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About IQAC

As per National Assessment and Accreditation Council (NAAC) guidelines every accredited institution should establish an Internal Quality Assurance Cell (IQAC) as a post-accreditation quality sustenance measure. Since quality enhancement is a continuous process, the IQAC becomes a part of the institution’s system and works towards realization of the goals of quality enhancement and sustenance.

The prime task of the IQAC is to develop a system for conscious, consistent and catalytic improvement in the overall performance of institutions.

PU was accredited by NAAC in 2004 for the first cycle and later in 2009 for the second cycle. IQAC established at PU continued to strive for the betterment of processes and setup. The third cycle is due in 2014. Taking the concrete step further PU has established a concrete central IQAC hosted in MIS Cell of PU. All departments/institutes/centres/branches have been directed to set up Mini IQAC to provide data to central IQAC/MIS Cell

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    Why does overall health treatment fraud seem to get the ‘lions-share’ of interest?

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    Choose a closer appear and one particular finds this is no match-of-chance.

    Taxpayers, shoppers and providers usually drop
    for the reason that the challenge with health and fitness treatment fraud
    is not just the fraud, but it is that our government
    and insurers use the fraud difficulty to additional agendas although at the very same time fail to be accountable
    and consider accountability for a fraud problem they aid and allow for to flourish.

    1.Astronomical Charge Estimates

    What better way to report on fraud then to tout fraud
    value estimates, e.g.

    – “Fraud perpetrated versus equally community and non-public wellbeing options fees between $seventy two and $220 billion every year, expanding the price of medical treatment and wellness insurance policy and undermining community have confidence in in our overall health care program… It is no for a longer time a key that fraud represents a single of the swiftest developing and most expensive varieties of criminal offense in The us now… We pay back these expenditures as taxpayers and by means of higher well being insurance policies rates… We need to be proactive in combating wellness care fraud and abuse… We ought to also make certain that law enforcement has the equipment that it needs to deter, detect, and punish well being treatment fraud.” [Senator Ted Kaufman (D-DE), ten/28/09 press release]

    – The Basic Accounting Office environment (GAO) estimates that fraud in health care
    ranges from $sixty billion to $600 billion for every year – or anywhere between 3% and 10% of the $2 trillion health and fitness care finances.
    [Well being Treatment Finance News studies, ten/two/09] The GAO is the investigative arm of Congress.

    – The National Overall health Care Anti-Fraud Affiliation (NHCAA) reports
    in excess of $fifty four billion is stolen each
    12 months in frauds designed to stick us and our insurance
    coverage corporations with fraudulent and illegal clinical
    rates. [NHCAA, internet-internet site] NHCAA was made
    and is funded by wellness insurance policies businesses.

    However, the dependability of the purported estimates is
    doubtful at greatest. Insurers, point out and federal businesses,
    and some others may possibly acquire fraud knowledge connected to their own missions, wherever the kind, excellent and quantity of knowledge
    compiled may differ greatly. David Hyman, professor of Regulation, University of Maryland, tells us that the broadly-disseminated estimates of the incidence of overall health treatment fraud and abuse (assumed to be 10% of whole expending) lacks any
    empirical basis at all, the little we do know about wellbeing treatment fraud and abuse is dwarfed by
    what we will not know and what we know that is not so.
    [The Cato Journal, three/22/02]

    2.Overall health Treatment Criteria

    The guidelines & policies governing health care – change from state to condition and from payor
    to payor – are intensive and really baffling for vendors and other folks to recognize
    as they are composed in legalese and not plain talk.

    Vendors use precise codes to report disorders treated (ICD-9) and providers
    rendered (CPT-4 and HCPCS). These codes are used when in search of
    payment from payors for companies rendered to patients.
    Whilst established to universally implement to aid precise
    reporting to replicate providers’ providers, a lot of insurers instruct companies to report
    codes based mostly on what the insurer’s pc modifying programs figure out – not
    on what the provider rendered. More, observe developing consultants instruct
    companies on what codes to report to get compensated – in some instances codes that do not correctly mirror the provider’s support.

