medical department - mumbai port trust · 1. tender documents may be viewed or downloaded by...
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MUMBAI PORT TRUST MEDICAL DEPARTMENT
Tender Ref.No.CMO-12 / 2017 Date:16/10/2017
TENDER DOCUMENT (NOT TRANSFERABLE)
Invites
ONLINE TENDER FOR EXPRESSION OF INTREST(EOI) FOR EMPANELMENT OF PRIVATE HOSPITALS/
DIAGNOSTIC CENTERS WITH MUMBAI PORT TRUST TO PROVIDE SECONDARY CARE TREATMENT AND
SUPER SPECIALTY TREATMENT ON CREDIT BASIS TO MUMBAI PORT TRUST BENEFICIARIES AS PER MbPT
STANDARD RATES FOR PACKAGE ITEMS AND STANDARD PERCENTAGE OF DISCOUNT FOR NON
PACKAGE ITEMS FOR A PERIOD OF TWO YEARS
CHIEF MEDICAL OFFICER
MUMBAI PORT TRUST HOSPITAL
Website: www.mumbaiport.gov.in
For any further clarifications / queries on e-Tendering, Chief Medical Officer, Mumbai Port
Trust can be contacted at: Mobile No. 9820328839, Phone No. 022-24145573;e-
mail:[email protected]
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NOTICE INVITING TENDERS (NIT)
Tender Ref.No.CMO-12 / 2017 Date.16.10.2017
Chief Medical Officer, Mumbai Port Trust, Nadkarni Park, Wadala (East), Mumbai – 400 037 invites online tender for Expression of Interest (EOI) for empanelment of Private Hospitals/ Diagnostic
Centers with Mumbai Port Trust to provide secondary care treatment and super specialty treatment
on credit basis to Mumbai Port Trust beneficiaries as per MbPT standard rates for package items and
standard percentage of discount for non-package items for a period of two years
The Schedule of e-Tendering Activities are as under:
Sr. No.
Activity Date and Time
1 Period of sale of Bidding Document 16.10.2017 at 17.00 hours onwards
2 Tender cost Rs.1000/-
3 EMD Rs.100000/- for Hospitals Rs. 25000/- for Diagnostic Centers
4 Security Deposit Rs.200000/- for Hospitals Rs.50000/- for Diagnostic Centers
5 Estimated cost Rs.15 crore Approximately
6 Period of Contract Two years from the date of final agreement
7 Pre- Bid date at the Chamber of Chief Medical Officer, Mumbai Port Trust Hospital.
23.10.2017 at 11.00 hours
8 Queries / Pre- Bid points should be sent 25.10.2017 up to 17.00 hours
9 End of purchase of bid document 07.11.2017 up to 11.00hours
10 End of Bid Submission 07.11.2017 up to 14.00hours
11 Opening of Technical Bid (online only) 07.11.2017 up to 15.00hours
1. Tender documents may be viewed or downloaded by interested and eligible
Tenderers from the Central Public Procurement Portal (CPPP) of Government of India, website : www.eprocure.gov.in and https://etender.procuretiger.com on the above mentioned dates after payment of Tender fee of Rs.1000/- plus 5% GST (Total Rs.1050/-). Tender document may also be viewed from the website www.mumbaiport.gov.in
2. The Prospective Tenderers are advised to register themselves on the e-procurement portal https://etender.procuretiger.com and obtain valid Class III Digital Signature Certificate (DSC) as per Information Technology (IT) Act, 2000.The said website can be accessed for additional information about registration and use of Portal.
3. The Tenderers can submit its tender online at https://etender.procuretiger.com
on or before the key dates given above.
4. All further notifications/amendments, if any shall only be posted on websites mentioned above.
Chief Medical Officer,
Mumbai Port Trust Hospital
Wadala (East), Mumbai – 400 037.
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MUMBAI PORT TRUST MEDICAL DEPARTMENT
CONTENTS
Sl.No. Description
1. Last date for receipt of tenders
2. Minimum Eligibility Criteria
3. General Conditions
4. Technical Bid
5. Pre Tender Meeting
6. Opening of Tender
7. Earnest Money Deposit
8. Earnest Money Deposit Exemption
9 Criteria for selection
10 Terms and Conditions
10.1 General Terms and Conditions
10.2 Conditions Related to Packages and Rates
10.3 Special Terms and Conditions for Diagnostic Centers
10.4 Payment Schedule
10.5 Duties And Responsibilities Of Empaneled Hospitals/Diagnostic
Centres
10.6 Duration of the contract
10.7 Hospital/Diagnostic Centre’s obligations during the Contract Period
10.8 Liquidated Damages
10.9 Termination for Default
10.10 Risk and Cost
10.11 Penalty
10.12 Indemnity
10.13 Arbitration
10.14 TDS and other Statutory Deductions
10.15 Corrupt and Fraudulent Practices
10.16 Pre Contract Integrity Pact
10.17 Exit from the panel
10.18 Miscellaneous
10.19 Notices
A-I Declaration (100 Rs Stamp Paper) – Annexure - I
A-II Mandate Form– Annexure – II
A-III Patient / Attendant Satisfaction Certificate– Annexure - III
A-IV General Information for Hospital / Diagnostic Centre– Annexure - IV
A-V
Information about Super Specialty services being offered for
Empanelment– Annexure –V
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A-VI Annual Financial Turnover Statement– Annexure -VI
A-VII Price Schedule should be quoted online only – Sample Format –
Annexure – VII
A-VIII Pre Contract Integrity Pact (100 Rs Stamp Paper)– Annexure - VIII
A-IX Check List– Annexure – IX
A-X Evaluation of EOI Submitted by the Hospital Applicants– Annexure
– X A-XI Evaluation of EOI Submitted by the Diagnostic centers Applicants–
Annexure – XI A-XII Self-evaluation of EOI Submitted by the Hospital Applicants–
Annexure – XII
A-XIII Self-evaluation of EOI Submitted by the Diagnostic centers
Applicants– Annexure – XIII
A-XIV Performance Bank Guarantee Format – Annexure - XIV
A-XV Draft Memorandum of Agreement (MOA) –Annexure - XV
Chief Medical Officer,
Mumbai Port Trust,
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ONLINE TENDER FOR EXPRESSION OF INTREST(EOI) FOR EMPANELMENT OF PRIVATE HOSPITALS/
DIAGNOSTIC CENTERS WITH MUMBAI PORT TRUST TO PROVIDE SECONDARY CARE TREATMENT
AND SUPER SPECIALTY TREATMENT ON CREDIT BASIS TO MUMBAI PORT TRUST BENEFICIARIES AS
PER MbPT STANDARD RATES FOR PACKAGE ITEMS AND STANDARD PERCENTAGE OF DISCOUNT
FOR NON PACKAGE ITEMS FOR A PERIOD OF TWO YEARS
__________________________________________________________________________________
Chief Medical Officer, Mumbai Port Trust (hereinafter referred as Tender Inviting Authority and also
called the Tender Acceptance Authority unless the context otherwise requires) invites online tender
for Expression of Interest (EOI) for empanelment of Private Hospitals/ Diagnostic Centers with
Mumbai Port Trust to provide secondary care treatment and super specialty treatment on credit
basis to Mumbai Port Trust beneficiaries as per MbPT standard rates for package items and standard
percentage of discount for non-package items for a period of two years from the date of signing of
contract with the selected Tenderer and extendable for further period on mutual consent.
Tenderers are requested to read the Tender Document carefully before submitting their Tenders.
1. LAST DATE FOR ONLINE RECEIPT OF TENDERS.
(a) The last date for online receipt of tenders shall be as per “Schedule of e-Tendering
Activities” given above.
(b) The bid will be valid for a period of 180 days from the date of opening of Technical Bid and
prior to the expiration of the bid validity the Tender Inviting Authority may request the
Tenderers to extend the bid validity for a further period as deemed fit.
2. QUALIFICATION CRITERIA
2..1 The bidder's hospital / Diagnostic centers should be situated in Mumbai Metropolitan
Region, Mumbai / Thane / Navi Mumbai and Kalyan.
2..2 The bidder’s Hospitals / Diagnostic Centers must submit in their letter Head for Expression of
Interest (EOI) for empanelment with Mumbai Port Trust to provide secondary care
treatment and super specialty treatment on credit basis to Mumbai Port Trust beneficiaries
as per MbPT standard rates for package items and standard percentage of discount for non-
package items which are available with bidder’s Hospital / Diagnostic Centers as per
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Annexure – VII for a period of two years.
2..3 The Hospital /Diagnostic Centre should have a valid registration certificate from competent
authority. (Attach Proof duly notarized).
2..4 The Tenderer should have experience of such type of empanelment with “satisfactory
service certificate” from at least one State or Central Govt. / Mumbai Port Trust / PSUs /
Organization /Departments. (Attach proof).
2..5 The bidder should submit an undertaking along with the technical bid to the effect that they
will not refuse Mumbai Port Trust patients sent for management at any time designated for
that empaneled hospital.
2..6 The Private Hospitals/ Diagnostic Center which have already been empaneled with Mumbai
Port Trust based on Tender Ref. No. CMO 61/2017 for super specialty
treatment/investigation for a period of two years with effect from 16.10.2017 are no need
to participate in this tender.
2..7 The Private Hospitals/ Diagnostic Center which have already been participated in Tender
Ref. No. CMO 61/2017 and not qualified for empanelment based on lack of infrastructure
facilities as per tender requirement are no need to participate in this tender once again.
However, Private Hospitals/Diagnostic Centers which have already been participated in
Tender Ref. No. CMO 61/2017 and disqualified in Technical Bid for non-compliance of tender
conditions i.e. disclosure of price bid in Technical documents (Cover A) etc. are eligible to
participate once again in this tender.
2..8 The hospitals /Diagnostic centers should submit proof of all necessary documents as per the
Annexures X to XIII for evaluation of Expression of Interest (EOI) to short- listing of applicants
based on marks scored by the applicants on each of the criteria as provided under Annexure
X & XI. The maximum possible marks, which may be scored by an applicant, are 100.
Minimum qualifying marks are 60 out of 100 (i.e. 60 % of the total possible marks). The
applicants scoring 60 and above would be short-listed for next round for selection
2..9 Tenderers should submit their Average Annual turnover in the last three financial years i.e.
2014-15, 2015-16 and 2016-17.
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2..10 The Hospital /Diagnostic Centre which has been de-empaneled /blacklisted /debarred either
by Tender Inviting Authority or by any State Government or Central Government
Organization should not participate in the tender during the period of blacklisting.
2..11 The Tenderer should give a self-attested affidavit stating that “the Private Hospital /
Diagnostic Centre has not been de-empaneled /blacklisted /debarred by any State
Government or Central Government Organization or by Mumbai Port Trust and are eligible
to participate in the present tender.” (Self-attested Affidavit as per Annexure I). If the
information provided in the affidavit is found to be incorrect at any stage, during and after
the tender, action will be initiated as per the tender conditions apart from forfeiture of EMD
and performance security deposit (if any).
2..12 “Satisfactory Inspection Certificate” from the team of officers of inspection Committee of
Mumbai Port Trust after physical inspection of the Hospital / Diagnostic Centre for the
documents and infrastructure facilities of Hospitals /Diagnostic Centre submitted along with
Technical Bid.
3. GENERAL CONDITIONS.
Tender documents can be downloaded from https://etender.procuretiger.comThe downloading
charges shall be Rs.1000/- plus 5% GST (Total Rs.1050/-). which should be deposited in
MUMBAI PORT TRUST account as mentioned below through RTGS or NEFT, receipt copy of the same
should be uploaded online. No exemption from payment of downloading charges is permitted. Also,
details of the downloading charges have to be mentioned online and a scanned copy of RTGS /NEFT
slip is to be uploaded online during e- tendering process athttps://etender.procuretiger.com. The
downloading charges in the form of demand draft/Cheque / Cash / Postal order will not be
accepted.
Mumbai Port Trust Current Ac/No. - 10996685430
Bank Name - STATE BANK OF INDIA
IFSC CODE - SBIN0000300
BRANCH - MUMBAI MAIN BRANCH, HORNIMAN CIRCLE, MUMBAI SAMACHAR
MARG, MUMBAI – 400001.
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Alternatively, the tender document can also be downloaded from the website
http://www.mumbaiport.gov.in for purpose of viewing only and it shall not be entertained as
VALID download of tender document. To participate in tender Tenderer should complete stages of
PURCHASE; DOWNLOAD AND FINAL BID SUBMISSION through https://etender.procuretiger.comBid
submitted only on-line will be accepted. No objections related to technical evaluation would be
accepted after the price bid opening. Any complaint made by a Tenderer against other Tenderers, if
found unjust will be considered as an effort to disrupt the bidding process and the complainant may
be panelized by forfeiting its EMD.
(i) Tender documents may be downloaded only from https://etender.procuretiger.com on
mentioned dates as in the KEY SCHEDULE given above. Tender inviting Authority will not
be responsible in any way for any delay.
(ii) Scan copy of the downloading charges should be uploaded online. Tenderers are
requested to complete the process of downloading / submission a day prior to closing in
order to safeguard their participation.
(iii) Tenders will be opened online in the presence of Tenderers / authorized representatives
who choose to attend on the specified date and time at Office of the Chief Medical
Officer, Mumbai Port Trust Hospital, Wadala(East), Mumbai – 400 037. (a)At any time
prior to the date of submission of Tender, Tender Inviting Authority may, for any reason,
whether on his own initiative or in response to a clarification requested by a prospective
Tenderer, modify the condition in Tender documents by an amendment. All the
prospective Tenderers who have received the tender document will be notified of the
amendment only through website, i.e. https://etender.procuretiger.com and that will be
binding on them. In order to provide reasonable time to take the amendment into
account in preparing their bid, Tender Inviting Authority may at his discretion, extend
the date and time for submission of tenders.
(iv) Any person who has downloaded the tender document should watch for amendment, if
any, on the website of Mumbai Port Trust https://etender.procuretiger.com and Tender
Inviting Authority will not issue separate communication to them.
(V) Interested eligible Tenderers may obtain further information in this regard from the
office of the Tender Inviting Authority or in person on the day of pre bid meeting.
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4 TECHNICAL BID (ONLINE ONLY)
4.1 COVER ”A ”
4.1 The Tenderer should submit the following documents as part of Technical Bid (Envelope-A). All
documents should be signed, numbered and sealed by the Tenderer on each page before
uploading. The Photocopies should be attested by the Tenderer.
(a) Tender documents can be downloaded from https://etender.procuretiger.comThe
downloading charges shall be Rs.1000/- plus 5% GST (Total Rs.1050/-). which
should be deposited in Mumbai Port Trust account through RTGS or NEFT, receipt copy of
the same should be uploaded online. No exemption from payment of downloading charges is
permitted. Also, details of the downloading charges have to be mentioned online and a
scanned copy of RTGS / NEFT slip is to be uploaded online during e- tendering process at
https://etender.procuretiger.comThe downloading charges in the form of demand
draft/Cheque / Cash / Postal order will not be accepted.
(b) Earnest Money Deposit shall be Rs.1,00,000/- for Hospitals and Rs.25000/- for Diagnostic
Centers which should be deposited in Mumbai Port Trust account through RTGS or NEFT,
receipt copy of the same should be uploaded online. No exemption from payment of EMD is
permitted. Also, details of the EMD have to be mentioned online and a scanned copy of
RTGS /NEFT slip is to be uploaded online during e-tendering process at
https://etender.procuretiger.com
(c) Documentary evidence for the constitution of the Hospital /Diagnostic Centre such as
Memorandum and Articles of Association, Partnership deed, Registration etc. with details of the
Name, Address, Telephone Number, Fax Number, e-mail address of the firm and of the
Managing Director / Partners / Proprietor. The list of present Directors in the board of the
Private Hospital / Diagnostic Centre duly self-certified.
(d) The instruments such as power of attorney, resolution of board etc., authorizing an officer of
the Tenderer should be enclosed with the tender duly signed by the Authorized signatory of the
Hospital /Diagnostic Centre and such authorized officer of the Tenderer should sign the tender
documents.
(e) Authorization letter nominating a responsible person of the Tenderer to transact the business
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with the Tender Inviting Authority.
(f) Annual turnover statement for 3 financial years: Average annual turnover of the bidder for
the 3 financial years immediately preceding the original scheduled tender opening date i.e.,
2014-15, 2015-16 and 2016-17 in the format given in Annexure-VI. The bidder shall furnish
the audited financial statements certified by Chartered Accountant to reckon the annual
financial turnover, in the name of the individual bidder or firm or company in case of bidder
is individual (sole Proprietary) or firm or company respectively for the aforesaid three years.
(g) If the bidder is not able to furnish the audited financial statements for the latest financial
year for genuine reasons of not having completed the auditing, the bidder shall submit the
audited financial statements for the three consecutive financial years immediately prior to
latest financial years satisfying the above requirements.
(h) Checklist (Annexure - IX) indicating the documents submitted with the bid document. The
documents should be uploaded as per caption provided.
