PMJAY Policy Audit
Five layers of audit under Ayushman Bharat, from the patient's bed to the post-discharge call, so that scheme money pays only for treatment that was actually delivered.
Five layers of audit
On-bed live medical audit
Checks package mismatch, patient absence, impersonation, out-of-pocket charges and report authenticity.
Hospital infrastructure audit
Verifies facilities, staff, equipment and treatment quality against empanelment norms.
Desk medical audit
Rules out up-coding, package bundling and procedure mismatch before payment.
Tele & video-call audit
Post-discharge calls to confirm treatment, satisfaction and no extra charges.
Grievance handling
Resolves audit-related grievances raised by hospitals and State Health Agencies.
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