Wednesday, November 2, 2011

Revision of Ceiling Rates and guidelines for various Coronary /Vascular Stents for CGHSICS(MA) beneficiaries

Revision of Ceiling Rates and guidelines for various Coronary /Vascular Stents for CGHSICS(MA) beneficiaries

F No Misc.1002/2006/CGHS(R&H)/ CGHS(P)

Government of India

Ministry of Health & Family Welfare

Department of Health&Family Welfare

Maulana Azad Road, Nirman Bhawan

New Delhi 110 108 dated the 31 October 2011.

OFFICE MEMORANDUM

Subject: Revision of Ceiling Rates and guidelines for various Coronary /Vascular Stents for CGHSICS(MA) beneficiaries.

In supersession of the Office Memorandum of even No dated 12.09.2007 of the Ministry of Health & Family Welfare for the revised rates and guidelines for Coronary / Vascular Stents for reimbursement of CGHSICS(MA) beneficiaries, all DCGI approved Coronary / Vascular Stents are approved for reimbursement to CGHSICS(MA) beneficiaries as per the ceiling rates mentioned below

1, DRUG ELUTING CORONARY STENTS-

i. All DCGI and FDA approved Drug Eluting Stents – Rs. 65,000/-

ii. Ail DCGI and CE approved Drug Eluting Stents - Rs. 50000/-

iii All DCGI approved Drug Eluting Stents - – Rs 40000/-

2 BARE METAL CORONARY STENTS

i) STAINLESS STEEL STENTS – Rs.12000/-

ii) COBALT STENTS – Rs.20,000/.

a) All DCGI and FDA approved

b) Ail DCGI and CE approved – Rs. 18,000/-

c) All DCGI approved – Rs. 15,000/-

iii) COATED I OTHER STENTS – Rs. 25,000/-

3. BARE METAL VASCULAR (NON CORONARY ) STENTS

i) STAINLESS STEEL STENTS – Rs 20000/-

ii) COBALT STENTS – Rs 22,000/-

iii) NITINOL / OTHER STENTS – Rs 25,000!-

Reimbursement to beneficiaries /empaneled hospitals shall be limited to ceiling rates or as per actuals, whichever is lower.

2. Coronary Stents shall be permitted on the advice of Govt. Specialist, of which not more than two shall be of Drug Eluding Stents. Permission shall be granted as per the laid down procedure.

If more than two drug eluding stents are implanted in an empaneled hospital and no written informed consent was obtained from the beneficiary that he / she would bear the difference in cost between the DES and Bare Metal Stent, arid the hospital has charged this amount from the beneficiary, the additional amount shall be deducted from the pending bills of hospitals and shall be paid to the beneficiary

3. It is essential for the empaneled hospitals to quote the Batch number when a coronary/vascular stent of any type is implanted in the case of a CGHS/CS (MA) beneficiary and also enclose a copy of the relevant invoices pertaining to the procurement of the stents 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 from the Govt. In case of treatment from a private non-empaneled hospital, where the treatment was taken in an emergency, it is the responsibility of the beneficiary to obtain the batch number, invoice and outer pouches of the stent(s) before the submission of the medical claim to CGHSI concerned department, as the case may be.

4. The empanelled hospital shall submit a self certified undertaking that the hospital has not charged the CGHS / CS(MA) beneficiary more than the rate at which the stent 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 empaneled under CGHS without any further notice.

5. UTI-TSL, while processing the hospital bills of coronary I vascular stents shall ensure that the hospitals have enclosed copies of the relevant invoices pertaining to the procurement of the stents by the hospitals and the outer pouch of the Stent packet along with the sticker on it on which details of the stent are printed and that the prescribed rates and the guidelines have been followed, before making provisional payments to the hospitals

6. The revised rates and guidelines shall come into force from the date of issue and shall be in force for a period of one year or tilt they are revised, whichever may be earlier.

7. This issues with the concurrence of Finance Division vide Dy.No 2979 dated 20.10.2011 of the office of AS&FA Min. of H&FW

Sd/-

(JAI PRAKASH)
UNDER SECRETARY TO GOVERNMENT OF INDIA

Highlights of draft Post Office Bill 2011

Highlights of draft Post Office Bill 2011
1. Opening of market by reducing the exclusive privilege of Central Government:

Gradual opening of the market by phase wise removal of the monopoly proposed. Exclusive privilege reduced up to 150 gm. In case of letters and up to 50 gm. in case of express mail. Couriers can carry letters even within 150 gm and 50 gm ( the reserve area) subject to them charging twice the postal rates for letters and twice the rates for express service.

2. Sunset clause:

A 15 years SUNSET clause for complete removal of exclusive privilege in express service and Parliamentary Review of exclusive privilege in case of letters is proposed.

3. Universal Service Obligation of the Central Government:

As proposed, USO is defined as the obligation of the Central Government to provide, through the Department of Posts, basic postal services at reasonable access, affordable price and with specified service parameters throughout the country. Commitment to provide postal service, delivery and access to post office 6 days of the week except holidays.

4. Definitions:

Definitions of certain ‘terms’ are proposed keeping in view the definition adopted by different countries, as also the requirement of customers i.e.
a) “postal services” means services provided by the Central Government or on its behalf and includes services related to
(i) handling of addressed letters,
(ii) handling of addressed parcels and packages,
(iii) handling of addressed press products,
(iv) handling of these articles as registered or insured mail,
(v) express services for these articles,
(vi) handling of unaddressed articles,
(vii) Value Payable Post,
(viii) money remittance
(ix) Post Office Counter Services
(x) services on behalf of any Ministry or Department of the Central or State Governments, or services on behalf of any other organization
(xi) other services not specified elsewhere;

b) “courier services” means services related to the handling of articles of mail i.e. collection, sorting, dispatch, conveyance and delivery including
(i) handling of addressed letters subject to provisions in Section 4,
(ii) handling of addressed parcels and packages,
(iii) handling of addressed press products,
(iv) express services for these articles subject to provision in Section 4
(v) handling of unaddressed articles,
c) “express services” means postal / courier services related to handling of articles of mail and expedited delivery within a clearly specified and declared time limit with confirmation of receipt and with or without end‐to‐end integration to ensure track and trace and a record of delivery ;

d) “Registered Courier” means any person registered as such under Section ‐‐‐and includes his employee or agent or assignee;

e) “Licensee” means a Registered Courier who has been given license under Section ‐‐;

5. Registration and Licensing:

The Central Government may grant registration to any person undertaking the provision of any courier service in India, who shall be called a Registered Courier. The Central Government may also grant license to any Registered Courier, who shall be called alicensee, for providing certain specific services. There is no registration fee or license fee. Licensing conditions involve adherence to quality, guarantee relief to customers in case of any deficiency in service and commitment to ensure confidentiality and security of letter. All operators will require registration for providing any type of courier service in India. But license will be required only for reserve area, USO and letter mail.

6. Registering Authority:

It is proposed that Central Government shall appoint Registering Authority, in such manner and to perform such functions, as may be prescribed.

7. Appellate Authority:

An Appellate Authority is proposed for redressal of grievances of any person aggrieved by an order of Registration Authority.

8. Setting up Extra Territorial Offices of Exchange (ETOE) and International mail Processing Centers (IMPC) abroad:

Central Govt. may establish ETOEs/IMPCs in other countries for providing international Mail Services including express and parcel services subject to arrangements with such Postal Administrations regarding terms and conditions.
Courtesy: indiapost.gov.in