    Individuals know what companies they receive from their medical professional or other provider but may well not have a clue as to
    what these billing codes or company descriptors necessarily
    mean on clarification of rewards obtained from insurers. This absence of comprehending may consequence in consumers moving on with out getting
    clarification of what the codes necessarily mean,
    or may perhaps end result in some believing they have been improperly billed.
    The multitude of coverage plans available now, with various ranges of protection, advertisement a wild card to the equation when companies
    are denied for non-coverage – particularly if it is Medicare that denotes non-lined solutions as not medically necessary.

    three.Proactively addressing the wellness treatment fraud difficulty

    The authorities and insurers do really minor to proactively tackle the dilemma with tangible activities that will end result in detecting
    inappropriate claims in advance of they are paid.

    In truth, payors of health and fitness treatment claims proclaim to
    run a payment process centered on believe in that companies monthly bill accurately for
    products and services rendered, as they can not assessment every single
    claim just before payment is made simply because the reimbursement
    method would shut down.

    They assert to use subtle laptop plans to glimpse for
    mistakes and styles in promises, have amplified pre- and submit-payment audits of chosen providers to detect
    fraud, and have developed consortiums and job forces consisting
    of regulation enforcers and insurance policy investigators to analyze the challenge
    and share fraud information. Nonetheless, this action, for the most component, is working with activity just after the declare is
    paid out and has minimal bearing on the proactive detection of fraud.

    four.Exorcise overall health care fraud with the development of
    new regulations

    The government’s studies on the fraud challenge are published in earnest
    in conjunction with attempts to reform our health and fitness care
    program, and our experience shows us that it in the end results in the
    government introducing and enacting new guidelines – presuming new rules will final result in more fraud detected, investigated and prosecuted – with no developing how
    new laws will achieve this extra proficiently than present guidelines that were not used to their whole probable.

    With this kind of efforts in 1996, we bought the Health Insurance Portability
    and Accountability Act (HIPAA). It was enacted by Congress to deal with insurance plan portability and
    accountability for patient privacy and well being care
    fraud and abuse. HIPAA purportedly was to equip federal legislation enforcers and prosecutors with the instruments
    to assault fraud, and resulted in the development of a variety of new well being care fraud statutes, including:
    Well being Treatment Fraud, Theft or Embezzlement
    in Wellbeing Care, Obstructing Criminal Investigation of Well
    being Care, and Wrong Statements Relating to Well being Treatment Fraud Matters.

    In 2009, the Health Care Fraud Enforcement Act
    appeared on the scene. This act has recently been released by Congress with claims that it will establish on fraud avoidance
    endeavours and improve the governments’ ability to examine and prosecute squander, fraud and abuse
    in both of those authorities and personal health insurance policies by sentencing improves redefining wellness treatment
    fraud offense improving whistleblower promises
    making common-sense mental point out need for health and fitness care fraud offenses and raising funding in federal antifraud paying
    out.

    Undoubtedly, regulation enforcers and prosecutors Should have the equipment to efficiently do their employment.
    Having said that, these steps on your own, devoid of inclusion of some tangible and significant
    ahead of-the-assert-is-paid actions, will have small influence on cutting
    down the prevalence of the challenge.

    What’s a person person’s fraud (insurance provider
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    checks to defend versus opportunity lawsuits from legal sharks).

    Is tort reform a chance from all those pushing for well being
    care reform? Sad to say, it is not! Assist for legislation placing new and onerous prerequisites on providers in the title of fighting fraud, having
    said that, does not look to be a trouble.

    If Congress really wants to use its legislative powers to make a
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    Focus on some front-close activity that specials with addressing the fraud
    ahead of it transpires. The following are illustrative of measures that could be taken in an effort to stem-the-tide on fraud and abuse:

    -Desire all payors and suppliers, suppliers and many others only use
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    -Require that all promises-handlers (especially if they have authority to pay claims), consultants retained by insurers to assist on adjudicating promises, and fraud investigators be accredited by a nationwide accrediting business underneath the purview of
    the governing administration to show that they have the requisite comprehension for recognizing overall health treatment fraud, and the expertise
    to detect and investigate the fraud in health
    and fitness care statements. If these types
    of accreditation is not acquired, then neither the personnel nor the advisor would be
    permitted to contact a health and fitness care claim or
    examine suspected health treatment fraud.

    -PROHIBIT general public and private payors from asserting fraud on claims previously paid
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    legislators and many others fund entrance-line investigators for condition health care regulatory boards to investigate fraud
    in their respective jurisdictions as nicely as funding other
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    -PROHIBIT insurers from raising rates of policyholders based on estimates of the prevalence of fraud.
    Involve insurers to establish a factual basis
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    five.Insurers are victims of overall health treatment fraud

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