Tuesday, December 22, 2015

First Ever CAG Report On ECHS

Following are the findings of the Comptroller and Auditor General (CAG) 's first ever report tabled in Parliament on the implementation of the ex-servicemen contributory health scheme (ECHS). Irregularities found cost the nation Rs 105 crores.


1. Multiple enrollments of beneficiaries under the Scheme

2. Raising of two claims for the same patients during the overlapping period

3. Overpayment due to non-adherence to MoA

4. Non invoking of penal clause of MoA against defaulting hospitals

5. Irregular recovery of service charges from individual reimbursement claims by BPA

6. Incorrect entitlement in case of indoor treatment for ECHS beneficiaries

7. Short supply of medicines to the polyclinics and non disposal of life expired medicines/drugs

8. Non inclusion of provision for obtaining discount on medicines in MoA

9. Irregular payment by SHQ, Delhi Cantt. towards unaccounted medical bills of empanelled  

    hospitals

10. Non-development of audit module for post audit and inadequate post audit by PCsDA

11. Deficiencies in raising of Emergency Information Report (EIR) by empanelled hospitals

12. Non-adherence of the time limit for payment of bills by BPA/CFA resulting in non availing of 
discount

13. Approval of payment to empanelled hospitals by CFA (ECHS) after rejection of the same by BPA

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