(i) Mandate Form (Annexure - II)
(j) Satisfactory service certificate for a period of three years from at least one or two or three
State or Central Govt./ Mumbai Port Trust /PSUs / Organization / Deptt.
(k) A self-attested affidavit stating that “the Private Hospital / Diagnostic Centre has not been
de-empaneled /blacklisted /debarred by any State Government or Central Government
Organization or by Mumbai Port Trust and are eligible to participate in the present
tender.”(Self-attested Affidavit per Annexure - I).
(l) An undertaking to the effect that they will not refuse Mumbai Port Trust patients sent for
management at any time designated for that empaneled hospital
(m) Hospital /Diagnostic Centers latest rate list inclusive of various package rates/Procedures
rates along with available discounts/ concessions etc.
(n) Agreement in stamp paper cost value of Rs.100/- of the PRE CONTRACT INTEGRITY PACT
that is available in the Tender Document as Annexure -VIII,
(o) The tenderer should have N.O.C from pollution control board in respect of Bio Medical
waste disposal.
(p) Registration Certificate (Permission from the competent authority for running of the hospital
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/Diagnostic Centre) OR any other Municipal Statutory Certificate
(q) List of names of existing empaneled organizations/institutions (Attach Proof of documents).
(r) List of documents of General Information’s for Hospital / Diagnostic Centre as per Annexure
– IV
(s) The tenderer should submit the Documentary evidence for the purpose of evaluation of EOI
of Private Hospitals as per Annexure X & XII:
i. Location of Hospital
ii. Category of Specialty Services
iii. ICU
iv. Operation theatres
v. Type of Hospital
vi. No. of functional Beds (excluding Intensive Care)
vii. Duty Doctor to patient Ratio
viii. Nurse to patient Ratio(non ICU)
ix. Availability of in-house doctors (full time) with regards to the occupied inpatient
beds.
x. Infrastructure / Facilities /Other
xi. Medical audit
xii. In -House NABL Lab
xiii. Blood Bank Services (24Hours)
xiv. Super Specialty Treatment Investigations
xv. Availability of Ambulance facilities
xvi. Hospital Infection Control measures
xvii. Hospital Information System and Medical Records Department
xviii. Accreditation
xix. Bio Medical Waste Disposal System
xx. Diet services
xxi. Annual Turnover of the Hospital in aggregate of three financial years ending
March 2017
(t) The tenderer should submit the Documentary evidence for the purpose of evaluation of EOI
of Diagnostic Centers as per Annexure XI & XIII:
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i. Location
ii. List of Services
iii. Qualified Staff With Requisite Approvals
iv. Radiologist
v. Experience
vi. Life Saving Equipments
vii. Emergency Services (24 X7)
viii. Life of New Equipment
ix. C.T.
x. M.R.I
xi. Mammography
xii. PET.C.T.
xiii. Average Financial Turn over for last 3 years
4.2 All documents enclosed with the bid document should also be signed by the Tenderer. For
online bidding scan copy of documents in proper resolution should be uploaded online.
Tenderers are required to sign their bids online using Class III - Digital Certificates only,
Tenderers are advised to obtain the same at the earliest.
4.3 No physical submission is required, the above documents should be scanned and submitted
online only in specified envelopes.
5. PRE TENDER MEETING:
5.1. Date of pre-tender meeting is mentioned in Schedule of e-tendering activities.
5.2. Pre-tender meeting is called by the Tender Inviting Authority to explain briefly about the
requirements as well as the terms and conditions of the tender document and to get the
views of the prospective tenderers, as part of ensuing transparency in the tender
process.
5.3. It is an opportunity for the prospective tenderer to obtain all the details about the
tendered items, conditions governing the tenders and also to get the explanation of any
ambiguous condition that may be present in the tender document.
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5.4. It is also an opportunity for the Tender Inviting Authority to assess the market and
obtain feedback on the technical specifications/features etc requested by the User
Institution/funding agency, so as to make amendments in the tender document on the
basis of expert advice.
5.5. Failure to attend the Pre-tender meeting will not be a disqualification, but a loss of
opportunity for the prospective tenderers to understand about the ambulance hired
and the tender conditions.
5.6. Filled up Tenders will be accepted only after the date of pretender meeting.
6. OPENING OF TENDER
(a) All the Tenderers are entitled to be present at the date and time for opening of
Technical Bid - Envelope “A” as per the online key schedule of the tender submitted
by them.
(b) After technical bid opening any clarification required by the Mumbai Port Trust must
be submitted within seven days, after this period no application would be
entertained.
7. EARNEST MONEY DEPOSIT (EMD)
Earnest Money Deposit shall be Rs.1,00,000/- for Hospitals and Rs.25000/- for Diagnostic
Centers which should be deposited in Mumbai Port Trust account as mentioned below
through RTGS or NEFT, receipt copy of the same should be uploaded online. No exemption
from payment of EMD is permitted. Also, details of the EMD have to be mentioned online
and a scanned copy of RTGS / NEFT slip is to be uploaded online during e- tendering
process at https://etender.procuretiger.com Earnest money deposit in the form of demand
draft/Cheque / Cash / Postal order will not be accepted. Purchaser will not pay any interest
against the EMD deposited.
Mumbai Port Trust Current Ac/No. - 10996685430
Bank Name - STATE BANK OF INDIA
IFSC CODE - SBIN0000300
BRANCH -MUMBAI MAIN BRANCH, HORNIMAN CIRCLE, MUMBAI SAMACHAR
MARG, MUMBAI – 400001
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8. EARNEST MONEY DEPOSIT EXEMPTION.
(i) No exemption from payment of EMD is permitted. Tenders submitted without sufficient EMD,
will be rejected.
(ii) The Earnest Money Deposit of the unsuccessful Tenderers would be returned on execution
of the agreement by the successful Tenderers or within 30 days after the expiry of the bid
validity, whichever is later.
(iii) The EMD will be forfeited if the Tenderer withdraws his bid during the period of bid validity.
(iv) The EMD will be forfeited, in case of the successful Tenderer who fails to execute the
contract agreement and deposit the Security Deposit within the stipulated time.
9. CRETERIA FOR SELECTION: -
1. The Private Hospitals / Diagnostic Centers must submit in letter Head for Expression of
Interest(EOI) for empanelment with Mumbai Port Trust to provide secondary care treatment
and super specialty treatment on credit basis to Mumbai Port Trust beneficiaries as per
MbPT standard rates for package items and standard percentage of discount for non-
package items as per Annexure – VII for a period of two years.
2. The hospitals /Diagnostic centers should submit proof of all necessary documents as per the
Annexures X to XIII for evaluation of Expression of Interest (EOI) to short- listing of applicants
based on marks scored by the applicants on each of the criteria as provided under Annexure
X & XI. The maximum possible marks, which may be scored by an applicant, are 100.
Minimum qualifying marks are 60 out of 100 (i.e. 60 % of the total possible marks). The
applicants scoring 60 and above would be short-listed for next round for selection.
3. “Satisfactory Inspection Certificate” from the team of officers of inspection Committee of
Mumbai Port Trust after physical inspection of the Hospital / Diagnostic Centre for the
documents and infrastructure facilities of Hospitals /Diagnostic Centre submitted along with
Technical Bid. The Private Hospitals / Diagnostic Centers scoring 60 and above would be
short-listed for selection and considered for empanelment.
4. The Private Hospitals / Diagnostic Centers scoring less than 60 marks and if the Inspection
Committee not satisfied about the documents and infrastructure facilities of Hospitals /
Diagnostic Centre submitted along with Technical Bid will not be considered for
empanelment.
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5. Chief Medical Officer, Mumbai Port Trust reserves the right to accept or reject any or all
tenders without assigning any reason whatsoever. Incomplete, conditional or delayed bids
will not be considered & summarily rejected.
6. Upon final selection, the offer letter will be issued to the selected Private Hospitals
/Diagnostic centers and on acceptance of the offer, firm engagement letter with legal
agreement incorporating all the terms and conditions will be signed by the Private Hospitals
/Diagnostic centers with the Competent Authority, Mumbai Port Trust for commencement
of the assignments.
7. The Mumbai Port Trust can call for any further clarifications or information or documents at
any point of time. The applicant may also be called for explaining or clarifying issues, if there
be any.
10. TERMS AND CONDITIONS
(Please read all terms and conditions carefully before filling the application form and
Annexure thereto)
I. GENERAL TERMS AND CONDITIONS
1.1. Contract may be awarded to one or more Tenderers in a particular area depending upon the
concentration of MbPT beneficiaries.
1.2. Successful tenderer (who intends to apply for Super-Specialty Treatment/Investigations)
shall have to furnish a security deposit of Rs.2,00,000/- (Two lakh) in case of Hospitals and
Rs. 50,000/- in case of Diagnostic centers in the form of account payee demand draft or bank
guarantee from any of the nationalized bank having validity of 24plus 6 months (180 days
extra from the expiry of contract) and the same will be refunded without any interest after
termination/completion of the contract.
1.3. An Agreement on stamp paper of Rs. 100/- shall be signed with Hospitals/Diagnostic Centers
that are approved for empanelment after finalizing verification / physical verification of
records / Institution and incidental charges related to agreement shall be borne by the
Empaneled center. Contract will be effective from the date of the contract. Only those
applications will be considered for Award of contract that fulfill all the technical conditions
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and also have satisfactory report of inspection committee. Technical Bid must be
accompanied with all prescribed mandatory documents duly verified &signed, failing which
the bid will not be entertained.
2. Conditions Related to Packages and Rates
2.1. Package rate shall mean and include lump sum cost of in-patient treatment /
daycare/diagnostic procedure for which a Mumbai Port Trust beneficiary/Mumbai Port Trust
staff has been permitted by the competent authority or for treatment under emergency
from the time of admission to the time of discharge including two immediate consecutive
post-operative review visit (but not limited to):
(1) Registration charges (2). Admission charges (3.) Accommodation charges including
patients’ diet (4). Operation Charges (5).Injection Charges (6).Dressing
Charges(7).Doctor/consultant visit charges (8).ICU/ICCU charges (9).Monitoring
Charges(10).Transfusion charges (11).Anesthesia charges (12).Operation Theatre
charges(13).Procedural charges/Surgeon’s fee (14).Cost of surgical disposable and all
sundries used during hospitalization (15).Cost of medicines (16).All other related routine and
essential investigations (17).Physiotherapy (18).Nursing care and charges for its services and
all other incidental charges related thereto.
2.2. The Bidding Hospital/Diagnostic Center shall provide certain discounts on
drugs/treatment/procedures/devices as per quoted “Standard Highest discount percentage
rate (H1)” in Price Bid – II for non-package treatments/ Procedures and approved by MbPT.
These are: -
2.2..1 In case of emergency, if the Mumbai Port Trust patient is admitted for the specialty/ super
specialty procedure/investigation for which the hospital/ diagnostic center is not empaneled
to, the hospital/ diagnostic center shall levy MbPT approved rates for the
procedure/investigation. If no such rates are available, then there shall be a discount of as
per “Standard Highest discount percentage rate (H1)” in Price Bid – II for non-package
treatments/ Procedures and approved by MbPT on normal scheduled rates of the hospital
with prior permission of Chief Medical Officer, Mumbai Port Trust.
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2.2..2 The empaneled hospital shall not refuse to treat any Mumbai Port Trust patient in case of
emergency in any specialty/super specialty which is available in hospital despite it is
empaneled or not for the same. However, intimation for approval has to be given to the
office of Chief Medical Officer, Mumbai Port Trust as soon as practicable/preferably next
working day in case of holiday. In case of genuine delay, reason should be given and
approval should be taken from Chief Medical Officer, Mumbai Port Trust.
2.2..3 Cost of implants/stents/grafts will be paid in addition to package rates asper actual rates for
the same after allowing the quoted “Standard Highest discount percentage rate (H1)” in
Price Bid – II for non-package treatments/ Procedures and approved by MbPT.
2.2..4 Hospital/diagnostic centers empaneled under Mumbai Port Trust shall not charge more than
the approved package rates and approved discount rates for various items to Mumbai Port
Trust Employees and their family members and to all Retired Employees and their Spouses.
2.2..5 The services provided by the empaneled Hospitals to Mumbai Port Trust shall be on credit
basis for all Employees and their family members and on payment basis to all Retired
Employees and their Spouses.
2.2..6 Expenses on toiletries, cosmetics, telephone bills etc. are not payable by MbPT and are not
included in package rates.
II. Envisaged duration of Package rates for indoor treatment is as follows: -
Up to 12 Days: for Specialized (Super specialty) treatment
Up to 7 Days: for the other Major Surgeries
Up to 3 Days: for Laparoscopic Surgeries/normal Deliveries
1 Day: for day care/Minor OPD surgeries.
III. Increased duration of indoor treatment due to infection or the consequences of surgical
procedure if not justified or due to any improper procedure will not be paid by MbPT.
IV. However, Extended stay more than period covered in the package rate may be permitted in
exceptional cases provided the same is supported by relevant documents and medical
18
records and certified as such by hospital. The additional reimbursement shall be limited to
accommodation charges as per entitlement, investigation charges at approved rates, and
doctors’ visits charges (two visits /day) and cost of medicine for additional stay. The approval
from Chief Medical Officer, Mumbai Port Trust is required in the matter and the same shall
be attached with the bill so sent for payment.
V. A hospital/diagnostic center empaneled under Mumbai Port Trust, whose normal scheduled
rates of the hospital for treatment procedure/test are lower than the Mumbai Port Trust
prescribed rates shall charge as per the rates charged by Hospital/Diagnostic Centre from
patients of general Public and will furnish a certificate that rate charged are not more than
from patients of general Public. Duly Certified rate list of the procedures/services being
provided by hospital/ empaneled center is to be submitted along with tender document.
VI. The maximum room rent for different categories would be as per approved rates/terms&
conditions prevailing for Mumbai Port Trust.
a Room rent is applicable only for treatment procedures for which there is no MbPT
prescribed package rate. Room rent will include charges for occupation of Bed, diet for the
patient, charges for water and electricity supply, linen charges, nursing and routine up
keeping. Room rent for different categories would be as per MbPT terms & conditions.
b During the treatment in ICCU/ICU, no separate room rent will be admissible.
c Private ward is defined as a hospital room where single patient is accommodated and which
has an attached toilet (lavatory and bath). The room shall have furnishings like wardrobe,
dressing table, bedside table, sofa set etc. as well as a bed for attendant. The room has to be
air conditioned.
d Semi private ward is a hospital room where 2 or 3 patients are accommodated which has
attached toilet facilities and necessary furnishings.
e General ward is defined as Hall that accommodates 4 to 10 patients.
f Normally treatment in higher category of accommodation than the entitled category is not
19
permissible, however in case of an emergency when entitled category accommodation is not
available; admission in immediate higher category is to be allowed till entitled
accommodation is available. Even in this case the empaneled center has to charge as per
entitlement of the patient.
VII. The hospital/diagnostic center shall provide treatment/investigation to Mumbai Port Trust
patients on credit basis for all Employees and their family members and the hospital shall
provide treatment on payment basis to all Retired Employees and their Spouses.
a Patient will be referred with a Permission letter signed by the competent authority.
b Cases referred between 4 pm to 9 am next morning (Emergency cases) will be signed by
Casualty medical officer; the same permission letter will be signed by the Chief Medical
Officer, Mumbai Port Trust Hospital, Nadkarni Park, Wadala East, Mumbai next day and will
be sent by mail/post. These cases will be referred only after discussion with the concerned
specialist which has to be mentioned on the referral form.
c Direct admission without referral form will not be entertained at all. If entertained, the
payment of such procedures will not be made to the empaneled center by MbPT.
d The tie up hospital will not refer the patient to other specialist/other hospital without prior
permission of Chief Medical Officer, Mumbai Port Trust, Nadkarni Park, Wadala East,
Mumbai.
e All empaneled Hospitals should furnish the interim report once in a week about the status of
the patients admitted for the treatment/procedure of non-package diseases to the Chief
Medical Officer, MbPT.
f Feedback form will be filled by the patient/ attendant at Mumbai Port Trust hospital after
discharge
VIII. If one or more minor procedures form part of a major treatment procedure then package
charges would be permissible for major procedure and only 50% of charges for minor
procedures.
20
IX. MbPT has already implemented the practice of prescribing the Medicines in all the
prescriptions on Generic names only, hence, for smooth administration of MbPT Hospital, all
the empaneled Hospitals should ensure that advices on discharge prescriptions for
continuation of Medicines must be written on Generic names only.
X. Any legal liability arising out of such services shall be the sole responsibility of the
empaneled Hospital/Centre and shall be dealt with by the concerned empaneled
hospital/diagnostic center. However, Services will be provided by the hospital/diagnostic
center as per the terms of contract.
XI. Primary and Secondary Health care to Mumbai Port Trust beneficiaries is being provided by
MbPT Dispensaries and Mumbai Port Trust Hospital. However, in case of emergency the
super specialty Hospital/Diagnostic centers may start treatment/investigation and take Ex-
post facto approval from the office of the Chief Medical Officer, Mumbai Port Trust.
XII. Direct admission without referral form should not be entertained at all except in lifesaving
conditions such as cardiac/neurological emergencies, road side accidents, emergencies
needing immediate ventilator support with ICU care etc. Such cases shall be reported to the
office of the Chief Medical Officer, Mumbai Port Trust immediately and latest within
24working hours positively with necessary documents only through authorized
representative of empaneled center. However, Ex-post-facto approval shall be given by the
Chief Medical Officer, Mumbai Port Trust after having complete and valid justification from
the treating hospital/center, at his/her sole discretion.
XIII. Empaneled Centers will investigate/treat the Mumbai Port Trust beneficiary patient only for
the condition for which they are referred with permission, and in the specialty/super
specialty and/or purpose for which they are approved by Mumbai Port Trust. However, In
case of unforeseen emergencies during admission necessary life saving measures may be
taken and concerned authorities may be informed accordingly with justification for approval
as soon as it is practicable to do so.
XIV. During the in-patient treatment of Mumbai Port Trust beneficiary, the tie-up
hospitals/empaneled center will not ask the attendant to provide separately the
medicine/sundries/equipment or accessories from outside and will provide the treatment
21
within the package rates, fixed by the MbPT which includes the cost of all the items.
XV During the in-patient treatment of Mumbai Port Trust beneficiary, Empaneled Hospitals
should get prior permission from the Chief Medical Officer if the patient needs any medicine
which costs more than Rs.10000/-.
XVI. In case of any natural disaster/epidemic, the hospital/diagnostic center shall have to fully
cooperate with the Mumbai Port Trust and will convey/reveal all the required information,
apart from providing treatment/investigation facility.
3. Special Terms and Conditions for Diagnostic Centers.
a The tenderer and his representative should always be available / approachable over phone
for this purpose a Nodal Officer shall be nominated from hospital/diagnostic centers to
interact with Mumbai Port Trust beneficiaries. His mobile number/e-mail ID/fax should be
made available to Mumbai Port Trust.
b In emergencies, the center should be prepared to inform Reports over the
telephone/email/Fax.
c The center must be standard one (and if NABLH accreditation submit such proof), with
standard equipment, non-ironic iodinated contrast agents etc., qualified and trained
manpower.
d Bills should be sent monthly in duplicate, and should be accompanied by a copy of each of
referral Form/slip and related documents. The Diagnostic center shall deliver reports in
duplicate along with the soft copies of the images to the hospital in person.
e Committee members shall visit the Diagnostic center at any time either before entering in to
the contract, or at any time during the period of contract. The tenderer shall be prepared to
explain / demonstrate to the queries of the members.
f In future, if the requirement of digital bills is made mandatory, the diagnostic centers shall
comply with the same.
22
g The Diagnostic Centers should have Super Specialty Investigation facilities i.e. CT scan, RI,
PET Scan Echocardiography, scanning of bones and other body parts, Mammogram, etc.
required for super specialty treatment.
4. Payment Schedule
4.1. The empaneled Super specialty hospital will send bills along with necessary supportive
documents to the office of the Chief Medical Officer, Mumbai Port Trust as soon as bills are
generated after discharge of patient for further necessary action. The details of documents
to be submitted are as follows: -
a Discharge slip duly verified by treating doctor incorporating brief history of
the case, diagnosis, details of procedure done/treatment given/advised along
with the duration. Reports of investigations duly verified,
b Original receipts of medicines/implants duly verified,
c Stickers of implants duly verified,
d Wrappers of costly medicine/implants duly verified,
e Referral Slip/Form,
f Patient /Attendant satisfaction certificate duly signed as provided in
Annexure – III.
4.2. The above documents related to treatment/investigation duly verified by the treating
/investigating Doctor shall be submitted by the hospital/diagnostic center along with the bill
in duplicate in prescribed pro forma. The CD of procedure /MRI/CT Scan /X-ray film etc. is
required with each and every bills if it is done. The bills must be submitted to this office
within 15 day of discharge/investigation to this office for payment. However, the diagnostic
centers shall send the bills on monthly basis along with the abovementioned documents
whichever is applicable. The bills received after the above mentioned period shall not be
entertained.
4.3. Under laboratory services, the center needs to submit the slides of Histo-pathological
examination with the department of pathology. The slides would be taken up for technical
evaluation, to judge the quality of slides by the pathologist /can be sent for the same at
23
higher government centers. Payment of the same would be at the discretion of the Chief
Medical Officer, Mumbai Port Trust, Nadkarni Park, Wadala East, Mumbai, if at all found to
be of poor quality.
5. Duties and Responsibilities of Empaneled Hospitals/Diagnostic Centers
It shall be the duty and responsibility of the hospital/investigation center at all times, to
obtain, maintain and sustain the valid registration and high quality& standards of its services
and healthcare and to have all statutory/mandatory licenses, permits or approvals of the
concerned authorities as per the existing laws. Display board regarding cashless facility for
Mumbai Port Trust beneficiary will be required. The list of necessary documents required for
treatment/investigations at the Empaneled Hospital/ Diagnostic Centre must be displayed
on the board. A help desk shall be there for facilitation of Mumbai Port Trust beneficiaries.
The Name and Contact Number of Mumbai Port Trust Nodal Officer(s)should also be
displayed on the notice board in Marathi, English and Hindi.
6. Duration of the contract
The contract shall remain in force for a period of two years and may be extended for
subsequent period at the sole discretion of the Chief Medical Officer, Mumbai Port Trust
subject to fulfillment of all terms and conditions of this contract and with mutual consent.
An agreement will be signed on Stamp paper of appropriate value before starting of
services/extension of Contract. Cost of stamp paper and incidental charges related to
contract shall be borne by the empaneled Centre. Contract will be effective with effect from
the date of the contract.
7. Hospital/Diagnostic Centre’s obligations during the Contract Period
The Hospital/diagnostic center is responsible for and obliged to carry on all duties in
accordance with the Contract, using state-of-the-art equipment’s/methods and economic
principles and exercising all means available to achieve the performance specified in the
Contract. The Hospital is obliged to act within its own authority and abide by the directives
issued by the Mumbai Port Trust from time to time. The hospital is responsible for managing
24
the activities of its personnel and will hold itself responsible for their misdemeanors,
negligence, misconduct or deficiency in services, if any.
8. Liquidated Damages
Empaneled center shall provide the services as specified by the Mumbai Port Trust under
terms &conditions of this contract. In case of violation of the provisions of the contract by
the empaneled center, payment of the incoming/pending bills may be withheld and Security
Deposit may be forfeited. For over billing and unnecessary procedures, the extra amount so
charged will be deducted from the pending/further bills of the Hospital/diagnostic center.
Mumbai Port Trust shall have exclusive right to terminate the contract at any time.
9. Termination for Default
a. The Chief Medical Officer, Mumbai Port Trust may, without prejudice to any other remedy
and for breach of Contract in whole or part may terminate the contract: -
i. If the Hospital/diagnostic center fails to provide any or all of the services for which it
has been empaneled within the period(s) specified in the contract, or within any
extended period thereof if any, granted by Mumbai Port Trust.
ii. If the Hospital fails to perform any other obligation(s) under the Contract.
iii. If the Hospital, in the judgment of the Mumbai Port Trust, is engaged in corrupt or
fraudulent practices in competing for or in executing the Contract.
iv. If the hospital fails to follow instructions, guidelines, submits bills in its own way and
with repeated deficiencies, the Institution shall be liable for de-empanelment
b. If the Hospital is found to be involved in or associated with any unethical, illegal or unlawful
activity, the contract will be summarily suspended by Mumbai Port Trust without any notice
and thereafter Mumbai Port Trust may terminate the Contract, after giving a show cause
notice and considering its reply, if any, received within 10 days of the receipt of show cause
notice. Terms and conditions can be modified on sole discretion of the Mumbai Port Trust
only.
25
c. The Tie-up hospital/diagnostic center will not terminate the contract without giving notice of
three months, on the failure of which, security deposit shall be forfeited.
10. Risk and Cost
In case of failure by the empaneled hospital/diagnostic center to perform its duties under
this contract, the Chief Medical Officer, Mumbai Port Trust has right to get the performance
of duties done from any other hospital or diagnostic center at the sole risk and cost of the
empaneled Hospital/diagnostic center.
11. Penalty
a) Patient can't be denied treatment on the pretext of non-availability of
beds/Specialists, failing which if the Mumbai Port Trust patient takes treatment at some
other hospital, a penalty of rupees Five thousand (Rs 5000/-) will be imposed on empaneled
hospital and the same may be recovered from incoming /pending bills/security money.
b) In case of premature termination of contract by the empaneled center, it will have
to deposit Rs Two Lakh with the Chief Medical Officer, Mumbai Port Trust as damages. An
affidavit of appropriate value for the same is required to be given at the time of contract. If
Hospital fails to deposit money, the same will be recovered &appropriated from security
deposit or incoming/pending bills.
12. Indemnity
The Empaneled Hospital/diagnostic center shall at all times, indemnify and keep indemnified
Mumbai Port Trust against all actions, suits, claims and demands brought or made against in
respect of anything done or purported to be done by the Hospital/center in execution of or
in connection with the services under this contract and against any loss or damage to
Mumbai Port Trust in consequence to any action or suit being brought against the Mumbai
Port Trust along with the Hospital/center or otherwise, as a party for anything done or
purported to be done in the course of the execution of this Contract. The Hospital/diagnostic
center will at all times abide by the job safety measures and other statutory requirements
26
prevalent in India and will keep free and indemnify the Mumbai Port Trust from all demands
or responsibilities arising from accidents or loss of life resulting from negligence or
unreasonable conduct on the part of empaneled hospital/diagnostic center. The
Hospital/diagnostic center will solely pay all the indemnities arising from such incidents
without any extra cost to Mumbai Port Trust and will not hold the Mumbai Port Trust
responsible or obligated. Mumbai Port Trust may at its discretion and always entirely at the
cost of the tie up Hospital/diagnostic center defend such suit, either jointly with the tie-up
Hospital or unilaterally in case the latter chooses not to defend the case.
13. Arbitration
If any dispute or difference of any kind what so ever (the decision thereof not being
otherwise provided for) shall arise between the Mumbai Port Trust and the Empaneled
Hospital/Diagnostic Center upon or relation to or in connection with or arising out of the
Contract, shall be referred for arbitration by Mumbai Port Trust. The Arbitrator will be
appointed by Mumbai Port Trust. The decision of the Arbitrator will be final and binding. The
provision of Arbitration and Conciliation Act, 1996 shall apply to the arbitration proceedings.
The venue of the arbitration proceedings shall be at the office of Mumbai Port Trust. Any
legal dispute shall be settled in Mumbai, jurisdiction only.
14. TDS and other Statutory Deductions
TDS and other Statutory Deductions will be done as per Income Tax Rules or other applicable
statutory provisions prevalent from time to time.
15. Corrupt and Fraudulent Practices:
Corrupt practice means the offering, giving, receiving or soliciting of anything of value to
influence the action of the public official. The Chief Medical Officer, Mumbai Port Trust,
Nadkarni Park, Wadala East, Mumbai will reject the proposal for award if it determines that
the hospital recommended for empanelment has engaged in corrupt or fraudulent practices.
The Chief Medical Officer, Mumbai Port Trust Hospital, will declare a hospital in eligible,
either indefinitely or for a stated period of time, to be awarded a contract, if it at any time
determines that the bidding hospital has engaged in corrupt or fraudulent practices in
competing for, or in executing a contract.
27
16. Pre Contract Integrity Pact:
The Tenderer shall submit the tender along with Agreement in stamp paper cost value of
Rs.100/- of the PRE CONTRACT INTEGRITY PACT that is available in the Tender Document as
Annexure -XVIII, if the Tenderer is not submitted the Pre Contract Integrity Pact along with
the tender, then the tender shall not be considered for opening and rejected out rightly.
17. Exit from the panel:
The rates fixed by the Mumbai Port Trust shall continue to hold good for the entire contract
period. In case the notified rates are not acceptable to the empaneled private hospital, or
for any other reason, the private hospital no longer wishes to continue on the list of
empaneled private hospital, it can apply for exclusion from the panel by giving three
months notice and by depositing an exit fee of Rs.10000/- (Rupees Ten Thousands Only)
18. Miscellaneous
a. Nothing under this Contract shall be construed as establishing or creating between the
Parties any relationship of Master and Servant or Principle and Agent between the Mumbai
Port Trust and Empaneled Center. The Empaneled Hospital/Diagnostic Center shall not
represent or hold itself out as an agent of the Mumbai Port Trust.
b. The Mumbai Port Trust will not be responsible in any way for any negligence or misconduct
on the part of the Empaneled Hospital/Diagnostic Center and its employees for any accident,
injury or damage sustained or suffered by any Mumbai Port Trust beneficiary or any third
party resulting from or by any operation conducted by or on behalf of the Hospital or in the
course of doing its work or performing its duties under this Contract of otherwise.
c. The Empaneled Hospital/Diagnostic Center shall notify Mumbai Port Trust of any material
change in their status and their shareholdings or that of any Guarantor of the Empaneled
Hospital/Center in particular where such change would have an impact in the performance
of obligation under this Contract.
d. This Contract can be modified or altered only on written Contract signed by both the parties
with mutual consent.
28
e. The Mumbai Port Trust shall have the right to terminate the Contract in case the empaneled
hospital is wound up/dissolved. The termination of Contract shall not relieve the Empaneled
Center or their heirs and legal representatives from their liability in respect of the services
provided by the Empaneled Center during the period when the Contract was in force.
f. Terms & conditions of the tender document may be modified at the discretion of the MbPT.
However, if such modification is made, the same shall be incorporated into the final
agreement to be entered with the empaneled Hospital/diagnostic center.
19. Notices
a. Any notice given by one Party to other pursuant to this Contract shall be sent to other party
in writing by Registered Post at the official addresses mentioned in the contract.
b. A notice shall be effective when served or on the notice’s effective date, whichever is later.
c. Registered communication shall be deemed to have been served even if it is returned with
the remarks like refused left premises, locked etc. Mumbai Port Trust reserves the right to
accept or reject any tender without assigning any reason thereof.
The competent authority reserves the right to accept or reject any or all tenders without assigning
any reason whatsoever. Incomplete, conditional or delayed bids will not be considered &
summarily rejected.
29
ANNEXURE-I
DECLARATION (100 Rs Stamp Paper)
I/We M/s._____________________ represented by its Proprietor / Managing Partner /
Managing Director having its Registered Office at
________________________________________________ competent to sign this declaration and
execute this tender document and do declare that I/We have carefully read all the conditions of
tender in Ref.No. ________________________, for empanelment of Private Hospitals / Diagnostic
Centers for the Rate Contract to provide Tertiary Care treatment and Super specialty treatment to
Mumbai Port Trust Beneficiaries for a Period of two years from the date of signing of contract with
the selected Tenderer and accepts all conditions of the Tender including amendments/corrigendum
subsequently issued by the Tender Inviting authority, if any. Further I/we confirm our eligibility for
this tender and all items quoted as per the tender condition and Governing laws of India, in case of
typographical error found in submitted documents / affidavits / declarations, in this case we accept
all the Terms and conditions of bid documents.
I am/we are aware of the Tender Inviting Authority’s right to forfeit the Earnest Money
Deposit and/or Security Deposit if, any information furnished in the affidavit by us proved to be false
at the time of inspection / verification and if, not complying the conditions as per Contract
Agreement.
I/We ___________________ (name of proprietor) have carefully gone through and
understood the contents of the tender document and I/We undertake to abide myself/ourselves by
all the terms and conditions set forth.
I/We do hereby declare that we have not blacklisted/debarred either by Tender Inviting
Authority or by any State Government or Central Government Organization.
The information/ documents furnished along with the tender are true and authentic to
the best of my knowledge and belief. I /we, am / are well aware of the fact that furnishing of any
false information / fabricated document would lead to rejection of my tender at any stage
besides liabilities towards prosecution under appropriate law.
Date:
Place: Signature of Authorized Person
Full Name:
Private Hospital / Diagnostic
Centre³s Seal:
30
ANNEXURE - II
MANDATE FORM
01 Hospital / Diagnostic Center Name
02 Postal Address of the Hospital / Diagnostic
Center with Telephone No., Fax No. and Mail
I.D.
03 Name of the Managing Director / Director /
Manager
Mobile No. / Phone No.
E-mail I.D.
04 Name and Designation of the authorized
Hospital / Diagnostic Center official
Mobile No.
E-mail ID
Date: Signature
Place: (Name of the person signing and designation)
Private Hospital / Diagnostic Centre Seal
01 Name of the Bank .
Branch Name and address.
Branch Code No.
Branch Manager Mobile No.
Branch Telephone no.
Branch E-mail ID
02 9 digit MICR code number of the bank and
branch appearing on the MICR cheque issued
by the bank.
03 IFSC code of the Branch
31
04 Type of Account (Current / Savings).
05 Account Number (as appear in cheque book)
(in lieu of the bank certificate to be obtained, please attach the original cancelled cheque issued by
your bank for verification of the above particulars).
