Forwarding Letter
Forwarding Letter
0/2/2023-IT-RO TL
To,
The Chairman/ Managing Director,
M/s. THE DECCAN HOSPITAL,
Somajiguda,
Hyderabad-500082.
Sir,
Sub:-Empanelment of your Hospital with FCI under “DIRECT PAYMENT
SYSTEM” for rendering indoor medical treatment to Corporation Employees,
Departmental workers, their dependents, retired employees including his/her
spouse.
*****
Approval of the Competent Authority is hereby conveyed towards
Empanelment of your Hospital for the General Medicine, Medical Gastroenterology,
Pulmonology, Medical Oncology, Cardiology, Neurology, Dermatology, Neuro
Surgery, Nephrology with Hemo Dialysis & Renal Transplantation Surgery, Urology,
General Surgery, Orthopedics, Trauma, HIP and Joint Replacement Surgeries,
Vascular Surgery, Surgical Gastroenterology, Plastic Surgery, ENT, Opthalmology
and Dental and Maxillofacial Surgery for a period from 05.07.2023 to 04.07.2025 for
indoor medical treatment of Corporation’s employees/ departmental workers (excluding
DPS labour) including their dependents and retired employees and his/her spouse under
“DIRECT PAYMENT SYSTEM” on existing CGHS rates, NABH rates both for IPD &
OPD treatment. A copy of the agreement on the Stamp Paper duly signed between Food
Corporation of India and the Hospital authority indicating the terms and conditions is
attached for record and future reference. In this connection you have already been
informed about the terms and conditions, Important Points of the scheme and you are
requested to adhere to that strictly. Some of the important points have been highlighted
below to avoid any confusion and for ensuring smooth functioning of the System and for
prompt payment in time.
(i) The authorization letter for the purpose of admission shall be valid for four days
only. In case any further extension is required, the same will be allowed with the specific
recommendations of the concerned FCI Medical Officer. In case of tertiary diseases, the
duration of the indoor treatment shall be as per the package.
(ii) The Corporation will settle all the claims with supported documents along with
discharge summary and diagnostic reports, etc., for all the serving
employees/departmental labour including dependents and retired employees strictly as
per CGHS rates. The Hospital should offer 10% discount on hospital tariff which were not
listed under CGHS rates-2014.
(iii). In the case of retired employee and his / her spouse, the hospital authority should
extend credit facility up to an annual ceiling of Rs.1,70,000/- for every financial year, for
both put together. To avoid any inconvenience, the balance credit facility during the
financial year will be reflected in the authorization letter. In case the medical expenditure
exceed this ceiling limit, the patient may be advised to deposit the excess amount and
settle such claims at the time of discharge and FCI shall not be responsible for any
additional liability.
RO TL-22.0014.0/2/2023-IT-RO TL
I/387260/2023
(iv) Before admission, it is the duty of the hospital to ensure that the authorization letter
has been issued by the authorized signatory. After discharge of the patient, the hospital
is required to forward the medical claim (IPD Claim) to concerned FCI office from where
the authorization letter has been issued, for reimbursement within the stipulated time. For
the prompt settlement of claims, the hospital’s tariff may immediately be provided to such
office to avoid any delay.
(v) Further, the First Admission Report for the working employees, should be raised
through FCI HRMS portal ( https://medical.hrmsfci.in). The First Admission Report for the
retired employees should be sent to [email protected] and the authorization will be
sent to the Hospital mail.
10501 and 11351 and 19540 and 26310 and 63101 and 66391 Private Ward/
above above above above above and Single Room
above.
(vi). FCI shall ensure settlement of all bills raised by the Provider Hospitals within 45
days, after the submission of the bills to FCI, in case of no query on the bills or claim. In
case the claims are not submitted within 60(Sixty) days from the date of discharge will be
treated as “Time Barred”. The above condition is relaxed further, that the claims
submitted after 60 days -will be settled as follows:-
Yours faithfully,
I/387260/2023
Copy to: