Emergency treatment in private empanelled hospitals —collecting money by private empanelled hospitals: South Central Railway Order dated 19.12.2022
SOUTH CENTRAL RAILWAY
Office of the Pr. Chief Medical Director
Rail Nitayam, Secunderabad
सं.No. MD. 434/Policy/EOH
CMSs/SC, HYG, B24, GTL, GNT NED
Sub: Emergency treatment in private empanelled hospitals —collecting money by private empanelled hospitals – reg.
Ref: 1.Raiway Board Lr No.2018/TransCell/HealthiCGHS dated 16.05.2021
2. 144th Zonal PNM Mealing with SCRMU Sub No. 144/2572022 – Emergency treatment in Railway empanalled private hospitals — Violation of MOU — reg.
It has come to the notice of the undersigned that empanelled hospitals are collecting money from the railway beneficiaries who have gone to private empanelled hospitals in emergency without referral letter. Detailed procedure is given in Railway Board letter cited above on how to treat such cases without Railway beneficiary attend empanelled hospital in emergency without referral letter.
Regarding the admission of railway beneficiary in emergency for which patient was admitted in the private empaneled hospital should intimate medical emergency to the MD/CMSs through email immediately,
MD/CMSs should immediately communicate the empanelled hospitals within 24 hours and acceptance of the request from private empanelled hospitals may be communicated with the issue of referral letter, till such time private empanelled hospital should not collect any money from the Railway beneficiaries and after the referral letter is issued, railways has to pay the empanelled hospital as per MOU.
If emergency is not established, till communication of non certification of emergency and till such time medical department has to pay the empanelled hospital as per CGHS rates. After communication of non emergency, for the remaining period upto discharge of the patient, empanelled hospital has to charge the railway beneficiary as per CGHS rates only. Already MoU has been entered with all private empanelled hospitals with reference to the Railway Board’s erlier cited above.
Several complaints received by the undersigned that the money is being collected by private hospitals from the patients. This is viewed very seriously.
MD/CMSs are advised to call a meeting with all Executes of empanelled hospitals to convey about this issue. They should stop collecting money from railway beneficiaries and adhere to Railway Boards letter cited under reference. This issue raised in the Zonal PNM at Headquarter level also.
Please acknowledge the receipt of this latter and and reply is solicited.
Encl as above
(Dr. Dora Rama Rao)
Principal Chief Medical Director