x

Like our Facebook Page

   
Early Times Newspaper Jammu, Leading Newspaper Jammu
 
Breaking News :   Well done, Charak | Where cinema begins again: The quiet power of restored classics | The Global Population Challenge | Humans Vs Machines: who will win the future of human resource management | India cannot function without Ram, Krishna, Shiva: CM Yogi | New UP is rushing from heat wave to green wave under Yogi Govt, reveals Forest Deptt report | Balbir remembered Guru Ravidass on Guru Purnima | DC Bandipora visits Gurez, reviews developmental projects | 420 MT Rotor lowered in Unit-I of Pakal Dul H.E. Project, CVPPL | Power Shut down | LG warns people giving irresponsible statements, propagating TRF narrative | LG congratulates Rajat Charak | Post-Operation Sindoor, demand for ‘Make in India’ weapons has seen sharp rise: LG Sinha | Lithium auction in Reasi expected after final survey report | J&K has evolved into year-round, all-segment tourism destination: CM Omar | Arms cache recovered in Poonch | Nabbed with Rs 70 Lakh Heroin, a family from RS Pura’s Tanda village running cross-border narcotics network | Amarnath Yatra: 7,307 pilgrims leave Jammu Base Camp | SC says ECI’s roll revision drive mandated in Constitution, but questions timing | ACB arrests Patwari for accepting bribe | Landslide kills girl | 7 injured in Udhampur accident | Goods train derails in Kathua | Joint Director Tourism Jammu Aijaz Qaiser interacts with social media influencers | MLA Arvind felicitates young Wushu Stars for bringing laurels to J&K | Div Com Jammu reviews preparations for Annual Basohli Utsav | Illegal pony operator booked & temple theft case solved in Katra | J&K Govt embarks on study to establish IT/ITES Parks | HC Grants bail to CE in corruption case | J&K High Court conducts plantation drive at Janipur complex | Kavinder pays obeisance to Hridayadeep Ji Maharaj on Guru Purnima | Pipping ceremony of Assistant Sub-Inspector held | Drug peddler arrested, intoxicant capsules recovered by Udhampur police | ADGP Armed J&K visits IRP 4th Battalion, Kupwara | Mehbooba seeks EAM's intervention to save Indian nurse on death row in Yemen | India's higher education ecosytem has undergone fundamental transformation: Pradhan at VC conference | ED books 29 Actors, Influencers, YouTubers in online betting linked PMLA case | Govt to sell minority stake in LIC | Delhi cop receives extortion call of Rs 10 crore; FIR registered, probe on | Dogri song "Ambli Banage Daal" released in Jammu | "Rotary Club Jammu Elite and SIBA organize successful medical camp | Balwant Thakur to visit England from July 25 to expand Natrang's international network | Modi Govt sets new benchmark for corruption-free governance: Rohiin Chandan | JKAACL hosts "Meet the Author" event | Field office of Union Ministry of MSME organizes Seminar | Samba police arrests absconder | SHKSSJ celebrates Guru Purnima with devotion and grandeur | KSS celebrate Guru Purnima with traditional religious fervor | GAMC&H Akhnoor students visited Sitlee Water Purification Plant | Workshop on Bloom's Taxonomy to Empower Educators | SJVN organizes two-day Orientation Programme for CMDs and Directors of CPSEs | SJVN organizes two-day Orientation Programme for CMDs and Directors of CPSEs | SIPS Hosts CBSE Cluster XVIIl Kabaddi Tournament | SBSSU becomes first University in Punjab to implement mandatory "Entrepreneurship Mindset" curriculum | Preserving our ecosystem, a collective responsibility: Committee on Environment | KU holds special marathon for differently-abled students | Shreyanka, Sadhu named in India A squad to tour Australia, Radha to lead | New Delhi to host two major international shooting competitions in 2027-28 | Back Issues  
 
news details
Private hospitals under scanner for Rs 11.82 cr fraud
J&K Ayushman Bharat Scheme
2/11/2025 10:39:24 PM