I /We hereby declare that the particulars given above are correct and complete. If the transaction is
delayed or not effected at all for reasons of incomplete or incorrect information, I would not hold
Chief Medical Officer on behalf of Mumbai Port Trust responsible. I have read the conditions of the
tender/agreement entered and agree to discharge the responsibility expected of me / from the
Hospital / Diagnostic Center as a Tenderer /successful Tenderer.
Date: Hospital / Diagnostic Center Seal Signature
Place: (Name of the person signing and designation)
----------------------------------------------------------------------------------------------------------------CERTIFIED THAT
THE PARTICULARS FURNISHED ABOVE BY THE PRIVATE HOSPITAL / DIAGNOSTIC CENTRE ARE
CORRECT AS PER OUR RECORDS.
Bank Seal with address. Signature of the authorized official of the bank.
----------------------------------------------------------------------------------------------------------------
32
ANNEXURE- III
PATIENT/ATTENDANT SATISFACTION CERTIFICATE
1. I am satisfied/ not satisfied with the treatment given to me/ my patient and with the
behavior of the hospital staff.
2. If not satisfied, the reason(s) thereof.
3. It is stated that no money has been demanded/ charged from me/my relative during the
stay at hospital.
Date &Time:
Sign/Thumb impression of patient/Attendant
Name of the Patient/attendant
Name of IP
Date of Admission
Date of Discharge
33
ANNEXURE-IV
GENERAL INFORMATION FOR HOSPITAL /DIAGNOSTIC CENTRE
(To be submitted duly filled along with supporting documents along with the
application form)
1. Information Regarding Hospitals
i. Bed strength of the Hospital (As per super specialties applied for)
______________
ii. No of ICU Beds (As per Specialties Applied for): _____________
iii. List of Available specialties for which the hospital is interested for tie-
up arrangement:(As per Annexure-V).
iv. No of functioning Operation Theatres super specialty wise:
______________
v. List of Availability of full time super specialists along with their
Degrees/certificates for which center is going to empaneled :(separate
sheet to be attached) ______________
vi. Daily and monthly number of patient’s specialty wise (separate sheet
to be attached) ______________
vii. List of Availability of part-time and on call specialist/super specialist
along with their Degrees/certificates for which center is going to
empaneled (separate sheet be attached).
viii. List of all doctors, paramedical and non-medical :-( separate list for
doctor, paramedical and non-medical be attached) along with period of
stay and qualification.
ix. Name of existing organizations/institutions empaneled with the
Hospital (with details):
x. Category of the hospital, as NABH, NON NABH, Super Specialty
Hospital(attach proof) __________________________.
2. Information Regarding Diagnostic Centre:
i. List of Super Specialty investigations for which diagnostic Centre is
interested:
ii. Category of the Diagnostic center (As per CGHS) NABL, NON NABL,
(attach proof)
34
iii. List of Available equipment’s i.e. name and year of
manufacturing/installation: (separate sheet be attached).
iv. Total number of super specialty investigations done (Separate Sheet to
be attached).
v. Daily and monthly number of procedures specialty & super specialty
wise (Separate sheet to be attached) ______________
vi. List of Available specialties for which the hospital is interested for tie-
up arrangement (As per Annexure-V)
vii. List of Availability of full time super specialists along with their
Degrees/certificates for which center is going to empaneled :(separate
sheet to be attached) ______________
viii. List of Availability of part-time and on call specialist/super specialist
along with their Degrees/certificates for which center is going to
empaneled (separate sheet be attached). [
ix. List of all doctors, paramedical and non-medical :-( separate list for
doctor, para medical and non-medical be attached) along with period
of stay and qualification.
x. Actual Rate list of hospital/empaneled center for various
packages/procedures. (Separate sheet be attached).
xi. Name of existing organizations/institutions empaneled with the
Diagnostic center (with details):
Date:
Place:
(Name and signature of proprietor with seal)
Note 1: Enclosures should be attached in the order as per the information
given above.
Note 2: Technical evaluation of the Hospital/diagnostic centers shall be
based on information provided by them on the above mentioned
points and they shall mandatorily provide documentary proof for the
same. No future correspondence shall be entertained in this regard.
An Inspection committee will visit these centers for inspection which
qualify in the technical bid.
35
ANNEXURE - V
Information about Super Specialty services being offered for Empanelment (Tick the specialties in which empanelment are desired by Hospital)
Name of the Hospital /Diagnostic Centre: Super Specialty Care Treatment
a. Cardiology and cardiothoracic vascular surgery. ( ) b. Neurology ( ) c. Neurosurgery ( ) d. Oncology, Oncosurgery& Radiotherapy ( ) e. Nephrology & Dialysis ( ) f. Urology and Urosurgery ( ) g. Gastroenterology ( ) h. Gastro surgery ( ) i. Paediatric Surgery ( ) j. Endocrinology and endocrine surgery ( ) k. Burns management/surgery ( ) l. Plastic Surgery ( ) m. Reconstructive Surgery (Joint replacement) ( ) n. Eye specialty/super specialty treatment ( ) o. Other, if any ( )
Super Specialty Investigation: - a. CT Scan ( ) b. MRI ( ) c. PET Scan ( ) d. Echocardiography ( ) e. Mammogram ( ) f. Bone Scan & screening of other parts of body ( ) g. Specialized Biochemical, Immunological investigations ( ) h. Others, if any ( )
Tertiary Care Treatment a. General Medicine (with ICU) ( ) b. General Surgery ( ) c. ENT ( ) d. Ophthalmology ( ) e. Orthopedics ( ) f. Obstetrics &Gynecology ( ) g. Neonatology &Paediatrics (with NICU & PICU) ( ) h. Radiology investigations ( ) i. Lab Services ( ) j. Blood Bank Services ( ) k. Others, if any ( )
Date:
Place: (Name and signature of proprietor with seal)
36
Annexure-VI
ANNUAL FINANCIAL TURN OVER STATEMENT
The Annual Turnover of M/s.__________________________________ for
the past three years are given below and certified that the statement is true
and correct.
_____________________________________________________________
Sl.No. Financial Year Turnover in Lakhs (Rs)
_____________________________________________________________
1. 2014 - 2015
2. 2015 - 2016
3. 2016 - 2017
_____________________________________________________________
Total - Rs. _________________ Lakhs.
_____________________________________________________________
Average turnover per annual - Rs._________________ Lakhs.
Date:
Signature of
Auditor/Seal:
Chartered Accountant
(Name in Capital)
37
ANNEXURE –VII
MbPT STANDARD RATES FOR PACKAGE ITEMS & STANDARD
PERCENTAGE OF DISCOUNT FOR NON PACKAGE ITEMS.
MbPT STANDARD (L1) PACKAGE RATE FOR TREATMENT PROCEDURES UNDER PACKAGE
Sr.No.
Code No. PACKAGES AND PACKAGE
PRICES
Standard L1 Rate
for General Ward for
Class IV Employee
s
Standard L1 Rate for Semi Private
Ward for
Class III Employee
s
Standard L1 Rate
for Private
ward for Class I & II Officers
1 2 3 4 5 6
SURGICAL PACKAGES
S1 GENERAL SURGERY
S1.1 HEAD & NECK
S1.1.1 Neck
1 S1.1.1.1 Branchial Cyst Excision 30000 40000 50000
2 S1.1.1.2 Branchial Sinus Excision 32000 36800 46000
3 S1.1.1.3 Carotid Body-tumours Excision 48000 55200 69000
4 S1.1.1.4 Cystic Hygroma Excision-Extensive
48000 55200 69000
5 S1.1.1.5 Cystic Hygroma Excision-Major 48000 55200 69000
6 S1.1.1.6 Cystic Hygroma Excision-Minor 23000 38000 45000
7 S1.1.1.7 Excision of Lingual Thyroid 40000 46000 57500
8 S1.1.1.8 Parathyroidectomy 78000 91260 114075
9 S1.1.1.9 Excision of Thyroglossal Cyst-Fistula
24000 27600 34500
10 S1.1.1.10 Cervical Rib excision 24000 27600 34500
11 S1.1.1.11 Removal of Submandibular Salivary gland
18000 22000 36000
S1.1.2 Mandible
12 S1.1.2.1 Hemimandibulectomy 60000 69000 86250
13 S1.1.2.2 Segmental Mandible Excision 50000 57500 71875
S1.1.3 Tongue
14 S1.1.3.1 Partial glossectomy 50000 57500 71875
15 S1.1.4.1 Abbe Operation 24000 32000 45000
16 S1.1.4.2 Vermilionectomy 24000 29000 36250
17 S1.1.4.3 Wedge Excision & Vermilionectomy
32000 36800 46000
S1.1.5 Thyroid (Non-Malignant )
18 S1.1.5.1 Hemithyroidectomy 50600 59202 74003
19 S1.1.5.2 Isthmectomy 83853 98108 122635
38
20 S1.1.5.3 Partial Thyroidectomy 83853 98108 122635
21 S1.1.5.4 Resection Enucleation 83853 98108 122635
22 S1.1.5.5 Subtotal Thyroidectomy 83853 98108 122635
23 S1.1.5.6 Total Thyroidectomy 83853 98108 122635
S1.2 BREAST
24 S1.2.1 Simple Mastectomy (Non Malignant)
53361 62432 78040
S1.3 ABDOMEN
S1.3.1 Hernia
25 S1.3.1.1 Epigastric Hernia without Mesh
70000 80500 100625
26 S1.3.1.2 Epigastric Hernia with Mesh 95000 109250 136563
27 S1.3.1.3 Femoral Hernia 95000 109250 136563
28 S1.3.1.4 Hiatus Hernia Repair Abdominal
95000 109250 136563
29 S1.3.1.5 Rare Hernias (Spigalion,obuturator, Sciatic)
95000 109250 136563
30 S1.3.1.6 Umbilical Hernia without mesh 70000 80500 100625
31 S1.3.1.7 Umbilical Hernia with mesh 72110 85840 112410
32 S1.3.1.8 Ventral and Scar Hernia without mesh
70000 80500 100625
33 S1.3.1.9 Ventral and Scar Hernia with mesh
95000 109250 136563
S1.3.2 Appendix
34 S1.3.2.1 Lap. Appendicectomy in Adults 77000 93719 117149
35 S1.3.2.2 Appendicular Perforation 90000 103500 129375
S1.3.3 Stomach, Duodenum and Jejunum
36 S1.3.3.1 Highly Selective Vagotomy 40000 46000 57500
37 S1.3.3.2 Selective Vagotomy Drainage 64000 73600 92000
38 S1.3.3.3 Vagotomy Pyloroplasty 48000 55200 69000
39 S1.3.3.4 Gastrojejunostomy&Vagotomy 48000 55200 69000
40 S1.3.3.5 Operation for bleeding peptic
Ulcer 64000 73600 92000
41 S1.3.3.6 Partial/subtotalGastrectomy for ulcer
64000 73600 92000
42 S1.3.3.7 Pyloromyotomy 32000 36800 46000
43 S1.3.3.8 Gastrostomy 32000 36800 46000
44 S1.3.3.9 Gastrostomy Closure 32000 36800 46000
45 S1.3.3.10 Duodenal perforation 60000 90000 120000
S1.3.4 Small Intestine
46 S1.3.4.1 Intussusceptions 90000 103500 129375
47 S1.3.4.2 Operation for Acute intestinal obstruction
90000 103500 129375
39
48 S1.3.4.3 Operation for Acute intestinal perforation
90000 103500 129375
49 S1.3.4.4 Operation for Haemorrhage of thesmall intestine
90000 103500 129375
50 S1.3.4.5 Operations for Recurrent intestinal obstruction (Noble plication other)
90000 103500 129375
51 S1.3.4.6 Resection & Anatomisesof small intestine
90000 103500 129375
52 S1.3.4.7 Ileostomy 32000 36800 46000
53 S1.3.4.8 Ileostomy Closure 32000 36800 46000
S1.3.5 Large Intestine
54 S1.3.5.1 Mal-rotation & Volvulus of the Midgut
56000 64400 80500
55 S1.3.5.2 Operation for Volvulus of large bowel
56000 64400 80500
56 S1.3.5.3 Operation of the Duplication of the Intestines
64000 73600 92000
57 S1.3.5.4 Left Hemi-Colectomy 94000 108100 135125
58 S1.3.5.5 Right Hemi-Colectomy 94000 108100 135125
59 S1.3.5.6 Total Colectomy 122000 140300 175375
60 S1.3.5.7 Colostomy 45000 60000 80000
61 S1.3.5.8 Colostomy Closure 32000 36800 46000
S1.3.6 Rectum and Anus
62 S1.3.6.1 Pull through abdominal Resection
110000 126500 158125
63 S1.3.6.2 Anterior Resection 110000 126500 158125
S1.3.7 Liver
64 S1.3.7.1 Operation for Hydatid cyst ofLiver
48000 55200 69000
S1.3.8 Gallbladder
66 S1.3.8.1 Cholecystectomy 73600 86590 106050
67 S1.3.8.2 Lap. Cholecystectomy 80000 93600 117000
68 S1.3.8.3 Cholecystectomy & Exploration CBD
80000 92000 115000
69 S1.3.8.4 Cholecystostomy 80000 93600 117000
70 S1.3.8.5 Cystojejunostomy 80000 92000 115000
71 S1.3.8.6 Cystogastrostomy 67000 75000 90000
72 S1.3.8.7 Repair of CBD 120000 138000 172500
S1.3.9 Adrenals
73 S1.3.9.1 Operation of Adernal glands, bilateral for tumour
100000 115000 143750
74 S1.3.9.2 Operation on Adrenal glands unilateral for tumour
100000 115000 143750
S1.3.10 Spleen
40
75 S1.3.10.1 Splenectomy for Hypersplenism
80000 92000 115000
76 S1.3.10.2 Splenorenal Anastomosis 96000 110400 138000
77 S1.3.10.3 Warren shunt 96000 110400 138000
S2 ENT SURGERY
S2.1 EAR
78 S2.1.1 Labyrinthectomy 32000 36800 46000
79 S2.1.2 Facial Nerve Decompression 50000 62000 80000
80 S2.1.3 Temporal Bone Excision 80000 92000 115000
S2.2 THROAT
81 S2.2.1 Micro laryngeal Surgery 42000 48300 60375
82 S2.2.2 Phono Surgery for Vocal cord paralysis
40000 46000 57500
83 S2.2.3 Laryngo Fissurectomy 45000 51750 64688
84 S2.2.4 Exision of Tumors in Pharynx 48000 55200 69000
85 S2.2.5 Para pharyngeal tumour Excision
