Cardiology in India presents a unique operational challenge: very high OPD volumes, a growing interventional workload, multiple government payer schemes, and stringent NABH documentation requirements — all running simultaneously.
Indian cardiology departments commonly manage 80–200 OPD patients per day alongside catheterisation lab procedures, TMT sessions, and echocardiograms. MedicoPlus is optimised for this pace with rapid EMR entry, pre-loaded cardiac templates, and parallel OPD queues.
Ayushman Bharat PM-JAY covers critical cardiac procedures including CABG, coronary angioplasty with stenting, balloon valvotomy, and pacemaker implantation. MedicoPlus pre-loads all Health Benefit Package codes so your team selects the procedure and the correct package rate, documentation checklist, and pre-auth form are generated automatically.
Central Government Health Scheme (CGHS) and Ex-Servicemen Contributory Health Scheme (ECHS) beneficiaries are a significant patient segment in most Indian cities. MedicoPlus maintains updated CGHS cardiac procedure rates and automatically generates the required claim documentation, discharge summaries, and cost statements needed by CGHS wellness centres and ECHS polyclinics.
MedicoPlus provides a cardiology-specific electronic medical record that captures the full clinical picture from first OPD visit through cath lab procedure to cardiac rehabilitation.
Government-funded cardiac care is a major revenue stream for empanelled hospitals in India. MedicoPlus automates the complex billing and documentation workflow for PM-JAY and CGHS cardiac claims.
All PM-JAY Health Benefit Package rates for cardiology are pre-loaded including both government and private hospital rates for each tier. CGHS Schedule of Charges for cardiac procedures is maintained and updated with each CGHS circular revision.
MedicoPlus generates all required pre-authorisation documents: clinical notes, investigation reports summary, cardiac risk justification, surgeon credentials, and expected procedure date — formatted per the SHA and TPA requirements of each state.
After procedure, the system generates the final claim package: discharge summary, procedure notes, implant invoices, post-procedure ECG, and cost statement. Claim status is tracked through approval, query, and settlement stages with pending claim alerts.
For hospitals with or pursuing NABH accreditation, cath lab documentation must meet structured standards for procedure records, informed consent, implant traceability, and complication reporting.
Much of India's cardiac care follows a hub-and-spoke model — patients are diagnosed in tier-2 or tier-3 cities and referred to metro tertiary cardiac centres for interventional procedures or complex surgery. MedicoPlus supports both ends of this network.
Generate structured cardiac referral letters with relevant history, ECGs, echo reports, and risk stratification summary. Track whether the referred patient attended the tertiary centre and received feedback on outcome and follow-up plan.
Metro cardiac hospitals using MedicoPlus can accept electronic referrals, assign them to cath lab slots, and automatically send structured feedback — procedure performed, implant details, post-procedure medications — back to the referring physician on discharge.
Track referral volumes by source clinic, referring doctor, and procedure type. Identify top referral partners and monitor conversion rates from referral to admission — essential data for cardiac centre growth planning and referring doctor engagement.
Cardiology hospitals deal with a complex GST landscape — medical services are largely exempt, but certain supplies, implants, and equipment attract GST. MedicoPlus handles this automatically to ensure compliance and clean audit trails.
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