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CGHS – Guidelines regarding referral letters and settlement of bills of Empanelled Hospitals / Diagnostic Laboratories / Imaging Centres through UTI-ITSL

By
igeadmin
-

Government of India
Ministry of Health and Family Welfare
Department of Health & Family Welfare
Nirman Bhawan, New Delhi 110 108

No:S.110011/23/2009-CGHS D.II/Hospital Cell (Part IX)

Dated, the 20th December, 2011

CIRCULAR

Subject: Guidelines regarding referral letters and settlement of bills of Empanelled Hospitals / Diagnostic Laboratories / Imaging Centres through UTI-ITSL

With reference to the above mentioned subject the undersigned is directed to state that in response to several queries received by Ministry seeking clarifications regarding settlement of hospital bills through UTI-TSL, it has been decided to issue the following guidelines for the Empanelled Hospitals / Diagnostic Laboratories / Imaging Centres, CGHS and UTI-ITSL:

2(A) INSTRUCTIONS TO EMPANELLED HOSPITALS / DIAGNOSTIC LABORATORIES / IMAGING CENTRES

1. The empanelled Hospitals / Diagnostic labs / Imaging Centres will honour permission letters (Referral letters) duly signed and stamped with proper issue number. Wherever the permission letters have been issued through computers, any manual corrections should be duly countersigned and stamped.

2. The Hospital shall not undertake treatment of referred cases in specialties for which it is not empanelled, But it shall provide necessary treatment to stabilize the patient and transport the patient safely to nearest recognized hospital under intimation to CGHS authorities. However in such cases the Hospital shall charge as per the CGHS rates only for the treatment provided.

3. The Hospitals / Diagnostic labs / Imaging Centres should provide treatment only for the procedures / investigations for which they are empanelled. If any inadvertent permission letter has been issued for other procedures for which they are not empanelled, the Hospital / Diagnostic lab / Imaging Centre will inform the beneficiary accordingly and refer him / her back to the dispensary, except in emergency condition.

4. In case of procedures like Chemotherapy / Radiotherapy / Dialysis and follow—up treatment procedures where the permission is valid for 3-6 months and a copy of the permission letter is enclosed with the hospital bill for the second and

5. subsequent admissions, hospitals will indicate the ID No. of the Claim wherein original permission letter had been enclosed.

6. CGHS Cards / Plastic cards are valid in all CGHS cities, irrespective of the city where the CGHS card is registered. In case any verification regarding the photocopies of Plastic card / CGHS card is required the details of the individual may be ascertained by accessing the data online at http://cqhs.nic.in/welcome.jsp by entering relevant details. A print out of the same may be enclosed. The beneficiary will not be asked to submit a colour photo copy of CGHS / Plastic Card.

6.1 In case of implants and coronary stents the bills must be accompanied by a copy of the relevant invoices pertaining to the procurement of the stents / implants by the hospitals. In addition to this, the outer pouch of the Stent packet along with the sticker on it on which details of the stent are printed shall also be enclosed with the medical bill for claiming reimbursement. In case of medicines, a consolidated list with relevant batch numbers and cost must be enclosed.

6.2 The empanelled hospital shall also submit a self certified undertaking that the hospital has not charged the CGHS / CS(MA) beneficiary more than the rate at which stent / implant / medicine has been procured by the hospital and in case of any detection and establishment that the hospital has overcharged the hospital shall be removed from the list of hospitals empanelled under CGHS without any further notice.

7. In case of serving employees admitted under emergency, the hospitals shall ensure that the details pertaining to the office where the patient is employed are entered in records.

8. In case of indoor treatment, routine investigations are included in the package.However, if any special investigations are performed, reports of such special investigations should be enclosed and reimbursement shall be considered on merits of each case.

9. ICU — package includes — accommodation charges in ICU, Monitoring and ECG.Other investigations cost of medicines and disposables and ‘2’ consultations charges per day are reimbursable as per applicable norms in addition to the package rate of ICU, Cost of ventilator and oxygen if, any are reimbursable as per applicable norms. In selected cases, where opinion of other specialists is necessary, only one consultation by a specialist per day may be considered necessary. Reports of Investigations should be enclosed along with the opinion of the other specialist.

10. In case of emergency treatment wherein a CGHS beneficiary has been admitted for more than 10 days detailed summary of reports of all the Investigations shall been closed.

11. In case of CAG / Angioplasty / CABG, the bills should be accompanied by the findings of Coronary angiography test of the beneficiary.

12. In case of pensioner CGHS beneficiaries on a visit to another city and treatments taken under medical emergency or with prior permissions, hospitals / diagnostic centres will send hospital bill through UTI- ITSL to CGHS of City, where the hospital / diagnostic centre is located, irrespective of the CGHS city, where the card is registered.

