2.7 lakh private hospital Ayushman claims ‘bogus’ | India News
NEW DELHI: Nearly 2.7 lakh claims by private hospitals empanelled under Ayushman Bharat-PM Jan Arogya Yojana (AB-PMJAY) were found to be non-admissible by National Anti-Fraud Unit, govt told Rajya Sabha on Tuesday. These claims, govt said, were worth Rs 562 crore.
Govt said AB-PMJAY was governed on a zero-tolerance approach towards any kind of fraud and abuse and steps were taken for prevention, detection and deterrence of different kinds of fraud that could occur in the scheme at different stages of its implementation.
A National Anti-Fraud Unit (NAFU) has been established at National Health Authority and works in close coordination with State Anti-Fraud Units (SAFU). Any claims by empanelled hospitals found to be suspicious by NAFU are withheld until proper scrutiny by SAFU. “Out of 6.66 crore claims processed by NAFU, 2.7 lakh claims of private hospitals worth Rs 562.4 crore were found to be non-admissible on account of abuse, misuse or incorrect entries,” minister of state for health Prataprao Jadhav told Rajya Sabha.