60000 69000 86250
86 S2.2.6 Adenoidectomy + Gromet insertion
39000 44850 56063
87 S2.2.7 Uvulo-palato-Pharyngoplasty. 40000 46000 57500
S2.3 NOSE
88 S2.3.1 Endoscopic sinus surgery 24000 27600 34500
89 S2.3.2 Mastoidectomy 46585 54504 68131
90 S2.3.3 Tympanoplasty 48763 57053 71316
91 S2.3.4 Stapedectomy + Vein graft 90000 103500 129375
92 S2.3.5 Excision of Benign Tumour Nose
48000 55200 69000
93 S2.3.6 Angiofibroma Nose 64000 73600 92000
94 S2.3.7 Endoscopic DCR 32000 36800 46000
S2.4 FOREIGN BODY REMOVAL (BRONCHUS/OESOPHAGUS)
95 S.2.4.1 Bronchoscope foreign body removal
32000 36800 46000
S2.5 COCHLEAR IMPLANT SURGERY
S2.5.1 Cochlear Implant Surgery For Children Below 6 Years
96 S2.5.1.1 Cochlear Implant Surgery 300000 400000 500000
S3 OPTHALMOLOGY SURGERY
S3.1 CORNEA and SCLERA
106 S3.1.1 THERAPEUTIC PENETRATING KERATOPLASTY
34000 NA NA
107 S3.1.2 LAMELLAR KERATOPLASTY 34000 NA NA
108 S3.1.3 CORNEAL PATCH GRAFT 34000 NA NA
109 S3.1.4 SCLERAL PATCH GRAFT 34000 NA NA
41
110 S3.1.5 PENETRATING KERATOPLASTY
34000 NA NA
112 S3.1.7 AMNIOTIC MEMBRANE GRAFT 11200 NA NA
S3.2 VITREO-RETINA
S3.2.1 VITREA
113 S3.2.1.1 Vitrectomy 27300 27300 27300
114 S3.2.1.2 Vitrectomy + Membrane peeling+ Endolaser, silicon oil or gas
43560 NA NA
115 S3.2.1.3 Vitrectomy + Membrane peeling+ Endolaser
40560 45000 45000
116 S3.2.1.4 Vitrectomy + silicon oil or gas 38000 45000 45000
117 S3.2.1.5 Removal of silicon oil or gas 15000 NA NA
118 S3.2.1.6 Monthly Intravitreal Anti-VEGF for macular degeneration / Per injection (maximum - 6)
32000 NA NA
S3.2.2 RETINA
119 S3.2.2.1 Sclera buckle for Retinal detachment
30800 45000 45000
120 S3.2.2.2 Photocoagulation for Diabetic Retinopathy /per sitting
3500 NA NA
S3.3 ORBIT
121 S3.3.1 SOCKET RECONSTRUCTION 30000 NA NA
123 S3.3.3 ORBITOTOMY 35000 NA NA
124 S3.3.4 Enucleation with orbital Implant
40000 NA NA
S3.4 SQUINT CORRECTION SURGERY
125 S3.4.1 RECTUS MUSCLE SURGERY(SINGLE)
12000 NA NA
126 S3.4.2 RECTUS MUSCLE SURGERY(TWO/THREE)
19200 NA NA
127 S3.4.3 OBLIQUE MUSCLE 9600 NA NA
S3.5 LID SURGERY
128 S3.5.1 Lid reconstruction Surgery- 24000 NA NA
S3.6 PEDIATRIC OPHTHALMIC SURGERY
129 S3.6.1 Photocoagulation for Retinopathy of prematurity
10000 NA NA
130 S3.6.2 Paediatric Cataract Surgery (Phacoemulsification + IOL)
28000 NA NA
131 S3.6.3 Glaucoma filtering Surgery for Paediatric Glaucoma
24000 NA NA
S4 GYNAECOLOGY AND OBSTETRICS SURGERY
S4.1 Obstetrics
42
132 S4.1.1 Caesarean Hysterectomy with Bladder Repair
64570 75547 94434
133 S4.1.2 Rupture Uterus with Tubectomy
105000 120750 150938
134 S4.1.3 Eclampsia with Complications requiring ventilatory support
180000 207000 258750
135 S4.1.4 Abruptio-placenta with Coagulation Defects(DIC)
80000 92000 115000
S4.2 Gynaecology
136 S4.2.1 LAVH 72600 84942 106178
137 S4.2.2 Laparoscopic Cystectomy 77077 90180 112725
138 S4.2.3 Laparoscopic Ectopic Resection 77077 90180 112725
139 S4.2.4 Laparoscopic Myomectomy 66810 90180 99690
140 S4.2.5 Laparoscopic recanalisation 80000 92000 115000
141 S4.2.6 Laparoscopic Sling operations 90000 103500 129375
142 S4.2.7 Laparoscopic adhesolysis 80000 92000 115000
143 S4.2.8 Vaginal Hysterectomy 72600 84942 106178
144 S4.2.9 Vaginal Hysterectomy with pelvic floor repair
84579 98957 123697
145 S4.2.10 Cystocele, Rectocele & Perineorraphy Mesh
110000 126500 158125
146 S4.2.11 McIndo's repair for Vaginal Atresia
74173 86782 108478
147 S4.2.12 Vault prolapse abdominal repair
74173 86782 108478
148 S4.2.13 Vault prolapse abdominal repair with mesh
96000 112320 140400
S5 ORTHOPEDIC SURGERY AND PROCEDURES
S5.1 Fracture Correction Surgeries/Procedures
149 S5.1.1 Bone Grafting as exclusive procedure
45000 52650 65813
150 S5.1.2 Excision or other Operations for Scaphoid Fractures
80000 92000 115000
151 S5.1.3 Open Reduction & Internal Fixation of Fingers & Toes
95000 109250 136563
152 S5.1.4 Reduction of Compound Fractures & External fixation
45000 51750 64688
153 S5.1.5 ILIZAROV Ring Fixator Application
64000 73600 92000
154 S5.1.6 CTEV Neglected - JESS Fixator 88000 101200 126500
S5.2 Dislocations
155 S5.2.1 Open Reduction of Dislocations - Deep
69000 79350 99188
156 S5.2.2 Amputations (Non-Traumatic) 35000 40250 50313
43
157 S5.2.3 Amputations - Forequarter 48000 55200 69000
158 S5.2.4 Amputations - Hind Quarter and Hemipelvectomy
86000 98900 123625
S5.3
Bone and Joint Surgery & Osteotomy Procedures including post-polio and cerebral palsy corrections
159 S5.3.1 Arthrodesis of - Major Joints 78000 89700 112125
160 S5.3.2 Arthroscopy - Diagnostic 32000 36800 46000
161 S5.3.3 Arthroscopy - Operative MeniScectomy
53180 62570 83240
162 S5.3.4 Arthroscopy - ACL Repair 86530 101810 126200
163 S5.3.5 A Vascular Necrosis of Femoral Head (core decompression)
120000 138000 172500
164 S5.3.6 Soft Tissue Reconstructive Procedures for Joints / osteotomies
86000 98900 123625
S5.4 Spine Surgery
165 S5.4.1 Anterolateral Clearance for Tuberculosis
130000 149500 186875
166 S5.4.2 CostoTransversectomy 68000 78200 97750
167 S5.4.3 Spinal Ostectomy and Internal Fixations
130000 149500 186875
S5.5 Soft Tissue Surgery
168 S5.5.1 Nerve Repair with Grafting 150000 172500 215625
169 S5.5.2 Neurolysis / Nerve Suture 180000 207000 258750
170 S5.5.3 Operations for Brachial Plexus & Cervical Rib
90000 103500 129375
S5.6 TUMOR SURGERY
171 S5.6.1 Excision of Bone Tumours - Deep with reconstruction with conventional prosthesis
195000 224250 280313
S6 SURGICAL GASTROENTEROLOGY
S6.1 Emergency
172 S6.1.1 Surgery for Bleeding Ulcers 90000 103500 129375
173 S6.1.2 Surgery for Obscure GI Bleed 96000 110400 138000
S6.2 Oesophagus
174 S6.2.1 Colonic Pull up 120000 138000 172500
175 S6.2.2 Oesophagectomy 400000 475000 550000
176 S6.2.3 Oesophago-Gastrectomy 96000 110400 138000
177 S6.2.4 Lap Heller's myotomy 110000 126500 158125
178 S6.2.5 Lap Fundoplications 100000 115000 143750
S6.3 Stomach
179 S6.3.1 Partial Gastrectomy 80000 92000 115000
44
180 S6.3.2 Total Gastrectomy 80000 92000 115000
181 S6.3.3 Truncal vagotomy + Gastro Jejunostomy
80000 92000 115000
182 S6.3.4 Distal Gastrectomy for Gastric Outlet obstruction
48000 55200 69000
183 S6.3.5 Surgery for Corrosive injury Stomach
80000 92000 115000
S6.4 Small Intestine
184 S6.4.1 Volvulus 56000 64400 80500
185 S6.4.2 Malrotation 56000 64400 80500
186 S6.4.3 Lap Adhesiolysis 92000 105800 200000
S6.5 Large Intestine
187 S6.5.1 Right Hemicolectomy 120000 138000 172500
188 S6.5.2 Left Hemicolectomy 120000 138000 172500
189 S6.5.3 Extended Right Hemicolectomy 120000 138000 172500
190 S6.5.4 Anterior Resection 120000 138000 172500
191 S6.5.5 Anterior Resection with Ileostomy
120000 138000 172500
192 S6.5.6 Abdomino Perineal Resection(NonMalignant)
120000 138000 172500
193 S6.5.7 Hartman's Procedure with Colostomy
120000 138000 172500
S6.6 Ulcerative Colitis
S6.6.1 III Stage Procedure
194 S6.6.1.1 I Stage-Sub Total Colectomy + Ileostomy
100000 115000 143750
195 S6.6.1.2 II Stage-J - Pouch 100000 115000 143750
196 S6.6.1.3 III Stage-Ileostomy Closure 100000 115000 143750
S6.6.2 II Stage Procedure
197 S6.6.2.1 I Stage- Sub Total Colectomy + Ileostomy + J - Pouch
150000 172500 215625
198 S6.6.2.2 II Stage- Ileostomy Closure 80000 92000 115000
S6.7 Liver:
199 S6.7.1 Hepato Cellular Carcinoma(Advanced) Radio Frequency Ablation
700000 900000 110000
0
200 S6.7.2 Haemangioma SOL Liver Hepatectomy + Wedge Resection
120000 138000 172500
201 S6.7.3 Hydatid cyst-Marsupilisation Gall Bladder
80000 92000 115000
S6.8 Gall Bladder
202 S6.8.1 Cyst excision + Hepatic Jejunostomy
100000 115000 143750
203 S6.8.2 Cholecystectomy 80000 92000 115000
45
204 S6.8.3 GB+ Calculi CBD Stones or Dilated CBD
100000 115000 143750
205 S6.8.4 Lap. Cholecystectomy 80000 92000 115000
206 S6.8.5 Hepatico Jejunostomy 72000 82800 103500
207 S6.8.6 Choledochoduodenostomy Or Choledochojejunostomy
163548 196287 225000
S6.9 Spleen
208 S6.9.1 Splenectomy 163548 196287 225000
209 S6.9.2 Splenectomy + Devascularisation + Spleno Renal Shunt
600000 750000 950000
S6.10 Pancreas
211 S6.10.1 Lap- Pancreatic Necrosectomy 600000 750000 950000
212 S6.10.2 Lateral Pancreatico Jejunostomy (Non- Malignant)
600000 750000 950000
213 S6.10.3 Pancreatic Necrosectomy (open)
160000 184000 230000
214 S6.10.4 Distal Pancreatectomy + Splenectomy
160000 184000 230000
215 S6.10.5 Central Pancreatectomy 160000 184000 230000
S6.11 Pseudo cyst
216 S6.11.1 CystoJejunostomy 85000 100000 125000
217 S6.11.2 Cysto Gastrostomy 65000 80000 100000
S6.12 Hernia
218 S6.12.1 Diaphragmatic Hernia (Gortex Mesh Repair)
55000 115000 143750
S6.13 LIVER SURGERES
219 S6.13.1 Rt. Hepatectomy 120000 138000 172500
220 S6.13.2 Lt. Hepatectomy 120000 138000 172500
221 S6.13.3 Segmentectomy 80000 92000 115000
S6.14 PANCREATIC SURGERES
222 S6.14.1 Distal Pancreatectomy 160000 184000 230000
223 S6.14.2 Enucleation of Cyst 120000 138000 172500
224 S6.14.3 Whipples - any type 235000 270250 337813
225 S6.14.4 Triple Bypass 235000 270250 300000
226 S6.14.5 Other Bypasses 40000 46000 57500
S7 CARDIAC AND CARDIOTHORACIC SURGERY
S7.1 CARDIAC INTERVENTIONS/PROCEDURES
S7.1.1 Coronary Artery Disease
227 S7.1.1.1 Coronary Angiogram (CAG) 13000 15000 18750
228 S7.1.1.2 Coronary Balloon Angioplasty 115000 150000 219375
229 S7.1.1.3 PTCA 115000 150000 204750
46
S7.1.2 ASD and VSD
230 S7.1.2.1 ASD Device closure 60000 75000 100000
231 S7.1.2.2 VSD Device closure 60000 75000 100000
S7.1.3 Patent Ductus Arteriousus
232 S7.1.3.1 PDA Stenting 120000 150000 180000
233 S7.1.3.2 Device closure 200000 230000 287500
S7.1.4 Coil closure
234 S7.1.4.1 Single coil 85000 100000 130000
235 S7.1.4.2 Multiple coils 85000 100000 130000
S7.1.5 Balloon procedures
236 S7.1.5.1 Balloon Valvotomy 80000 100000 130000
237 S7.1.5.2 Balloon Atrial septostomy 250000 260000 280000
S7.1.6 Pacemaker Implantation
238 S7.1.6.1 Permanent Pacemaker Implantation
95700 122510 128470
239 S7.1.6.2 Temporary Pacemaker Implantation
23430 29490 32810
S7.1.7 Coarctation of Aorta Repair/Aortoplasty
240 S7.1.7.1 With stent 200000 230000 287500
241 S7.1.7.2 Without stent 800000 900000 105000
0
S7.1.8 Angioplasty
242 S7.1.8.1 Renal Angioplasty 130000 152100 190125
243 S7.1.8.2 Peripheral Angioplasty 130000 152100 170000
244 S7.1.8.3 Vertebral Angioplasty 130000 152100 190125
245 S7.1.8.4 Additional Stent 32000 36800 46000
S7.2 CARDIOTHORACIC AND VASCULAR SURGERIES
S7.2.1 Surgery for CAD
246 S7.2.1.1 Coronary Bypass Surgery 225000 263250 329063
247 S7.2.1.2 Coronary Bypass Surgery-post Angioplasty
250000 287500 359375
248 S7.2.1.3 CABG with IABP pump 320000 368000 460000
249 S7.2.1.4 CABG with aneurismal repair 375000 431250 539063
S7.2.2 IntracardiacTumors
250 S7.2.2.1 Surgery for IntracardiacTumors
300000 345000 431250
S7.2.3 Sinus of Valsalva
251 S7.2.3.1 Ruptured sinus of valsulva Correction
300000 345000 431250
S7.2.5 TOF
S7.2.5.1 Systemic Pulmonary Shunts
255 S7.2.5.1.3
Total Correction of Tetralogy of Fallot
410000 550000 650000
47
S7.2.6 ASD and VSD
256 S7.2.6.1 Intracardiac Repair of ASD 230000 260000 300000
257 S7.2.6.2 Intracardiac Repair of VSD 230000 260000 300000
S7.2.8 Valve Repairs
260 S7.2.8.1 With Prosthetic Ring 300000 345000 431250
261 S7.2.8.2 Without Prosthetic Ring 450000 500000 670000
262 S7.2.8.3 Open Pulmonary Valvotomy 450000 500000 670000
263 S7.2.8.4 Closed mitral valvotomy 450000 500000 670000
264 S7.2.8.5 Mitral Valvotomy (Open) 290000 310000 380000
S7.2.9 Valve Replacement
265 S7.2.9.1 Mitral Valve Replacement (With
Valve) 262500 330000 411600
266 S7.2.9.2 Aortic Valve Replacement (With Valve)
290000 330000 411600
267 S7.2.9.3 Tricuspid Valve Replacement 300000 345000 431250
268 S7.2.9.4 Double Valve Replacement (With Valve)
280800 330000 411600
S7.2.10 Pericardium
270 S7.2.10.2 Pericardiectomy 250000 287500 359375
S7.2.11 Coarctation-Arota Repair
272 S7.2.11.1 With Graft 51200 58880 73600
273 S7.2.11.2 Without Graft 40000 46000 57500
S7.2.12 Aorta Repair
274 S7.2.12.1 Aneurysm Resection & Grafting 550000 632500 790625
275 S7.2.12.2 Intrathoracic Aneurysm -Aneurysm not Requiring Bypass (with Graft)
350000 360000 380000
276 S7.2.12.3 Intrathoracic Aneurysm -Requiring Bypass (With Graft)
550000 632500 790625
277 S7.2.12.4 Dissecting Aneurysms 700000 805000 100625
0
S7.2.13 Aorto-Aorto Bypass
279 S7.2.13.1 With Graft 350000 402500 503125
280 S7.2.13.2 Without Graft 350000 402500 503125
S7.2.14 Femoro- Poplitial Bypass
281 S7.2.14.1 With Graft 250000 287500 359375
282 S7.2.14.2 Without Graft 200000 230000 280000
S7.2.15 Femoro-ileal Bypass
283 S7.2.15.1 With Graft 250000 287500 359375
