Empanelment of Dental Clinic - ECHS

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10Corrupt and Fraudulent Practices4. “Corrupt Practice” means the offering, giving, receiving or soliciting of anything of value toinfluence the action of the public official.5. “Fraudulent Practice” means a misrepresentation of facts in order to influence empanelmentprocess or a execution of a contract to the detriment of ECHS and includes collusive practiceamong hospitals/authorized representative/service providers.6. ECHS will suspend referrals if it determines that the hospital recommended for empanelmenthas engaged in corrupt or fraudulent practices and initiate process for dis-empanelment.Interpretation of the Clauses in the Application Document7. In case of any ambiguity in the interpretation of any of the clauses in Application Document,interpretation of Central Organisation ECHS of the clauses shall be final and binding on all parties.Right to Accept any Application and to Reject any or All Applications8. ECHS reserves the right to accept or reject any application at any time without therebyincurring any liability to the affected hospital/authorized representative/ service provider or anyobligation to inform the affected hospital/authorized representative/service provider of the groundsfor his action.Monitoring and Medical Audit9. ECHS reserves the right to inspect the hospitals at any time to ascertain their compliancewith the requirements of ECHS.10. Bills of hospitals shall be reviewed frequently for irregularities including declaration ofplanned procedures/ admissions as ‘emergencies’, unjustified investigations and prolonged stayetc., and if found involved in any wrong doings, the concerned hospital would be removed frompanel and black listed for future empanelment. Bank guarantee shall also be forfeited.Exit from the Panel11. The Rates fixed by the ECHS shall continue to hold good unless revised by ECHS. In casethe notified rates are not acceptable to the empanelled Private Hospital, or for any other reason, thePrivate Hospital no longer wishes to continue on the list of empanelled Private Hospitals, it canapply for exclusion from the panel by giving three months notice and by depositing an exit fee of Rs3000/- (Rupees Three thousand only) in the form of Demand Draft in favour of concerned RegionalCentre ECHS.Package Rates12. Package rate shall mean and include lump sum cost of inpatient treatment/ daycare/diagnostic procedure for which a ECHS beneficiary has been referred by the competentauthority or for treatment under emergency from the time of admission to the time of dischargeincluding (but not limited to) the following :-(a)(b)(c)(d)Registration charges.Admission charges.Accommodation charges including patients diet.Operation charges.
11(e)(f)(g)(h)(j)(k)(l)(m)(n)(o)(p)(q)(r)(s)Injection charges.Dressing charges.Doctor/Consultant visit charges.ICU/ICCU charges.Monitoring charges.Transfusion charges.Anaesthesia charges.Operation Theatre charges.Procedure charges/Surgeon’s fee.Cost of surgical disposables and all sundries used during hospitalization.Cost of medicines.Related routine and essential investigations.Physiotherapy charges etc.Nursing Care and charges for its services.13. Cost of implants/stents/grafts is reimbursable in addition to package rates as per ceilingrates of CGHS for Implants/stents/graft or as per actual, in case there is no CGHS prescribed ceilingrate.14. Treatment charges for new born baby are separately reimbursable in addition to deliverycharges for mother.15. The hospitals empanelled under ECHS shall not charge more than the package rates/lowerrates negotiated in MOA whichever is lower.16. Package rates envisage upto a maximum duration of indoor treatment as follows :-(a)(b)(c)(d)12 days for Specialised (Super Specialities) treatment.7 days for other Major Surgeries.3 days for Laparoscopic surgeries/normal deliveries.1 day for day care/minor (OPD) surgeries.17. However, if the beneficiary has to stay in the hospital for his/her recovery for a period morethat the period covered in package rate, in exceptional cases, supported by relevant medicalrecords and certified as such by hospital, the additional reimbursement shall be limited toaccommodation charges as per entitlement, investigations charges at approved rates and doctorsvisit charges (not more than 2 visits per day by specialists/consultants) and cost of medicines foradditional stay.18. No additional charge on account of extended period of stay shall be allowed if that extensionis due to infection on the consequences of surgical procedure or due to any improper procedure andis not justified.
Page 1 and 2: INTRODUCTIONOn behalf of the Presid
Page 3 and 4: SECTION ICHAPTER 1GENERAL INFORMATI
Page 5 and 6: 3S/No Town/City Name of Regional Ce
Page 7 and 8: 5Ser Type of City Minimum Bed Stren
Page 9 and 10: 719. Non-NABH accredited hospitals
Page 11: 9CHAPTER 3TERMS AND CONDITIONSCashl
Page 15 and 16: 13(c) Copy of legal status, place o
Page 17 and 18: 15SECTION IIAPPLICATION FORMAT FOR
Page 19 and 20: 17PART III: HOSPITAL INFORMATIONSer
Page 21 and 22: 19(v)Orthodontist(vi)Paedodontist(f
Page 23 and 24: AnnexureCHECK LIST FOR DOCUMENTS FO

Empanelment of Dental Clinic - ECHS

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