13.The rates and guidelines for Exclusive cancer hospitals are applicable only for Exclusive Cancer hospitals / units approved under Exclusive Cancer hospitals.

2(B). INSTRUCTIONS TO UTI-TSL

1. UTI-ITSL shall have to thoroughly scrutinize the physical bills submitted by hospitals before they are accepted. This is to ensure that the hospitals receive provisional payments within 10 days of submission of the physical bills.

2. UTI-ITSL shall seek clarifications, if any, within a maximum of ‘3’ days of receipt of the physical bill- all clarifications in one go.

3. UTI-ITSL shall submit physical bills to CGHS in small bundles and ensure that they are acknowledged by CGHS.

4. UTI-ITSL and CGHS shall ensure that reconciliations of the payment of bills with Pay & Accounts Officer is undertaken regularly.

5. UTI-ITSL shall inform the details of deductions made including TDS.

6. UTI-ITSL shall ensure that recoveries, if any are made from subsequent bills of hospitals.

2(C). INSTRUCTIONS TO ADs / JDs / CMOs I/C

1. Permissions shall be issued only for eligible persons and against approved hospitals and diagnostic centres It is the responsibility of the CMO i/c to ensure that permissions are issued only for approved centres and listed procedures.

2. Permission letter should be specific for the treatment / investigation to be undertaken.

3. In case of Chemotherapy / Radiotherapy and Haemodialysis, the permission letters shall clearly mention the number of cycles of Chemotherapy / Radiotherapy planned and how many dialyses are to be undertaken in a week.

4. CMOS i/c shall ensure that permission letters are issued on the same day, if a beneficiary applies for the same before 11 AM.

5. Addl Directors / Joint Directors shall not return the bills in original (RIO) to UTI-ITSL without specifying valid reasons or indicating the deficiencies or the amount to be adjusted in subsequent bills.

6. ADs / JDs shall indicate to UTI-ITSL, the details of deductions made in claimed amount — bill wise – online through an excel sheet.

7. ADs / JDs shall hold review meetings with representatives of UTI-ITSL and hospitals and diagnostic centres on a regular basis.

3. These instructions will be applicable from 26/12/2011.

4. Old settled cases shall not be reopened.

5. These instructions shall supercede the earlier decisions taken during the meeting held on 5th , 6th and 7th of September 2011 in the office of Addl. Director, CGHS(HQ), New Delhi.

UTI-ITSL, ADs including AD (HO) / JDs of CGHS / Empanelled Hospitals / Diagnostic Laboratories / Imaging Centres shall comply with these instructions & guidelines.

(V.P.Singh)
Deputy Secretary to Government of India

Click here to get Original Copy

Amendment in the Pension Scheme

By
igeadmin
-

Pension under the Employees’ Pension Scheme, 1995 is linked with pensionable service and pensionable salary. As per Section 6A of the Employees’ Provident Funds & Miscellaneous Provisions Act, 1952, contribution in Employees’ Pension Fund is mandated @ 8.33% of wages which is restricted upto wage ceiling of Rs.6500/- only. However, option is available to the member to contribute at the higher rate than the wage ceiling (i.e. Rs. 6500/-) which entitles him/her for a higher pension.

The Central Government had constituted an Expert Committee for revision of Pension. The Expert Committee submitted its report to the Central Government on 5th August, 2010 and the recommendations of the Committee were placed before the Central Board of Trustees, Employees’ Provident Fund [CBT) EPF)] for consideration on 15th September, 2010. The CBT (EPF) directed that the report be first considered by the Pension Implementation Committee (PIC). The PIC has since finalized its report and sent it to Employees’ Provident Fund Organisation for placing before the CBT (EPF) for taking a final decision in the matter in its ensuing meeting.

The Union Labour & Employment Minister Shri Mallikarjun Kharge gave this information in reply to a written question the in Rajya Sabha today.

-PIB

Fixing Minimum Pension by EPFO

By
igeadmin
-

The recommendations of the Pension Implementations of the Committee (PIC) of the Employees’ Provident Fund Organisation to increase the minimum pension amount to Rs. 1,000/- per month for its subscribers is to be placed before the Central Board of Trustees, Employees Provident Fund {CBT(EPF)} in its ensuing meeting for its consideration.

The recommendation of the PIC to increase minimum pension to Rs. 1,000/- per month as per actuarial valuation would require 0.63 per cent increase in the contribution of 8.33 per cent. Any follow-up action would arise only after consideration by CBT (EPF).