284 S7.2.15.2 Without Graft 250000 287500 359375
S7.2.16 Femoro-femoral Bypass
285 S7.2.16.1 With Graft 250000 287500 359375
286 S7.2.16.2 Without Graft 250000 287500 359375
S7.2.18 Embolectomy
289 S7.2.18.1 Carotid Embolectomy 150000 172500 215625
48
S7.3
CARDIOTHORASIC
SURGERIES AND PROCEDURES
S7.3.1 LUNGS
290 S7.3.1.1 Pneumonectomy 350000 402500 503125
291 S7.3.1.2 Lobectomy 305000 315000 325000
292 S7.3.1.3 Decortication 350000 402500 503125
293 S7.3.1.4 Lung Cyst 350000 402500 503125
294 S7.3.1.5 SOL mediastinum 350000 402500 503125
S7.4 CARDIOTHORACIC SURGERIES AND PROCEDURES
S7.4.1 CHEST SURGERY
299 S7.4.1.2 DIAPHRAGMATIC HERNIA 550000 700000 850000
S7.4.3 BRONCHIAL INJURIES/FB
302 S7.4.3.1 FOREIGN BODY REMOVAL WITH SCOPE
32000 36800 46000
303 S7.4.3.2 REPAIR SURGERY FOR INJURIES DUE TO FB
64000 73600 92000
S7.4.4 OESOPHAGEAL INJURY/FB
304 S7.4.4.1
GASTRO STUDY FOLLOWED BY THORACOTOMY & REPAIRS for OESOPHAGEAL INJURY for Corrosive Injuries/FB
80000 92000 115000
S7.4.5 VASCULAR INJURY
305 S7.4.5.1 SURGERY WITHOUT GRAFT for ARTERIAL INJURIES VENOUS INJURIES
92980 109390 145290
306 S7.4.5.2 SURGERY WITH VEIN GRAFT 220000 253000 316250
307 S7.4.5.3 WITH PROSTHETIC GRAFT 250000 287500 359375
308 S7.4.5.4 Vascular Injury in upper limbs - Axillary, brachial, radial and ulnar - Repair with Vein Graft
220000 253000 316250
309 S7.4.5.5 Major Vascular Injury - in lower limbs - Repair
200000 230000 287500
310 S7.4.5.6 Minor Vascular Injury Repair - Tibial vessels in leg
200000 230000 287500
311 S7.4.5.7 Minor Vascular Injury Repair - vessels in Foot
100000 115000 143750
312 S7.4.5.8 Neck Vascular Injury - Carotid Vessels
200000 230000 287500
313 S7.4.5.9 Abdominal Vascular Injuries - Aorta, Illac arteries, IVC, iliac Veins
400000 460000 575000
314 S7.4.5.10 Thoracic Vascular Injuries 92980 109390 145290
49
S7.5 CARDIAC INJURES
315 S7.5.1 SURGERY WITHOUT CPB 64000 73600 92000
316 S7.5.2 SURGERY WITH CPB 120000 138000 172500
S7.6 VASCULAR SURGERIES
317 S7.6.1 Peripheral Embolectomy without graft
90000 103500 129375
318 S7.6.2 AortoBilliac / Bifemoral bypass with Synthetic Graft
200000 230000 287500
319 S7.6.3 Axillobifemoral bypass with Synthetic Graft
250000 287500 359375
320 S7.6.4 Femoro Distal Bypass with Vein Graft
250000 287500 359375
321 S7.6.5 Femoro Distal Bypass with Synthetic Graft
250000 287500 359375
322 S7.6.6 Axillo Brachial Bypass using with Synthetic Graft
250000 287500 359375
323 S7.6.7 Brachio - Radial Bypass with Synthetic Graft
80000 92000 115000
324 S7.6.8 Excision of Carotid body Tumor with vascular repair
72000 82800 103500
325 S7.6.9 Carotid artery bypass with Synthetic Graft
160000 184000 230000
326 S7.6.10 Excision of Arterio Venous malformation - Large
150000 172500 215625
327 S7.6.11 Excision of Arterio Venous malformation - Small
64000 73600 92000
328 S7.6.12 Arterial Embolectomy 150000 172500 215625
329 S7.6.13 A V Fistula at wrist 20260 23830 34460
330 S7.6.14 A. V Fistula at Elbow 20260 23830 34460
331 S7.6.15 D V T - IVC Filter 160000 184000 230000
332 S7.6.16 Vascular Tumors 90000 103500 129375
333 S7.6.17 Small Arterial Aneurysms - Repair
85000 97750 122188
334 S7.6.18 Medium size arterial aneurysms - Repair
80000 92000 115000
335 S7.6.19 Medium size arterial aneurysms with synthetic graft
120000 138000 172500
S8 PAEDIATRIC CONGENITAL MALFORMATIONS
S8.1 GI Tract
337 S8.1.2 Diaphragmatic Hernia 280000 300000 315000
338 S8.1.3 Intestinal Atresias& Obstructions
220000 230000 270000
S8.2 UROGENITAL
344 S8.2.1 Congenital Hydronephrosis 80000 92000 115000
50
345 S8.2.2 Ureteric Reimplantations 104000 119600 149500
346 S8.2.3 Extrophy Bladder Stage 1 104000 119600 149500
347 S8.2.4 Extrophy Bladder Stage 2 96000 110400 138000
349 S8.2.6 Hypospadias Single Stage 64000 73600 92000
350 S8.2.7 Hypospadias Stage1 64000 73600 92000
351 S8.2.8 Hypospadias Stage 2 56000 64400 80500
S8.3 PLASTIC REPAIR
352 S8.3.1 Cleft lip 80000 92000 115000
353 S8.3.2 Cleft Palate 95000 109250 136563
354 S8.3.3 Velo-Pharyngeal Incompetence 130000 149500 186875
355 S8.3.4 Syndactyly of Hand for each
hand 110000 126500 158125
356 S8.3.5 Microtia/Anotia 100000 115000 143750
357 S8.3.6 TM joint ankylosis 80000 92000 115000
S8.4 Congenital Malformations
358 S8.4.1 Hamartoma Excision 32000 36800 46000
359 S8.4.2 Hemangioma Excision 40000 46000 57500
360 S8.4.3 Lymphangioma Excision 64000 73600 92000
S8.5 HEAD AND NECK
361 S8.5.1 Neuroblastoma 200000 230000 287500
362 S8.5.2 Congenital Dermal Sinus 100000 115000 143750
363 S8.5.3 Cystic Lesions of the Neck 75000 86250 107813
364 S8.5.4 Encephalocele 90000 103500 129375
365 S8.5.5 Sinuses & Fistula of the Neck 49000 56350 70438
S8.6 CHEST
366 S8.6.1 Bronchoscope foreign body removal
32000 36800 46000
S8.7 ABDOMEN
373 S8.7.1 Gastric outlet obstructions 64000 73600 92000
374 S8.7.2 Gastro Esophageal Reflux Correction
130000 149500 186875
375 S8.7.3 Hydatid cysts in Paediatric patient
64000 73600 92000
376 S8.7.4 Intestinal Polyposis Surgical correction
125000 143750 179688
377 S8.7.5 Intussusceptions 90000 103500 129375
378 S8.7.6 Paediatric Acute Intestinal Obstruction
125000 143750 179688
379 S8.7.7 Laparoscopic Appendicectomy in children
120000 138000 172500
380 S8.7.8 Laparoscopic Choleycystectomy
80000 92000 115000
381 S8.7.9 Laparoscopic pull through for Ano Rectal Anomalies
150000 172500 215625
51
382 S8.7.10 Laparoscopic pull through surgeries for HD
180000 207000 258750
383 S8.7.11 Paediatric Splenectomy (Non Traumatic)
65000 74750 93438
384 S8.7.12 Surgeries on adrenal gland in Children
80000 92000 115000
S8.8 GENITOURINARY SYSTEM
385 S8.8.1 Nephrectomy 100000 135000 178000
386 S8.8.2 Epispadiasis - Correction 45000 60000 78000
387 S8.8.3 Scrotal transposition repair 43000 55200 75000
388 S8.8.4 UndeScended Testis 62000 80000 103900
389 S8.8.5 Torsion Testis 55000 71300 89125
390 S8.8.6 LaparoScopicOrchidopexy 97000 132000 150000
391 S8.8.7 Laparoscopic Varicocele ligation
220000 280000 340000
S9 GENITO URINARY SURGERIES
S9.1 Renal Transplantation
392 S9.1.1 A.V. Fistula as Pre-Transplant Procedure
170000 220000 295000
393 S9.1.2 Renal Transplantation surgery 600000 700000 700000
S9.2 Surgery for Renal Calculi
396 S9.2.1 Open Pyelolithotomy 76000 96000 120000
397 S9.2.2 Open Nephrolithotomy 85000 100000 130000
398 S9.2.3 Open Cystolithotomy 90000 103500 129375
399 S9.2.4 Laparoscopic Pyelolithotomy 100000 140000 165000
400 S9.2.5 Lithotripsy Procedures 150000 190000 220000
401 S9.2.6 Cystolithotripsy 68000 91000 110000
402 S9.2.7 PCNL 85000 97750 132000
403 S9.2.8 ESWL 40000 50000 60000
404 S9.2.9 URSL 74000 98000 112000
405 S9.2.10 Nephrostomy 89903 103388 129236
406 S9.2.11 DJ stent (One side) 19965 23359 29199
S9.3 Urethroplasty for Stricture Diseases
407 S9.3.1 Single stage 84500 113750 130000
S9.3.2 Double Stage
408 S9.3.2.1 Stage-1 50000 66500 80000
409 S9.3.2.2 Stage-2 84500 114000 130000
S9.4 Hypospadious (Adult)
410 S9.4.1 Single Stage 76000 96250 120000
S9.4.2 Double stage
411 S9.4.2.1 Stage-1 76000 96250 120000
412 S9.4.2.2 Stage-2 76000 96250 120000
413 S9.4.3 TURBT 74000 99000 115000
52
S9.5 RENAL
414 S9.5.1 Nephrostomy 87100 117250 134000
415 S9.5.2 Nephrectomy Pyonephrosis/XGP
101000 136500 170625
416 S9.5.3 Simple Nephrectomy 101000 135000 160000
417 S9.5.4 Lap. Nephrectomy Simple 136500 183000 210000
418 S9.5.5 Lap. Nephrectomy Radical 136500 183000 210000
419 S9.5.6 Lap. Partial Nephrectomy 146500 183000 210000
420 S9.5.7 BilateralNephroureterectomy 110000 126500 158125
421 S9.5.8 Renal Cyst Excision 35100 48000 60000
S9.6 RENAL STONE SURGERY/THERAPIES
422 S9.6.1 Endoscope Removal of stone in Bladder
67600 91000 104000
423 S9.6.2 Anatrophic Peylolithotomy for Staghorn Caliculus
110000 149000 170000
S9.7 CORRECTIVE SURGERIES
424 S9.7.1 Anderson Hynes Pyeloplasty 63900 89500 120000
425 S9.7.2 Vasico Vaginal Fistula 78000 105000 120000
426 S9.7.3 Epispadiasis - Correction 78000 105000 120000
427 S9.7.4 Closure of Urethral Fistula 26000 35000 44000
428 S9.7.5 Optical Urethrotomy 52000 70000 87500
429 S9.7.6 PerinealUrethrostomy 34000 43750 50000
430 S9.7.7 Ureteric Reimplantation 60000 88000 110000
431 S9.7.8 Ileal Conduit formation 39000 52500 65626
432 S9.7.9 Ureterocele 43000 58000 72000
S9.8 BLADDER and PROSTATE
433 S9.8.1 Transurethral resection of prostate (TURP)
70400 82820 103930
434 S9.8.2 TURP Cyst lithotripsy 136500 183750 210000
435 S9.8.3 Open prostatectomy 93500 133250 170250
436 S9.8.4 Caecocystoplasty 84500 114000 135000
437 S9.8.5 Total cystectomy 84500 114000 135000
438 S9.8.6 Diverticulectomy 40000 53375 62000
439 S9.8.7 Incontinence Urine(Female) 45000 52000 64000
440 S9.8.8 Incontinence Urine(male) 45000 52000 64000
S9.9 TESTIS AND PENIS
441 S9.9.1 Orchidopexy Bilateral 52000 70000 87500
442 S9.9.2 Torsion testis 62000 71300 89125
443 S9.9.3 Chordee correction 56000 70000 80500
444 S9.9.4 Partial amputation of Penis(Non-Malignant)
52000 70000 87500
445 S9.9.5 Total amputation of Penis(Non-Malignant)
104000 140000 165000
S10 NEUROSURGERY
53
S10.1 BRAIN
446 S10.1.1 Craniotomy and Evacuation of Haematoma Subdural
200000 230000 287500
447 S10.1.2 Craniotomy and Evacuation of Haematoma – Extradural
220000 253000 316250
448 S10.1.3 Evacuation of Brain Abscess-burr hole
100000 115000 143750
449 S10.1.4 Excision of Lobe (Frontal,Temporal,Cerebellum etc.)
110000 126500 158125
450 S10.1.5 Endoscopy procedures 104000 119600 149500
451 S10.1.6 Endoscopic Third Ventriclostomy(ETV)
99000 113850 142313
452 S10.1.7 Intra-Cerebral Hematoma evacuation
150000 172500 215625
453 S10.1.8 Decompressive Craniectomy 150000 172500 190000
S10.2 Excision of Brain Tumor Supratentorial
454 S10.2.1 Parasagital 145000 166750 208438
455 S10.2.2 Basal 96000 110400 138000
456 S10.2.3 Brain Stem 180000 207000 258750
457 S10.2.4 C P Angle 112000 128800 161000
459 S10.2.6 Excision of Brain Tumors -Subtentorial
125000 143750 179688
460 S10.2.7 Ventriculoatrial /Ventriculoperitoneal Shunt
120000 138000 172500
461 S10.2.8 Twist Drill Craniostomy 160000 184000 230000
462 S10.2.9 Subdural Tapping 60000 69000 86250
463 S10.2.10 Ventricular Tapping 60000 69000 86250
464 S10.2.11 Abscess Tapping 45100 63200 86250
465 S10.2.12 Vascular Malformations 160000 184000 230000
466 S10.2.13 Peritoneal Shunt 135000 155250 190000
467 S10.2.14 Atrial Shunt 135000 155250 190000
468 S10.2.15 Meningo Encephalocele 160000 184000 230000
469 S10.2.16 Meningo myelocele 160000 184000 230000
470 S10.2.17 C.S.F. Rhinorrhoea 125000 143750 179688
471 S10.2.18 Cranioplasty 170000 180000 190000
472 S10.2.19 Meningocele Excision 180000 207000 258750
473 S10.2.20 Ventriculo-Atrial Shunt 145000 165000 190000
474 S10.2.21 Excision of Brain Abcess 100000 115000 143750
475 S10.2.22 Aneurysm Clipping 200000 230000 287500
476 S10.2.23 External Ventricular Drainage (EVD)
75000 90000 100000
S10.3 SPINAL SURGERIES
477 S10.3.1 Surgery of Cord Tumours 150000 172500 215625
54
478 S10.3.2 Excision of Cervical Inter-Vertebral Discs
180000 207000 258750
479 S10.3.3 Posterior Cervical Discectomy 150000 172500 215625
480 S10.3.4 Anterior Cervical Discectomy 150000 172500 215625
481 S10.3.5 Anterior Cervical Spine Surgery with fusion
160000 184000 230000
482 S10.3.6 Anteriolateral Decompression 180000 207000 258750
483 S10.3.7 Laminectomy 100000 115000 143750
484 S10.3.8 Discectomy 100000 115000 143750
485 S10.3.9 Spinal Fusion Procedure 80000 92000 115000
486 S10.3.10 Spinal Intra Medullary Tumours
160000 184000 230000
487 S10.3.11 Spina Bifida Surgery Major 99000 113850 142313
488 S10.3.12 Spina Bifida Surgery Minor 88000 101200 126500
489 S10.3.13 Anterior discectomy & bone grafting
130000 149500 186875
490 S10.3.14 Discectomy with Implants 170000 190000 240000
491 S10.3.15 Corpectomy for Spinal Fixation 112000 128800 161000
492 S10.3.16 Spinal Fixation Rods and Plates, Artificial discs
225000 258750 323438
493 S10.3.17 Syringomyelia 104000 119600 149500
S10.4 OTHER
SURGERIES/PROCEDURES
494 S10.4.1 Stereotactic Procedures 125000 143750 179688
495 S10.4.2 Trans Sphenoidal Surgery 125000 143750 179688
496 S10.4.3 Trans Oral Surgery 110000 126500 158125
497 S10.4.4 Combined Trans-oral Surgery & CV Junction Fusion
175000 201250 251563
498 S10.4.5 C.V. Junction Fusion 120000 138000 172500
S10.5 SOFT TISSUE and VASCULAR SURGERIES
499 S10.5.1 Repair of Brachial plexus injury
96000 110400 138000
500 S10.5.2 Cervical Sympathectomy 130000 149500 186875
501 S10.5.3 Lumbar sympathectomy 130000 149500 186875
502 S10.5.4 Decompression/Excision of Optic nerve lesions
