Surgical Management

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Surgical Management

Prolonged Stay

Q6a. Beneficiary admitted for CABG surgery – allowing twelve days stay as per the package under Super specialty – develops complication not related to the operation on 11th day and requires further stay of seven days for recovery. *

1 point

Claimant would be reimbursed as per package rate only

If HOD allows would be reimbursed as per package rates + all other admissible charges as per medical management from date of complication.

Claimant would be reimbursed as per package rates and case referred to CGHS for guidance about other charges.

Q6b. Beneficiary admitted for CABG surgery – allowing twelve days stay as per the package under Super specialty – develops infection of the wound or complication related to the operation on 11th day and requires further stay of seven days for recovery. *

1 point

Claimant would be reimbursed as per package rate only

If HOD allows would be reimbursed as per package rates + all other admissible charges as per medical management from date of complication.

Claimant would be reimbursed as per package rates and case referred to CGHS for guidance about other charges.

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