5 69292/2020/ESTT-NE_HR Index Sr. No. Particulars Page No. 1 General Billing Rules 2--11 2 Packages Detail 12--23 3 Room Rent 24--25 4 Consultation Charges. 26--32 5 CTVS PACKAGE ROCEDURES 33--35 6 CTVS PEDIATRIC 36--37 7 CATH ADULT PROCEDURES 38--39 8 EP STUDY PACKAGE PROCEDURES 40--41 9 PEDIATRIC CATH PROCEDURES 42--43 10 UROLOGY PROCEDURES 44--46 11 NEPHROLOGY PROCEDURES 47-52 12 VASCULAR SURGERY 53--54 13 GENERAL SURGERY PROCEDURE 55--62 14 NUEROLOGY PROCEDURES 63--67 15 UROLOGY 68--71 16 DENTAL PROCEDURES 72--78 17 DERMATALOGY PROCEDURES 79--82 18 ENT PROCEDURES 83--87 19 NEPHROLOGY 88--89 20 GYNECOLOGY PROCEDURES 90--93 21 LABORATORY TEST CHARGES 94-120 22 ONCOLOGY PROCEDURES 121-126 23 OPTHALMOLOGY PROCEDURES 127-130 24 PULMONOLOGY PROCEDURES 131-134 25 PAIN CLINIC CHARGES 135-136 26 PLASTIC SURGERY 137-141 27 PHYSIOTHERAPY CHARGES 142-144 28 MISC. & OTHER SERVICES 145-148 29 CARDIAC DIAGNOSTIC CHARGES 149-151 30 CT PROCEDURES 152-155 31 MRI PROCEDURES 156-162 32 X RAY PROCEDURES 163-166 33 ULTRASOUND PROCEDURES 167-169 34 DIAGNOSTIC NEUROLOGY 170-172 35 DIANG-HIS 173-174 36 BLOOD BANK 175-176 37 GASTROENTEROLOGY PACKAGES 177-178 38 GASTROENTEROLOGY 179-184 39 TRANSPLANT CHARGES 185-186 0 6 69292/2020/ESTT-NE_HR 40 ORTHOPAEDIC PACKAGES 187-189 41 ORTHOPAEDICS PROCEDURES 190-199 42 MAXILLOFACIAL SURGERY 200-206 43 ONCO SURGERY 207-209 44 INTERVENTIONAL RADIOLOGY & CARDIOLOGY 210-211 45 ANESTHESIA PROCEDURES 212-214 46 PSYCHOLOGY 215-216 1 7 69292/2020/ESTT-NE_HR GENERAL BILLING RULES & GUIDELINES 2 8 69292/2020/ESTT-NE_HR Registration and Admission Charges a) Onetime Registration charges of INR.100/- shall be charged to all new patients coming to Hospital for the first time. b) Onetime Admission charges of INR.2000/- shall be charged in all admission. Follow-up Visit policy for IPD patients a) One follow-up OPD Consultation of a surgical case shall be billed as zero consult. b) All patients coming for follow up in OPD within 6 days (to discuss the reports) shall be billed as zero consult. Triage Billing Policy a) Triage Bed Charges: Triage stay (Emergency) charges @ 1000/- per hour (First Hour Free) up to a maximum of eight hours. Beyond 8 hrs if the patient stays in the ER, charges shall be applicable as per Sharing Deluxe/opted room category. b) Triage stay shall not be more than 8 hours without justified approval from Head Emergency / Critical Care/Medical Superintendent. c) Patient is admitted as inpatient from Emergency, Triage bed charges shall not be levied. d) Patient is admitted as inpatient from Emergency, EMO charges shall not be levied. e) If patient getting discharge directly from triage and patient stay is less than 8 hours, all services shall be levied as per OPD rates. f) Triage tariff do not include EMO/ SR/ Specialty doctor Visit/ Investigation / Procedure/ Consumables / Medicines, which will be billed additionally. g) Visit charges of in house EMO will be INR. 500/-. If a Consultant visits Triage, the charges are as per the Pricing Policy and only one consultation visit either EMO/SR or Consultant shall be charged. 3 9 69292/2020/ESTT-NE_HR Billing Cycle a) Billing cycle will start from time of admission and is from 11:00 am to 11:00 am. Therefore 11:00 am is the checkout time for discharge. This policy however is not applicable in case of Day Care. b) First day charge as full day at the time of admission only. (Minimum 1-day charges applicable). c) Minimum half day charge is applicable for any admission (stay from 11 AM to 5 PM). Upto 5 PM of Stay will be billed1 as Half Day Stay and after 5 PM shall be billed as Full Day. Room Policy a) Room tariff includes standard fittings in the room according to the type of Occupancy / Laundry Services / House-keeping services. b) Room rent charges do not includes any professional fees like RMO Fee, Diet Charges, Dietician Visit, MRD charge and Equipment charges etc. c) Any additional Food & Beverage for anybody (Patient/Attendants) will be charged on MRP Basis. d) If the Patient’s Attendant retains the room while the Patient is in HDU / ICU /CRITICAL CARE AREAS, additional charges for the Room and Food & Beverage would be levied separately. e) In such cases Room would be provided subject to availability & approval from Admin Head. f) ICU Tariff does not include Specialty Doctors Visit / Ventilator / Investigations / Procedures / Consumables and Medicines. g) The Room charges do not include any Therapeutic procedure / Ventilator or Ventilator Initiation charges and Oxygen charges. h) When a patient is admitted through Emergency and the desired type of room is not available, then whichever type of room is available will be offered to Patient and charges will be applicable as per offered room type. 4 10 69292/2020/ESTT-NE_HR Room Charges Room Rent RATE CORONARY CARE UNIT ( CCU ) CHARGE 15800 DELUXE SUITE CHARGE 35000 GENERAL WARD CHARGE 6500 TWIN / DOUBLE SHARING 9000 SINGLE DELUXE ROOM 21500 SUITE 30200 PRESIDENTIAL SUIT 85000 HIGH DEPENDECY UNIT ( HDU ) CHARGE 10000 Medical History Assessment Charges One time charges of INR.1600 to be charged from all IP admissions except those who are admitted in Triage (Non admissions). TPA Evaluation Charges One time charges of INR.800 to be charged as TPA Evaluation charges from all IP admissions routed through TPA. Therapeutic Diet Charge Therapeutic Diet charges of INR. 1000 will be applicable once in every day during patient Stay in the hospital from each Inpatient. Sample Collection Charge Sample collection charges of INR. 500/- will be applicable daily during patient Stay in the hospital from each Inpatient and subject to the investigations. 5 11 69292/2020/ESTT-NE_HR IP Consultation policy a) Two consultations during the day will be applicable in addition to other specialty consultations if required. b) IPD Doctor Team Visiting Charge will vary depending upon bed category and seniority of the doctor. c) Emergency visits shall be charged at 2100 /- per visit (in between 8pm to 8am, holiday and Sundays) d) In case of ICU/Critical Areas: Critical Care Charges of Rs. 4500 per day will be charged in addition to the routine consultation charges. e) The charge of the other specialty consultation will be charged as actuals apart from the admitting doctor charges. Bed Transfer policy a) In the event of Bed Transfer during course of treatment, the higher category of bed charges will be charged. b) In case the Patient is transferred from Lower to Higher category of Room following the Surgery/ Procedure charge would be revised according to higher bed category. The bed charges and the doctor’s visit charges would be charged as per the higher room category from the day of admission. c) In case the Patient is transferred from Higher to lower category of room following surgery / procedure would be charged as per Higher Bed category. The bed charges and the doctor’s visit charges would be charged as per the higher room category from the day & time of transfer. d) If the patient is transferred to ICU during the course of IP stay, then the surgery / procedure charges shall remain same as per original Bed occupied charges. However, ICU charges will be levied during actual duration of stay in the ICU. e) In case, due to non-availability of room if patient is shifted to higher category in that case also charges will be applicable as per desired category and when the desired category becomes available, patient gets shifted there. f) Where a patient admitted to ICU bed directly then the charges for procedure and surgery will be in line with the rates applicable in sharing room, however if patient opted for higher category the surgery/procedure will be charged as per charges applicable to higher category of bed. 6 12 69292/2020/ESTT-NE_HR Policy Related to Surgery/Package/Procedure a) Packages are prepared after all permissible discounted minimal usage items for normal conditions cases wherein there is no detailed prescription. b) In case more than one or multiple package/procedure is performed in single/different sitting, will attract the full procedure/package charges. c) Package/Procedure will be charged as per opted bed category. d) In case of PTCA , if done in two sitting, procure charge of second sitting will be charged extra rest other component like drugs, consumables, investigation etc. will be charged on actuals. e) Packages are non-discountable f) Multiple procedure in different region will attract full procedure charges. g) Rs.20,000 is charges in case of emergency/holidays for Angioplasty. h) Rs.30,000 is charged additional to package cost in case of adult patient admitted under pediatric surgery. i) Bed side Procedure (Minor Procedures) would be charged as per rates defined for various room Categories in the price list. Advance Policy a) For Planned procedures 100% of the estimate amount to be collected as advanced. If 100% of the estimated amount has not been cleared / deposited then surgery clearance shall not be given. Surgery clearance shall be issued post the deposit of requisite advance. b) For Emergencies and non-procedure observation patients following advances to be taken, (Unless the consultant fills an estimate in this case 80% of estimate): Room Type Advance Amount slab Single INR. 30,000/- Double INR. 20,000/- ICU INR. 50,000/- 7 13 69292/2020/ESTT-NE_HR c) (TPA) Retail Customers/ Individual policy Holders: Advance to be taken (as per policies / Protocols set up by units) where in patients walks in without authorization letter.