145000 166750 208438
503 S10.5.5 Peripheral nerve injury repair 200000 230000 287500
504 S10.5.6 Proptosis 96000 110400 138000
S10.6 EPILEPSY Surgery
505 S10.6.1 Temporal Lobectomy 80000 92000 115000
506 S10.6.2 Lesionectomy type 1 240000 276000 345000
507 S10.6.3 Lesionectomy type 2 240000 276000 345000
508 S10.6.4 Temporal lobectomy plus Depth Electrodes
224000 257600 322000
55
S10.8 MANAGEMENT OF
ANEYRISMS
511 S10.8.1 Embolization of Aneurysm 225000 258750 323438
512 S10.8.2 Cost of each coil 60000 60000 60000
S11 SURGICAL ONCOLOGY
S11.1 CANCER - Surgeries
S11.1.1 Head & Neck
513 S11.1.1.1 Composite Resection & Reconstruction
130000 149500 186875
514 S11.1.1.2 Neck Dissection - any type 60000 69000 86250
515 S11.1.1.3 Hemiglossectomy 70000 80500 100625
516 S11.1.1.4 Maxillectomy - any type 100000 115000 143750
517 S11.1.1.5 Thyroidectomy - any type 100000 115000 143750
518 S11.1.1.6 Parotidectomy - any type 100000 115000 143750
519 S11.1.1.7 Laryngectomy - any type 190000 225000 285000
520 S11.1.1.8 LaryngopharyngoOesophagectomy
300000 345000 431250
521 S11.1.1.9 Hemimandibulectomy 96000 110400 138000
522 S11.1.1.10
Wide excision 60000 69000 86250
S11.1.2 Gastrointestinal Tract
523 S11.1.2.1 Oesophagectomy - any type 280000 322000 402500
524 S11.1.2.2 Gastrectomy - any type 250000 287500 320000
525 S11.1.2.3 Colectomy - any type 140000 160000 210000
526 S11.1.2.4 Anterior Resection 250000 260000 270000
527 S11.1.2.5 Abdominoperinial Resection 250000 287500 359375
528 S11.1.2.6 Whipples - any type 350000 390000 400000
529 S11.1.2.7 Triple Bypass 180000 207000 258750
530 S11.1.2.8 Other Bypasses-Pancreas 180000 207000 258750
S11.1.3 Genito Urinary System
531 S11.1.3.1 Radical Nephrectomy 170000 195500 244375
532 S11.1.3.2 Radical Cystectomy 215000 275000 315000
534 S11.1.3.4 Total Penectomy 130000 149500 186875
535 S11.1.3.5 Partial Penectomy 100000 115000 143750
536 S11.1.3.6 Inguinal Block Dissection - one side
60000 69000 86250
537 S11.1.3.7 Radical Prostatectomy 230000 287500 350000
538 S11.1.3.8 High Orchidectomy 65000 74750 93438
539 S11.1.3.9 Bilateral Orchidectomy 59910 67120 67400
S11.1.4 Gynaecological Oncology
541 S11.1.4.1 Hysterectomy 150000 172500 215625
542 S11.1.4.2 Radical Hysterectomy 150000 172500 215625
543 S11.1.4.3 Surgery for Ca Ovary - early stage
200000 230000 287500
56
544 S11.1.4.4 Surgery for Ca Ovary - advance stage
300000 345000 431250
545 S11.1.4.5 Vulvectomy 100000 115000 143750
546 S11.1.4.6 Salpingo - oophorectomy 100000 135000 165000
S11.1.5 Tumors of the Female Breast
547 S11.1.5.1 Mastectomy - any type 75000 86250 107813
548 S11.1.5.2 Axillary Dissection 60000 69000 86250
549 S11.1.5.3 Wide excision 60000 69000 86250
550 S11.1.5.4 Lumpectomy 37120 46660 62030
551 S11.1.5.5 Breast reconstruction 100000 115000 143750
552 S11.1.5.6 Chest wall resection 100000 115000 143750
S11.1.6 Skin Tumors
553 S11.1.6.1 Wide excision 60000 69000 86250
554 S11.1.6.2 Wide excision + Reconstruction 100000 115000 143750
555 S11.1.6.3 Amputation 65000 74750 93438
S11.1.7 Soft Tissue and Bone Tumors
556 S11.1.7.1 Wide excision 60000 69000 86250
557 S11.1.7.2 Wide excision + Reconstruction 100000 115000 143750
558 S11.1.7.3 Amputation 65000 74750 93438
S11.1.7.4 Lung Cancer
559 S11.1.7.5 Pneumonectomy 350000 390000 400000
560 S11.1.7.6 Lobectomy 300000 345000 431250
561 S11.1.7.7 Decortication 300000 345000 431250
S11.1.9 Ca.Oral cavity
565 S11.1.9.1 Marginal Mandibulectomy 80000 92000 115000
566 S11.1.9.2 Segmental Mandibulectomy 96000 110400 138000
567 S11.1.9.3 Total glossectomy + Reconstruction
200000 230000 287500
568 S11.1.9.4 Full thickness Buccal mucosal resection & Reconstruction
180000 207000 258750
S11.1.10 Ca.Eye/ Maxilla /Para Nasal Sinus
569 S11.1.10.1
Orbital exenteration 130000 149500 186875
570 S11.1.10.2
Maxillectomy + Orbital exenteration
190000 218500 273125
571 S11.1.10.3
Maxillectomy + Infratemporal Fossa clearance
150000 172500 215625
S11.1.12 Ca.Soft Palate
574 S11.1.12.1
Palatectomy Any type 100000 115000 143750
S11.1.14 Ca. Salivary Gland
579 S11.1.14.1
Submandibular Gland Excision 100000 115000 143750
S11.1.15 Ca. Thyroid
580 S11.1.15. Tracheal Resection 130000 149500 186875
57
1
S11.1.16 Ca. Trachea
581 S11.1.16.1
Sternotomy + Superior Mediastinal Dissection
250000 287500 359375
582 S11.1.16.2
Tracheal Resection 130000 149500 186875
S11.1.17 Ca. Parathyroid
583 S11.1.17.1
Parathyroidectomy 100000 115000 143750
S11.1.18 Ca. Gastro Intestinal Tract
584 S11.1.18.1
Small bowel resection 180000 207000 258750
585 S11.1.18.2
Closure of Ileostomy 100000 115000 143750
586 S11.1.18.3
Closure of Colostomy 100000 115000 143750
S11.1.19 Ca.Rectum
587 S11.1.19.1
AbdominoPerineal Resection (APR) + Sacrectomy
250000 287500 359375
588 S11.1.19.2
Posterior Exenteration 250000 260000 270000
589 S11.1.19.3
Total Exenteration 280000 322000 402500
S11.1.20 Ca. Gall Bladder
590 S11.1.20.1
Radical Cholecystectomy 180000 207000 258750
S11.1.21 Spleen
591 S11.1.21.1
Splenectomy 100000 115000 143750
S11.1.22 Retroperitoneal Tumor
592 S11.1.22.1
Resection of Retroperitoneal Tumors
200000 230000 287500
S11.1.23 Abdominal wall tumor
593 S11.1.23.1
Abdominal wall tumor Resection
130000 149500 186875
594 S11.1.23.2
Resection with reconstruction 130000 149500 186875
S11.1.24 Gynaec Cancers
595 S11.1.24.1
Bilateral pelvic lymph Node Dissection(BPLND)
70000 80500 100625
596 S11.1.24.2
Radical Trachelectomy 85000 97750 122188
597 S11.1.24.3
Radical vaginectomy 120000 138000 172500
598 S11.1.24.4
Radical vaginectomy + Reconstruction
130000 149500 186875
S11.1.25 Ca. Cervix
58
599 S11.1.25.1
Radical Hysterectomy +Bilateral Pelvic Lymph Node Dissection (BPLND) + Bilateral SalpingoOphorectomy (BSO) / Ovarian transposition
220000 253000 316250
600 S11.1.25.2
Anterior Exenteration 250000 260000 270000
601 S11.1.25.3
Posterior Exenteration 250000 260000 270000
602 S11.1.25.4
Total Pelvic Exenteration 300000 345000 431250
603 S11.1.25.
5 Supra LevatorExenteration 300000 345000 431250
S11.1.26 Ca. Endometrium
604 S11.1.26.1
Total Abdominal Hysterectomy (TAH) + Bilateral Salpingoophorectomy (BSO) +Bilateral pelvic lymph Node Dissection (BPLND)+ Omentectomy
193355 230000 287500
S11.1.27 Soft tissue /Bone tumors - Chest wall
605 S11.1.27.1
Chest wall resection 100000 115000 143750
606 S11.1.27.2
Chest wall resection + Reconstruction
150000 172500 215625
S11.1.28 Limb salvage surgery
611 S11.1.28.5
Hemipelvectomy 380000 390000 400000
S11.1.29 Genito urinary Cancer
617 S11.1.29.1
Partial Nephrectomy 160000 184000 225000
618 S11.1.29.2
Nephroureterectomy for Transitional Cell Carcinima of renal pelvis
160000 184000 230000
S11.1.30 Testes cancer
619 S11.1.30.1
Retro Peritoneal Lymph Node Dissection(RPLND) (for Residual Disease)
180000 207000 258750
620 S11.1.30.2
Adrenalectomy 150000 172500 215625
621 S11.1.30.3
Urinary diversion 100000 115000 143750
622 S11.1.30.4
Retro Peritoneal Lymph Node Dissection RPLND as part of staging
100000 115000 143750
S11.1.31 Ca. Urinary Bladder
623 S11.1.31. Anterior Exenteration 250000 287500 359375
59
1
624 S11.1.31.2
Total Exenteration 250000 287500 359375
625 S11.1.31.3
Bilateral pelvic lymph Node Dissection(BPLND)
100000 115000 143750
S11.1.32 Thoracic and Mediastinum
626 S11.1.32.1
Mediastinaltumor resection 250000 287500 359375
S11.1.33 Lung
627 S11.1.33.1
Lung metastatectomy - solitary 100000 115000 143750
628 S11.1.33.
2
Lung metastatectomy -
Multiple 150000 172500 215625
629 S11.1.33.3
Sleeve resection of Lung cancer.
300000 345000 431250
630 S11.1.33.4
Oesophagectomy with Two field Lymphadenectomy
300000 345000 431250
631 S11.1.33.5
Oesophagectomy with Three field Lymphadenectomy
300000 345000 431250
S11.1.34 Palliative Surgeries
632 S11.1.34.1
Tracheostomy 45000 55000 70000
633 S11.1.34.2
Gastrostomy 80000 92000 115000
634 S11.1.34.3
Jejunostomy 80000 92000 115000
635 S11.1.34.4
Ileostomy 70000 80500 100625
636 S11.1.34.5
Colostomy 80000 92000 115000
637 S11.1.34.6
Suprapubic Cystostomy 40000 46000 57500
638 S11.1.34.7
Intercostal Drainage(ICD) 50000 57500 71875
639 S11.1.34.8
Gastro Jejunostomy 80000 92000 115000
640 S11.1.34.
9 Ileotransverse Colostomy 80000 92000 115000
S11.1.35 Reconstruction
642 S11.1.35.1
Myocutaneous / cutaneous flap
150000 172500 215625
643 S11.1.35.2
Micro vascular reconstruction 250000 287500 359375
S13 PLASTIC SURGERY
S13.4 Reconstructive Surgery
673 S13.4.1 Corrective Surgery for Congenital deformity of hand (per hand)
300000 345000 431250
674 S13.4.2 Corrective Surgery for Craniosynostosis
200000 230000 288000
60
675 S13.4.3 Cup and Bat ears 300000 350000 450000
676 S13.4.4 Flapcover for Electrical burns with vitals exposed
180000 210000 260000
677 S13.4.5 Reduction surgery for Filarial lymphoedema
190000 218500 273000
678 S13.4.6 Hemifacial atrophy 300000 345000 450000
679 S13.4.7 HemifacialMicrosmia 300000 345000 431250
680 S13.4.8 Leprosy reconstructive surgeroy
400000 460000 575000
681 S13.4.9 Nerve and tendon repair + Vascular repair
350000 402500 503125
682 S13.4.10 Ptosis 100000 120000 145000
683 S13.4.11 Tumour of mandible and maxilla
125000 144000 180000
S14 POLY TRAUMA & ACCIDENT SURGERIES
S14.1 Orthopaedic Trauma
686 S14.1.1 Open Reduction and Internal Fixation of Long Bone Fractures
83000 115000 142000
687 S14.1.2 Amputation Surgery 133485 162530 206870
S14.6 Orthopaedic & Facial bone Trauma
S14.6.1 Wound Management for Compound Fractures
700 S14.6.1.1 Grade-I & II 163000 194000 218000
701 S14.6.1.2 Grade-III 212000 256400 296000
S14.7
Other Small bone fractures/K-wiring (To be covered along with other injuries only and not as exclusive procedure)
703 S14.7.1
Surgery for Patella fracture (To be covered along with other injuries only and not as
exclusive procedure)
50910 58120 74600
704 S14.7.2
Small bone fractures/K-wiring (To be covered along with other injuries only and not as exclusive procedure)
80000 104800 124000
S14.8 Pelvic Bone fracture
706 S14.8.1 Surgical Correction of Pelvic bone fractures.
135985 166280 211870
S15 OTHER ITEMS
S15.1 Accommodations (for 24hours)
61
707 S15.1.1
Ward Room Room rent is applicable only for treatment procedures for which there is no MbPT prescribed package rate. Room rent will include charges for occupation of Bed, diet for the patient, charges for water and electricity supply, linen charges, nursing and routine up keeping. Room rent for different categories would be as per MbPT terms & conditions.
1500 2800 5000
708 S15.1.2 ICU 4000 5500 5500
709 S15.1.3 ICCU 4000 5500 5500
710 S15.1.4 PICU 1500 3400 4000
711 S15.1.5 NICU 4000 4000 4000
S15.2 Other charges
713 S15.2.2 Ventilator Charges per 12 hours
2500 2500 2400
714 S15.2.3 Ventilator Charges per day 2415 2730 3000
715 S15.2.4 Compressed air / piped oxygen per hour
130 130 130
716 S15.2.5 Compressed air / piped oxygen per 12 hours
750 750 750
717 S15.2.6 Compressed air / piped oxygen per day
2346 2070 1794
718 S15.2.7 Peritoneal Dialysis 10970 12400 1800
719 S15.2.8 Haemodialysis 1550 1550 1550
S16 ORGAN TRANSPLANTATION
720 S.16.1 Liver Transplantation with Live Doner
1850000 1850000 1850000
721 S.16.2 Liver Transplantation with Cadaveric Doner
1800000 1800000 1800000
S17 OTHER INVESTIGATIONS OPD Basis
724 EEG (Electroencephalogram) 2450 3060 3265
725 NCS (Nerve Conduction Study) 3740 4675 4985
727 EMG (Electromyelogram) 2500 3500 3910
729 VEP(Visual evoked potential) 1500 2000 2500
MEDICAL PACKAGES
M5 CARDIOLOGY
M5.1 ACUTE MI
818 M5.1.2 Acute MI (Conservative Management with Angiogram)
22000 26000 28000
820 M5.1.4 Acute MI requiring IABP Pump 290000 350000 415000
62
824 M5.1.8 Complex Arrhythmias 95700 122510 128470
825 M5.1.9 Simple Arrythmias 23430 29490 32810
M10 RHEUMATOLOGY
855 M10.2 SLE with Sepsis 500000 600000 700000
M13 GASTROENTEROLOGY
874 M13.4 Achalasia cardia 350000 450000 500000
II. MbPT STANDARD H1 DISCOUNT % FOR TREATMENT PROCEDURES OTHER THAN THE PACKAGE RATES TREATMENT
Sl.No.
DESCRIPTION OF ITEMS
Standard H1 Discount from Hospital Own
Rate (%)
Standard H1
Discount from MRP
Rate (%)
1 2 3 4
1 Treatment charges / Procedure Charges 5 NA
2 Radiological Investigations 10 NA
3 Laboratory Investigations 10 NA
4 Medicines NA 10
5 Hospital Consumables NA 10
6 Implants/ Stents/ Grafts NA 10
Note: if the rates are controlled by Govt. for the items of Medicines & Consumables & Implants / Stents / Grafts etc. will be applicable to MbPT Hospital without any % of discount.
III. MbPT STANDARS L1 RATES FOR DIAGNOSTIC IMAGING SCANS
Sr.No.
