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Medical Auditors & Investigators Guidebook - For Health Insurance Claims

A comprehensive compilation of all tools for Doctors, Medical Auditors & Investigators
Vinay Verma, Dr. Vinita Rana
Type: Print Book
Genre: Business & Economics, Job & Career
Language: English
Price: ₹799
Price: ₹799
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Description

The health ecosystem, in India, is witnessing a transformation. Health insurance is the fastest growing line of business in the insurance space to provide health care finance to a wide range of population.

The government of India moved from a sectoral, segmented & fragmented approach to health care delivery through various State/UT schemes converged with the flagship health insurance program Ayushman Bharat (PM-JAY) with more comprehensive and need-based service delivery of secondary & tertiary care to achieve Universal Health Coverage as its Sustainable Development Goal-3 (SDG3).

Worldwide, it is a recognized fact that health insurance schemes are prone to fraud, abuse, leakage & wastage which not only impact the schemes financially, but it also often led to endangering the health of beneficiaries of such schemes. Information asymmetry, as well as fraud and abuse either from the demand side or from the supply side of health care, makes the transactions...

About the Authors

Vinay Verma

The author is an expert professional & educationist with rich experience of more than 35 years in Health Insurance. He spearheaded corporate health insurance & risk management verticals, as Deputy General Manager in The Oriental Insurance Company Limited handling retail, group & government schemes. He was actively involved in developing policy matters related to health insurance in India as a core group member on the Health Insurance Committees of FICCI & Confederation of Indian Industry. He was a special Invitee Member in the committee of the National Health Authority & IRDAI on Anti Fraud Guidelines for the flagship Health insurance scheme Ayushman Bharat & Health Insurance in India.
He has vast teaching experience in Health insurance. He was visiting faculty at the Insurance Institute of India, National Insurance Academy, School of Insurance Studies-National Law University & Corporate Staff College of Oriental Insurance.
He holds to his credit the prestigious...

Book Details

ISBN: 9781637546406
Number of Pages: 261
Dimensions: 8.27"x11.69"
Interior Pages: B&W
Binding: Paperback (Perfect Binding)
Availability: In Stock (Print on Demand)

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