Health · Healthcare & Policy · 15 hrs ago

Andhra Pradesh penalises 203 hospitals over alleged scheme irregularities

Andhra Pradesh penalises 203 hospitals over alleged scheme irregularities

Andhra Pradesh’s NTR Vaidya Seva scheme provides health services to eligible patients through a network of hospitals.

Over the past two years, the scheme’s trust fined 203 hospitals a total of ₹34.39 crore for various irregularities.

It also took disciplinary action against 44 hospitals, including suspensions, payment stoppages and removals from the network.

Complaints included charging patients for covered treatments, refusing cashless care and delaying treatment.

Officials also check bills and treatment requests for unusual patterns, duplicate charges and possible misuse.

The trust uses artificial intelligence to help review bills, but an AI flag alone does not prove fraud.

District and State officers investigate and examine medical records before deciding whether there is enough evidence for action.

Tighter checks are intended to help protect patients and ensure the scheme is used properly.

Sources

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