The Union Labour & Employment Minister Shri Mallikarjun Kharge gave this information in reply to a written question the in Rajya Sabha today.

-PIB

Early Closure of Offices in connection with Republic Day Parade on 25th January, 2012

By
igeadmin
-

No.16/l0/2011-JCA 2
Government of India
Ministry of Personnel Public Grievances and Pensions
Department of Personnel and Training

North Block, New Delhi
Dated the 20th December, 2011

OFFICE MEMORANDUM

Sub: Early Closure of Offices in connection with Republic Day Parade and Beating Retreat Ceremony during 2012.

In connection with arrangements for the Republic Day Parade and Beating Retreat Ceremony, 2012, it has been decided that the Government offices located in the buildings indicated in Annexure-I would be closed early at 13:00 hrs. on 25th January, 2012 (Wednesday) and buildings indicated in Annexure-II would be closed early at 12:00 Noon on 29th January, 2012 (Sunday).

2. Hindi version will follow.

End.: As above

(Ashok Kumar)
Deputy Secretary (JCA)

Click here to get Original copy

Automated System of Allotment in respect of Type-I category from 01.01.2012

By
igeadmin
-

Govt. of India
Ministry of Urban Development
Directorate of Estates
(Policy Division)

No. 12035/16/2010-Pol.II

Nirman Bhawan, New Delhi
Dated the, 18th November, 2011

OFFICE MEMORANDUM

Subject : Introduction of Automated System of Allotment in respect of Type-I category w.e.f. 01.01.2012.

The undersigned is directed to invite attention to this Directorate’s O.M. of even number dated 22.12.2010 introducing Automated System of Allotment (ASA) in respect of houses of the lower types i.e. Type-II to Type-IV. It has since been decided to introduce Automated System in respect of Type-I category also w.e.f. 01.01.2012 as per following schedule:

1. With effect from 01.01.2012 only online applications for allotment of Type-I houses will be accepted. After applying online, the applicants will be required to take a print out of the application form and forward to the Directorate of Estates after getting the same verified from their Department/Office. No manual application will be accepted from 01.01.2012.

2. The applicants applying online whose applications are received up to 15.01.2012 will be eligible for participation in the ASA system and shall be able to exercise options during the period 16th to 27th of each month. The first allotment through fully automated mode in Type-I will take place on 28.01.2012. Allotments in subsequent months in respect of Type-I will take place on the 28th of every month.

3. Every applicant will be required to furnish his/her mobile number and e-mail ID to enable this Directorate to send their login ID and password through SMS/e-mail.

4. The practice of reconsideration and technical acceptance will be stopped with the introduction of ASA system. The applicants who fail to accept the allotment made as per their choice, shall be debarred for further allotment for a period of one year.

5. Detailed procedure as laid down in the O.M. dated 22.12.2010, available on the website of this Directorate i.e. www.estates.nic.in shall be applicable.

6. A help desk has been established in the IFC of the Directorate of Estates near Gate No. 2, Nirmarn Bhawan, New Delhi. Application may seek help form the help desk, if required.

(R.N. Yadav)
Dy. Director of Estates

TN Govt. Order – Enhancement of Sitting fees to Non-official Directors / Non-official Members

By
igeadmin
-

ABSTRACT

State Public Sector Undertakings /Boards – Enhancement of Sitting fees to Non-official Directors / Non-official Members – Orders – Issued.

Finance (BPE) Department

G.O.Ms.No. 348

Dated: 16.12.2011

Read:

1. G.O.MsNo. 983, Finance (BPE) Department, Dated: 5.9.89
2. G.O.Ms No. 555, Finance (BPE) Department, Dated: 22.12.99.
3. G.O.Ms.No. 91, Finance (BPE) Department, Dated: 1.2.2006.

ORDER:

In the Government order 3rd read above, the sitting fee payable to Non-Official Directors / Non-Officials Members on the Boards of State Public Sector Undertakings / Boards was enhanced from Rs. 250/- to Rs. 750/- per day in case the Corporation / Board provides a vehicle to the Non-Official Director / Non-Official Member and if no vehicle is provided, the sitting fee was fixed at Rs. 1000/- per day.

2. Government have since received proposals for enhancement of the sitting fee to a reasonable level in view of the contributions made by the Non-Official Directors / Members. The Government have examined the proposal in detail and in supersession of the orders issued in the Government Order third read above, direct that in respect of Non-Official Directors / Non-Official Members of the Board of Directors of State Public Sector Undertakings / Boards who are currently entitled to sitting fees, the sitting fees shall be paid at Rs. 1500/- per day in case the Corporation / Board provides a vehicle to the Non-Official Director / Non-Official Member and if no vehicle is provided, the sitting fee shall be paid at Rs.2000 per day. These orders will take immediate effect.

