RGHS Crackdown: 9 hosps, 3 docs blocked for prescription irregularities | Jaipur News

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RGHS Crackdown: 9 hosps, 3 docs blocked for prescription irregularities
A 47% reduction in claims has been recorded under the RGHS after the state introduced mandatory pre-authorisation for diagnostic tests costing more than Rs2,000 from July 15.

Jaipur: The health department Thursday blocked Transaction Management System (TMS) access for nine hospitals and IDs of three doctors after probes found alleged irregularities under the Rajasthan Govt Health Scheme (RGHS).Cases included doctors shown working at two Kota hospitals on the same day, prescriptions with mismatched handwriting and signatures in Alwar, Jodhpur and Jaipur, and repeated use of similar seals and signatures on OPD slips. Hospitals in Dausa faced action for excessive diagnostic test recommendations without clinical justification and discrepancies between digital and manual prescriptions.In Alwar, polyethylene glycol and serum iron tests were allegedly prescribed repeatedly without recorded indications. A Bikaner doctor’s ID was blocked over repeated test prescriptions despite differing complaints. Officials said the action aims to protect patients, curb unnecessary testing and ensure transparency in RGHS claims.A doctor linked to a Jaipur-based hospital also had the ID blocked after different handwritings were detected. The TMS ID of a hospital in Udaipur was also blocked over various irregularities.Besides, a 47% reduction in claims has been recorded under the RGHS after the state introduced mandatory pre-authorisation for diagnostic tests costing more than Rs2,000 from July 15. The move is aimed at increasing transparency, curbing unnecessary tests and strengthening digital monitoring of suspicious activities in the scheme.Principal secretary (health and medical education) Gayatri Rathore said prescriptions, tests and claims are being continuously monitored, and action will be taken as per rules wherever irregularities are detected.According to RGHS officials, the 47% decline in claims followed the implementation of the pre-authorisation system. During monitoring, officials found cases where tests were prescribed on different days to avoid the Rs2,000 threshold for mandatory approval. In some instances, patients were called repeatedly to hospitals over three days for tests that could have been conducted on a single day. Such practices caused inconvenience to patients and undermined the prescribed process of the scheme. These activities are now being identified through digital monitoring, and action is being taken after investigation.

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