Action Against Doctor in Jammu and Kashmir for Fraud Allegations

Udaipur, June 20: The Jammu and Kashmir government has initiated significant disciplinary action against a cardiologist stationed at a government medical college. The doctor faces allegations of fraudulently claiming benefits under the PMJAY-Sehat scheme, manipulating medical records, procedural irregularities, and exploiting patients.

According to official documents, the doctor has been charged under the Jammu and Kashmir Civil Service Rules. It is alleged that the doctor provided false information regarding cardiac procedures, such as treatments related to pacemakers, to obtain insurance claims, disregarded procurement rules, and performed procedures lacking established medical justification.

The investigation also revealed financial exploitation of beneficiaries entitled to cashless treatment and irregular purchases of medical implants from private vendors. Based on audit results, patient records, and anti-fraud investigations, the department has requested a written response from the doctor and warned that if the allegations are proven, strict action, including termination of employment, could follow.

On June 19, following the withdrawal of private hospitals from the Ayushman Bharat PM-JAY Sehat scheme, the Jammu and Kashmir government announced a package of ₹175 crores to restart the scheme and assured prompt payment of outstanding bills to various hospitals.

Officials stated that this decision was made after the government approved the release of ₹175 crores to settle long-pending reimbursement claims. The health and medical education department has sanctioned this amount to clear dues owed to private healthcare institutions included in the panel.

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