3. The Chief Executive Officers of State Public Sector Undertakings / Boards may be requested to bring this to the notice of the Board of Directors in the next meeting.

K. Shanmugam,
Principal Secretary to Government

Click here to get Original Order Copy

BSNL – Rakshak Plan for Central Paramilitary Groups like CRPF, ITBP, BSF, BRO etc.

By
igeadmin
-

Rakshak Plan for Central Paramilitary Groups like CRPF, ITBP, BSF, BRO etc. , All Armed Forces like Indian Army Indian Navy, Indian Air Force, Coast Guard, BRO etc. & Railways Protection Force

A new special 2G/3G postpaid plan for Central Paramilitary Groups like CRPF, ITBP, BSF, BRO etc., All Armed Forces like Indian Army Indian Navy, Indian Air Force, Coast Guard, BRO etc. & All Railway Protection Force Personnel with the name “Rakshak” has been introduced with the following terms and conditions:-

Sl.No.

Particulars

Charges

1

 Activation Charges for both numbers

Free

2

 Security Deposit for Local & STD Facilities

Nil

3

 Total Fixed Monthly Charges for both numbers in Rs.

299

4

 Freebies per month for each number

As per plan 99
  a) Local calls (On-net)

75 Min
  b) STD Call (On-net)

75 Min
  c) Local/National SMS

100 SMS

5

 Local/STD Calls between these two numbers shall be free to the extent of 30 Min/day (limit combined for both the numbers). Beyond this the call rates applicable between these two numbers (Rs./Min)

0.20

6

 Local/STD call to Any Network (Rs./Min)

0.49

7

 O/G Call (Local/ STD) while National roaming (Rs./Min)

0.49

8

 I/C call for main number while roaming in BSNL Network

Free

9

 Local/National SMS Charges (Rs/SMS)

0.49

10

 Local/National SMS Charges while National roaming (Rs/SMS)

0.49

11

 All other charges not covered above

Plan-99
  • Under this plan, two SIMs [Main SIM & Home SIM] will be issued/activated from the same CSC of the circle and bill payments can be made in the home circle. In case of specific request from Customer for USIM Rs.59 will be charged.
  • FMC of Rs.299 is the total fixed monthly charges for two postpaid connections. All tariffs applicable for main number, except incoming call while roaming, will be the same for home number.
  • Above personnel using BSNL connection and Port-in customers will also be allowed to activate the special plan subject to verification of credential.
  • The credential of the Above personnel is to be verified before activating the plans by taking a photocopy of his Identity Card issued duly attested by his controlling officer. A self certificate indicating that no other connection is active in his name under this special plan any where in India is also to be taken.

 

The above plan may be allowed for activation through BSNL CSCs only.

Special Postpaid Plan for Officers of all Paramilitary Forces :

 

Sl.No. Particulars

Charges

1

 Activation Charges

Free

2

 Security Deposit for Local & STD Facilities

Nil

3

 Fixed Monthly Charges

Rs.425

4

 Freebies per month
a) Local calls (On-net)

Unlimited Free
b) STD Call (On-net)

1000 Min
c) I/C call while National Roaming

300 Min
d) O/G call while National Roaming

200 Min
c) Local/National SMS

100 SMS
d) GPRS Usage while in Home LSA

1 GB

5

 All other charges, terms and conditions

As per Plan-725

Note:-
i) The credential of the Paramilitary force officer will have to be verified before activating the plan by taking a self attested photocopy of his Identity Card. A self certificate indicating that no other connection is active in his name under this special paramilitary plan any where in India will also be to be taken.
ii) Paramilitary force officers using BSNL connection and Port-in customers will be allowed to migrate to this plan free of charge.
iii) Service Tax as applicable will be charged extra.

The above plan may be allowed for activation through BSNL CSCs only.

 

Source : BSNL Portal

Recruitment of Sportsmen in Railways

By
igeadmin
-

It is proposed to set up Sports Academies on Indian Railways in Delhi, Secunderabad, Chennai, Kolkata and Mumbai. The total number of sportspersons recruited on different Zonal Railways on Indian Railways during 2008-09 was 509; during 2009-10 it was 233; during 2010-11 it was 361 in during 2011-12 (till November, 2011) it was 63 .

Recruitment of sportspersons is a continuous process. All out efforts are made to spot the talent to enable Railways to be represented in the various National and International Championships. Since, there is no separate sports cadre in Indian Railways as such there are no vacancies. Meritorious sportspersons are recruited by utilizing the vacancies of various other departments.

