Government schemes
PM-JAY, CGHS, ECHS, ESIC and state schemes — package rates, documentation and the deductions that follow.
PM-JAY package rates and what they include
Ayushman Bharat pays a defined package. Understanding what sits inside it decides whether the case is viable.
Government schemesPM-JAY documentation that survives an audit
Beneficiary verification, pre-authorisation and discharge documentation under the scheme.
Government schemesCGHS rates and the NABH differential
Accreditation changes your rate. Whether it changes your economics is a separate calculation.
Government schemesECHS claims: referral, empanelment and settlement
The ex-servicemen scheme has its own referral chain, and claims fail on it more than on clinical grounds.
Government schemesESIC and the tied-hospital route
How ESIC referrals reach an empanelled hospital, and what the reimbursement path looks like.
Government schemesState health schemes: what changes across borders
Aarogyasri, MJPJAY, Chief Minister's schemes — package rates and processes differ by state.
Government schemesBalancing scheme and private payer mix
Scheme volume is predictable and thin-margin. Getting the ratio wrong is a capacity decision, not a billing one.
Government schemesWhen a scheme revises its package list
A revision changes which cases are viable overnight, and rate cards need to move with it.
Government schemesAppealing a scheme rejection
A different process from private payers, with different timelines.
Government schemesVerifying a scheme beneficiary at the desk
Identity failures are the largest single cause of scheme claim loss.
Government schemesWhen the package rate is below your cost
A viability calculation, not a billing one.
Government schemesGetting empanelled under PM-JAY
What the process requires and what it changes about your operations.
Built to standards, not to a demo
The mechanism above, on your own numbers.
Nothing on this page is a promise. Bring a month of settlements and we will read them with you.