Early Times Report

Jammu, Feb 11: Private hospitals across the country are involved in making money through fraudulent means by presenting fake bills under the Ayushman Bharat-Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) which was launched for the economically weaker sections of society.
Private hospitals in Jammu and Kashmir too have followed the footsteps of their counterparts in other parts of the country and have committed alleged fraud worth Rs 11.82 crore by presenting fake and fraudulent bills under this scheme.
Replying to a question in Rajya Sabha, Minister of State for Health and Family Welfare Pratap Rao Jadhav said that as many as 2. 7 lakh fake claims worth Rs 562. 4 crores made by private hospitals, were detected by the authorities. Out of these frauds, Rs 11.82 crore fraud detected in Jammu and Kashmir.
After detecting these frauds, a total of 1,114 hospitals have been de-empanelled, and 549 hospitals have been suspended under AB-PMJAY.
“AB-PMJAY is governed by a zero-tolerance approach towards any kind of fraud and abuse and various steps are taken for the prevention, detection, and deterrence of different kinds of fraud that could occur in the scheme at different stages of its implementation”, the Minister said, adding, “National Anti-Fraud Unit (NAFU) has been established at National Health Authority (NHA) and works in close coordination with State Anti-Fraud Units (SAFU) to investigate and take joint action against issues related to fraud and abuse”
“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
Private hospitals in J&K have allegedly committed a fraud worth Rs 11.82 crore by presenting fake and fraudulent bills.
AB-PMJAY is governed by a zero-tolerance approach towards any kind of fraud and abuse.
National Anti-Fraud Unit (NAFU) has been established at National Health Authority (NHA) and works in close coordination with State Anti-Fraud Units (SAFU).
NHA has issued guidelines to undertake several punitive actions to curb cases involving misuse or abuse under AB-PMJAY.
on-admissible on account of abuse, misuse or incorrect entries”, the minister informed the House, adding, “Further, any claims by empanelled hospitals found to be suspicious by NAFU are withheld until proper scrutiny by SAFU teams including field verification where necessary”.
NHA has issued guidelines to undertake several punitive actions to curb cases involving misuse or abuse under AB-PMJAY.
“These include the suspension or blacklisting or de empanelment of hospitals concerned from the AB-PMJAY network”, the Minister said, adding, “Additionally, misuse/abuse claims are rejected, and penalties or legal actions are imposed on such hospitals”.
To enhance the detection of misuse or abuse, near real-time monitoring and AI-based systems are used to check hospital claims. Furthermore, hospitals undergo random audits and surprise inspections to ensure the authenticity of claims. State Health Agencies (SHAs) also conduct regular desk medical audits as well as field audits.
“As a result of the stringent measures, a total of 1,114 hospitals have been de-empanelled, and 549 hospitals have been suspended under AB-PMJAY”, the Minister said, adding, “NAFU deployed 57 different technologies including rule-based triggers and Machine Learning algorithms, fuzzy logic, image classification, and de-duplication, etc. to identify misuse/abuse cases”.
Other technologies and interventions such as enhanced access controls to the NHAIT system, near real-time dashboards to highlight suspicious cases, regular monitoring and cleansing of databases, and other data analytic techniques are also deployed to make AB-PMJAY.
  Share This News with Your Friends on Social Network  
  Comment on this Story  
 
 
 
Early Times Android App
STOCK UPDATE
  
BSE Sensex
NSE Nifty
 
CRICKET UPDATE
 
 
 
 
 
 
 
 
   
Home About Us Top Stories Local News National News Sports News Opinion Editorial ET Cetra Advertise with Us ET E-paper
 
 
J&K RELATED WEBSITES
J&K Govt. Official website
Jammu Kashmir Tourism
JKTDC
Mata Vaishnodevi Shrine Board
Shri Amarnath Ji Shrine Board
Shri Shiv Khori Shrine Board
UTILITY
Train Enquiry
IRCTC
Matavaishnodevi
BSNL
Jammu Kashmir Bank
State Bank of India
PUBLIC INTEREST
Passport Department
Income Tax Department
JK CAMPA
JK GAD
IT Education
Web Site Design Services
EDUCATION
Jammu University
Jammu University Results
JKBOSE
Kashmir University
IGNOU Jammu Center
SMVDU