Railways have Zonal Railway Sports Association which keeps a close watch anticipating and assessing the needs of sportspersons in various different disciplines on their Railway. To ensure that meritorious sportspersons are given priority for recruitment, various policies are formed and special steps taken to accommodate the deserving cases. Inter Railway Championships are also held to spur Zonal Railways to recruit good talent.

This information was given by the Minister of State for Railways Shri K. H. Muniyappa in a written reply to a question in Lok Sabha today.

-PIB

Special Package for North-East Region During Twelfth Plan

By
igeadmin
-

The Ministry of Tourism attaches utmost importance to the development and promotion of tourism in the North Eastern Region through its various plan schemes. It extends financial assistance to the State Governments/Union Territory Administrations including the States of the North Eastern Region, for tourism related projects which are identified every year in consultation and interaction with them under the following schemes.

1.  Product Infrastructure Development of Destinations/Circuits

2. Assistance to Large Revenue Generating Projects

3. Information Technology

4. Fairs/Festival and Events

The Ministry of Tourism, as a part of its promotional activities releases print, electronic, online and outdoor media campaigns to promote various tourism destinations and products of the country including the North East Region. Besides, North East specific media campaigns are launched to promote the entire North East Region. The Ministry of Tourism provides complimentary space to the North Eastern States inIndiapavilions set up at major international travel fairs & exhibitions.  Further, In relaxation of CCS (LTC) Rules 1988, the Government has decided to permit Government servants to travel by air to North Eastern Region on LTC as follows:-

(i)                Group A and Group B Central Government employees will be entitled to travel by Air from their place of posting or nearest airport to a city in the NER or nearest airport.

(ii)             Other categories of employees will be entitled to travel by air to a city in the NER from Guwahati or Kolkata.

(iii)           All Central Government employees will be allowed conversion of one block of Home Town LTC into LTC for destinations in NER.

Development, promotion and utilization of funds given by the Ministry of Tourism for tourism projects are primarily the responsibility of the State Governments/Union Territory Administrations.  The details of the funds earmarked for the development of Tourism in NER during the Eleventh Five Year Plan vis-à-vis releases made by the Ministry of Tourism (upto 31.10.2011) are as under:


Year

10% earmarked for NER

(Rs. in crore)

Releases made

(Rs. in crore)

2007-08

96.00

150.97

2008-09

100.00

160.52

2009-10

95.00

178.61

2010-11

105.00

208.48

2011-12

110.00

97.79

 

This information was given by the Minister of State of Tourism, Shri Sultan Ahmed in a written reply in Rajya Sabha  today.

-PIB

 

 

Benefit of EPF Scheme to Industrial Workers

By
igeadmin
-

Employees’ Provident Funds and Miscellaneous Provisions Act, 1952 statutorily applies to employees getting wages upto Rs. 6500/- in respect of scheduled establishments employing 20 or more workers. State-wise details are given at Annexure.

The mechanism to regulate and monitor the implementation of Labour Laws is incorporated in respective Labour Laws.

Occasional instances of such nature have been noticed in the Employees Provident Fund offices.

All such observed cases are pursued vigorously and several measures have been taken to prevent and discourage such instances as per details given hereunder:-

(i) The Employees’ Provident Fund Organisation website as on date provides all relevant information to its various stakeholders i.e. employees, employers, subscribers as well as the public at large.

(ii) All information relating to Employees’ Provident Funds & Miscellaneous Provisions Act, 1952 & Scheme provisions including various application forms have been provided in a downloadable format.

(iii) Claim settlement status has also been provided on the website offline which is updated every day.

(iv) Facilities such as National Electronic Fund Transfer (NEFT), Short Messaging Service (SMS) (informing members on the settlement of their claims), facility to view account balances (in selective offices), claim status, filing of e-Challans in a few offices have also been made operational.

(v) Work related to processing, calculation & disbursement of payment is mostly computerized and carried out through the software provided by National Informatics Centre of Government of India in an environment where public interface is minimal.

(vi) The computerization has resulted in increased settlement thereby reducing pendency and backlog thus leading to lesser complaints and grievances. It has also lead to a more effective monitoring of pendency and settlements.

(vii) Besides complaint based investigations are carried out, checks are also undertaken during Surprise Inspections as well as Preventive Vigilance Inspections and for any irregularity noticed, actions are initiated against the officials involved.

(viii) To streamline and clearly define activities, circulars on Combating Corruption in Compliance matters have also been issued by the Vigilance Wing.

The Union Labour & Employment Minister Shri Mallikarjun Kharge gave this information in reply to a written question in Rajya Sabha today.

-PIB

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