF THE GOVERNOR OF ANDHRA
PRADESH)
Dr.POONAM
MALAKONDAIAH
PRINCIPAL SECRETARY
TO GOVERNMENT