Code No. Part of body to be examined
Sandard
L1 Rate
for Plain Scans
Sandard
L1 Rate
for
Contrast Scans
1 2 3 4 5
1 CT1.1 C.T. Brain 1200 1600
2 CT1.2 C.T. Pituitary 1200 1600
3 CT1.3 C.T. Orbit 1500 2500
4 CT1.4 C.T. Face 1500 2500
5 CT1.5 C.T. Paranasal Sinuses (Limited Study) 1500 2500
6 CT1.6 C.T. Paranasal Sinuses (Full Study) 1500 2500
7 CT1.7 C.T. Internal Auditory Canal 1200 1600
8 CT1.8 HRCT Temporal Bone 2000 2500
9 CT1.9 C.T. Neck 1500 2500
10 CT1.10 C.T. Chest 1500 3500
11 CT1.11 HRCT Lung (Chest) 2500 3500
12 CT1.12 C.T. Upper Abdomen 2500 3500
13 CT1.13 C.T. Biphasic/ Triphasic Study 3000 4000
63
14 CT1.14 C.T. Pelvis 2500 4000
15 CT1.15 C.T. KUB 1500 2500
16 CT1.16 C.T. Spine (Cervical/D.L./L.S.) 2000 3000
17 CT1.17 C.T. of any joint – routine 2000 3000
18 CT1.18 C.T. of any joint – 3D 3000 4000
19 CT1.19 C.T. Myelography NA 6500
20 CT1.20 C.T. Arthrography NA 8000
21 CT1.21 C.T. Angiography – Cardiac NA 8000
22 CT1.22 C.T. Angiography – Non Cardiac (Aorta, Peripheral Angiography) any one region
NA 7000
23 CT1.23 C.T. Coronary Calcium Scoring 3000 NA
24 CT1.24 C.T. I.V.P (Urography) NA 5000
25 CT1.25 C.T.Enterography NA 5000
26 CT1.26 C.T.Guided FNAC/Aspiration (without HPE)
5000 12000
27 CT1.27 C.T. Guided Biopsy (without HPE) 6000 16000
28 CT1.28 C.T. Virtual Endoscopy exam. 3000 5000
29 CT1.29 C.T. Scanogram (Limb Length) 2000 NA
30 CT1.30 C.T.Cysternogram NA 3000
31 CT1.31 C.T. Pelvimetry 3000 NA
33 CT1.33 Anaesthesia charges 800 800
34 CT1.34 C.T. Whole Abdomen (Abdomen + Pelvis) 3500 5500
35 CT1.35 C.T. Neck + Chest 3500 6000
36 CT1.36 C.T. Chest + Abdomen 3500 6000
37 CT1.37 C.T. Neck + Chest + Abdomen 5500 7500
39 MR2.1 MRI Abdomen 3500 6000
40 MR2.2 MRI Abdomen and Pelvis 7000 10000
41 MR2.3 MRI Abdominal/Renal Angio 3500 6500
42 MR2.4 MRI Adrenal Glands Diagnostic 3500 5500
43 MR2.5 MRI Anesthetic charges 1000 1000
44 MR2.6 MRI Angiography 3500 6500
45 MR2.7 MRI Arthrogram NA 6000
46 MR2.8 MRI Brain 3500 5500
47 MR2.9 MRI Brain and Angiography 4000 6500
48 MR2.10 MRI Brain and Venogram 4000 6500
49 MR2.11 MRI Brain with contrast NA 5500
50 MR2.12 MRI Brain with pituitary 4000 6500
51 MR2.13 MRI Brain Spectroscopy 2000 5000
52 MR2.14 MRI Brain- Epilepsy protocol- 3T 3500 6500
53 MR2.15 Brain pre-operative functional MRI 5000 7500
54 MR2.16 MRI Brain with DTI 2000 7500
55 MR2.17 MRI Brain Perfusion/Tumor protocol (always with Contrast)
2000 7500
56 MR2.18 MRI Breast 7000 8500
59 MR2.21 MRI Cardiac MRI with contrast NA 6500
64
60 MR2.22 Cardiac MRI stress Perfusion with contrast
NA 12000
61 MR2.23 MRI Chest 3500 5500
62 MR2.24 MRI Enterography 3500 6500
63 MR2.25 MRI Extended Study 1500 4500
64 MR2.26 MRI Head any One Region ( Face, Orbits, PNS, Tongue, Mouth etc)
3500 5500
65 MR2.27 MRI Joints (Any single Joint) 3500 5500
66 MR2.28 MRI Limbs any one region Up to 40 cms ( Arm, Thigh, Hand, Foot etc.. )
3500 5500
67 MR2.29 MRCP 4000 7000
68 MR2.30 MRCP abdomen with contrast NA 6500
69 MR2.31 MRI Neck 3500 5500
70 MR2.32 MRI Orthopedic or Meniscal Imaging 5500 NA
71 MR2.33 MRI cartilage Imaging 2000 6500
72 MR2.34 MRI Patellar Tracking 2000 6500
73 MR2.35 MRI Pelvis 3500 5500
74 MR2.36 MRI Perfusion NA 6500
75 MR2.37 MRI Perianal 3500 5000
76 MR2.38 MRI Periphery angiography with contrast NA 6500
77 MR2.39 MRI Pituitary 3500 6500
78 MR2.40 MRI Prostate 3500 5500
79 MR2.41 MRI Screening 1500 1500
80 MR2.42 MRI Spine Any Single region (Cervical. Dorsal, Lumbar, Dorso Lumbar, etc)
3500 5500
81 MR2.43 MRI Spectroscopy 2000 6500
82 MR2.44 MRI Stress 4000 6500
83 MR2.45 MRI Temporal Bone 3500 5500
84 MR2.46 MRI Venogram 3500 6500
85 MR2.47 3D Dynamic MRI 3500 6500
86 MR2.48 MRI MS Protocol 4000 6500
87 MR2.49 Any one region 3500 5500
88 MR2.50 MARS MRI 3500 6500
126 NM3.8.2 Whole Body PET-CT 15000 16000
128 NM3.8.4 Brain PET-CT) 13000 14000
132 OT 4.1.1 X-ray Mammography 1000 NA
133 OT 4.1.2 Mammography with Sonography 2000 NA
134 OT 4.1.3 Mammo guided Hook wire localisation 5000 NA
135 OT 4.1.4 Ultrasound guided Hook wire localisation 4000 NA
136 OT 4.2.1 DEXA Scan ( Bone densitometry) 1200 NA
137 OT 4.3.1 OPG 300 NA
138 OT 4.3.2 TM joint Single 200 NA
139 OT 4.3.3 Cephalogram 300 NA
140 OT 4.4.1 Full Length digital X-ray Whole spine 700 NA
65
141 OT 4.4.2 Full Length digital X-ray Lower Limbs 700 NA
142 OT 4.5.1 C.B.C.T. OPG / Cephalogram 2500 NA
143 OT 4.5.2 C.B.C.T.. Dental Single Jaw 2000 NA
144 OT 4.5.3 C.B.C.T. Dental Both Jaw 3000 NA
145 OT 4.5.4 C.B.C.T Temporal Bone 2000 NA
66
Annexure - VIII
PRE CONTRACT INTEGRITY PACT (PCI) (in Rs.100/- stamp paper)
MUMBAI PORT TRUST (MbPT) hereinafter referred to as "The Principal"
AND
(Name of The bidders and consortium members) ..............................
................................ hereinafter referred to as "The Bidder/Contractor
Preamble: The Principal intends to award, under laid down organizational
procedures, contract/concession for Tender No.
E........................... The Principal values full compliance with all relevant laws
and regulations, and the principles of economic use of resources, and of
fairness and transparency in its relations with its Bidders. The Central
Vigilance Commission (CVC) has been promoting Integrity, transparency, equity
and competitiveness in Government / PSU transactions and as a part of
Vigilance administration and superintendence, CVC has, recommended
adoption of Integrity Pact and provided basic guidelines for its
implementation in respect of major procurements in the Government
Organizations in pursuance of the same, the Principal agrees to appoint an
external independent Monitor who will monitor the execution of the contract for
compliance with the principles mentioned above.
Section 1 - Commitments of the Principal
(1) The Principal commits itself to take all measures necessary to prevent
corruption and to observe the following principles: -
(a) No employee of the Principal, personally or through family members, will
in connection with the execution of a contract, demand, take a promise for or
accept, for him/herself or third person, any material or immaterial benefit
which he/she is not legally entitled to.
(b) The Principal will, during the pre-contract stage, treat all BIDDERs alike,
and will provide to all BIDDERs the same information and will not provide any
such information to any particular BIDDER which could afford an advantage to
that particular BIDDER in comparison to other BIDDERs.
(c) The Principal will exclude from the process all known prejudicial persons.
(2) If the Principal obtains information on the conduct of any of its employees
which is a criminal offence under the relevant Anti-Corruption Laws of India,
67
or if there be a substantive suspicion in this regard, the Principal will inform
its Vigilance Office and in addition can initiate disciplinary actions. In such
a case, while an enquiry is being conducted by the Principal, the proceedings
under the contract would not be stalled.
Section 2 - Commitments of the Bidder / Contractor
(1) The Bidder/Contractor commits themselves to take all measures necessary
to prevent corrupt practices, unfair means and illegal activities, during pre-
contract as well as post- contract stages. He commits himself to observe the
following principles during the contract execution.
a. The Bidder/Contractor will not, directly or through any other person or
firm, offer, promise or give to any of the Principal's employees involved in the
execution of the contract or to any third person any material or immaterial
benefit, which he/she is not legally entitled to, in order to obtain in exchange of
advantage of any kind, whatsoever during the execution of the contract.
b. The Bidder/Contractor w i l l not enter with other Bidders into any
undisclosed agreement or understanding, whether formal or informal. This
applies in particular to prices, specifications, certifications, subsidiary contracts,
submission or non-submission of bids, or any other actions to restrict
competitiveness, or to introduce cartelization in the bidding process.
c. The Bidder/Contractor will not commit any offence, under the relevant
Anticorruption Laws of India; further the Bidder/Contractor will not use
improperly, for purposes of competition, or personal gain, or pass on to others,
any information or document provided by the Principal, as part of the business
relationship, regarding plans, technical proposals and business details,
including information contained or transmitted electronically.
d. The Bidder will not collude with other parties interested in the contract to
impair the transparency, fairness and progress of the bidding process, bid
evaluation, contracting and implementation of the contract.
e. The Bidder/Contractor will, when presenting his bid, disclose any and all
payments he has made, is committed to or intends to make to agents, brokers or
any other intermediaries, in connection with the award of the contract.
f. The Bidder commits to refrain from giving any complaint directly or through
any other manner without supporting it with full and verifiable facts.
g. The Bidder shall not lend to or borrow any money from or enter into any
monetary dealings or transactions, directly or indirectly, with any employee of
the Principal.
68
(2) The Bidder/Contractor will not instigate third persons to commit offences
outlined above or be an accessory to such offences.
Section-3 Disqualification from or exclusion from future contracts
If the Bidder, before award of contract, has committed a transgression, through a
violation of Section-2 or in any other form, such as to put his reliability as
Bidder, into question, the principal is entitled to disqualify the Bidder, from the
tender process, or to terminate the contract, if already signed, for such reason.
1. If the Bidder/Contractor has committed a transgression, through a violation
of Section-2, such as to put his reliability, or credibility into question, the
Principal is entitled to disqualify the Bidder/Contractor from the tender process,
terminate the contract if already awarded and also, to exclude the
Bidder/Contractor from future contract award processes. The imposition and
duration of the exclusion, will be determined by the severity of the transgression.
The severity will be determined, by the circumstances of the case, in particular
the number of transgressions, the position of the transgressions, within the
company hierarchy of the Bidder and the amount of the damage. The execution
will be imposed for a minimum of 6 months and maximum of 3 years.
Note: A transgression is considered to have occurred, if in the light of available
evidence, no reasonable doubt is possible.
2. The Bidder accepts and undertakes to respect and uphold, the principal's
Absolute right to resort to and impose such exclusion and further accepts and
undertakes, not to challenge or question such exclusion, on any ground,
including the lack of any hearing before the decision, to resort to such exclusion
is taken. This undertaking is given freely and after obtaining independent legal
advice.
3. If the Bidder/Contractor can prove that, he has restored/recouped the
Damage caused by him and has installed a suitable corruption prevention
system, the Principal may revoke the exclusion prematurely.
Section-4 Compensation for damages
1. If the Principal has disqualified the Bidder, from the tender process prior to
the award, according to Section-3, the Principal is entitled to demand and
recover the damages equivalent to Earnest Money Deposit/Bid Security.
2. If the Principal has terminated the contract according to Section-3, or if the
Principal is entitled to terminate the contract according to Section3, the Principal
shall be entitled to demand and recover from the Contractor, liquidated damages
69
equivalent to 5% of the contract value, or the amount equivalent to Security
Deposit/Performance Bank Guarantee, whichever is higher.
3. The Bidder agrees and undertakes to pay the said amounts, without protest
or demur, subject only to condition that, if the Bidder/Contractor can prove and
establish that the termination of the contract, after the contract award has
caused no damage or less damage than the amount of the liquidated
damages, the Bidder/Contractor shall compensate the principal, only to the
extent of the damage in the amount proved.
Section-5 Previous transgression
1. The Bidder declares that, no previous transgression has occurred in the last
3 years, with any other company, in any country, or with any other Public Sector
Enterprises in India, that could justify his exclusion from the award of the
contract.
2. If the Bidder makes incorrect statement on this subject, it can be declared
disqualified for the purpose of the contract and the same can be terminated for
such reason.
Section-6 Equal treatment of all Bidders/Contractors/
Subcontractors
1. The Bidder/Contractor undertakes to demand from all subcontractors, a
commitment in conformity with this Integrity Pact, and to submit it to the
Principal before contract signing.
2. The Principal will enter into agreements with identical conditions as this
one which all Bidders, Contractors and Subcontractors.
3. The Principal will disqualify from the tender process all Bidders, who do not
sign this part or violates its provisions.
Section-7. Criminal charges against violating Bidders/
Contractors/ Sub-contractors
If the principal obtains knowledge of conduct of a Bidder/Contractor or
Subcontractor, or of an employee, or a representative, or an associate of a
Bidder/Contractor, or Subcontractor, which constitutes corruption, or if the
Principal has substantive suspicion, in this regard, the Principal will inform the
Vigilance office.
70
Section-8. External Independent Monitor
1. Pursuant to the need to implement and operate this Integrity Pact the
Principal has appointed Shri P.K. Gopinath, IPoS (Rtd) independent Monitor, for
this Pact. The task of the Monitor, is to review independently and objectively,
whether and to what extent, the parties comply with the obligations under this
agreement.
2. The Monitor is not subject to instructions, by the representative of the
parties to the Chairperson of the Board of the Principal.
3. The Bidder/Contractor accepts that, the monitor has the right to access,
without restriction to all Project documentation of the Principal, including that
provided by the Contractor. The Bidder/Contractor will also grant the Monitor,
upon his request and demonstration of a valid interest, unrestricted and
unconditional access, to the project documentation. The same is applicable to
Subcontractors. The monitor is under contractual obligation, to treat the
information and documents of the Bidder/Contractor/Subcontractor with
confidentiality.
4. The Principal will provide to the Monitor, sufficient information about all
meetings, among the parties related to the Project, provided such meetings could
have an impact, on the contractual relations between the Principal and the
Bidder/Contractor. The parties offer to the Monitor the option to participate in
such meetings.
5. As soon as the Monitor notices a violation of this agreement, he will so
inform the Management of the Principal and request the management to
discontinue, or heal the violation. Or to take other relevant action. The
Monitor can in this regard submit non- binding recommendations. Beyond
this, the Monitor has no right to demand from the parties, that they act in a
specific manner, refrain from action or tolerate action.
6. The Monitor will submit a written report, to the Chairperson of the Board of
the Principal, within 8 to 10 weeks, from the date of reference of intimation to
him by the 'Principal' and, should the occasion arise, submit proposals for
correcting problematic situations.
7. If the Monitor has reported to the Chairperson of the Board, a substantiate
suspension of an offence, under relevant Anti-Corruption Laws of India, and the
Chairperson has not, within reasonable time, taken visible action to proceed
against such offence, or reported it to the Vigilance Office, the Monitor may also
transmit this information directly to the Central Vigilance Commissioner,
Government of India.
71
Section-9 Pact Duration
This Pact begins when both parties have signed it. It expires 12 months after
the last payment under the contract Agreement is made.
If any claim is made/lodged during this time, the same shall be binding and
continue be valid, despite the lapse of this Pact, as specified above,
unless it is discharged/determined Chairperson of the Principal.
The Pact duration in respect of unsuccessful Bidders shall expire after
3 months of the award of the contract.
Section-10: Other Provisions
1. This agreement is subject to Indian Law. Place of performance and
jurisdiction is the Registered Office of the Principal, i.e. Mumbai, Maharashtra.
2. Changes and supplements as well as termination notices, need to be made
in writing, before they become effective and binding on the both parties.
3. If the Bidder / Contractor is a partnership or a consortium, this agreement
must be, signed by all partners or consortium members.
4. Should one or several provisions of this agreement, turn out to be invalid,
the remainder of this agreement remains valid. In this case, the parties will
strive to come to an agreement, to their original intensions.
For the Principal For the Bidder
Place: Mumbai
Witness-1 : ..................................... Witness-1 :
.....................................
Witness-2 : ..................................... Witness-2 :
.....................................
Date : /_ /2017 Date : /_ /2017
72
ANNEXURE-IX
CHECK LIST
(Mandatorily to be attached at the starting of the Technical bid.)
COVER - A.
1 Tender Cost submitted online by NEFT/RTGS. Slip scanned and
uploaded on line on the e-procurement portal.
2 EMD submitted online by NEFT/RTGS. Slip scanned and uploaded
on line on the e-procurement portal.
3 Documentary evidence for the constitutions of the Hospital /
Diagnostic Centers / concern, List of Board of Directors
4 The instruments such as power of attorney, resolution of board etc.,
5 Authorization letter nominating a responsible person of the bidder
to transact the business with the Tender inviting Authority.
6 Annual Turnover Statement for 3 Years (as per Annexure-VI)
certified by Auditor or CA
7 Checklist – Annexure-IX
8 Mandate Form (Annexure-II)
9 Declaration as per format Annexure - I on 100 Rs stamp paper as
per format Annexure III on 100 Rs stamp paper.
10 Pre Contract Integrity Pact as per format Annexure - VIII on 100 Rs
stamp paper
11 List of documents of General Information for Hospital / Diagnostic
Centers as per Annexure – IV
12 Rate list of the Hospital / Diagnostic Centers which already exists
for non- Mumbai Port Trust patients/general patients.
13 List of names of existing empaneled organizations/institutions
(Attach Documentary Proof)
14
Registration Certificate (Permission from the competent authority for
running of the hospital / Diagnostic Centers) OR any other
Municipal Statutory Certificate.
15 N.O.C. from Pollution Control Board in respect of Bio Medical waste
disposal.
16 An undertaking along with the technical bid to the effect that they
will not refuse Mumbai Port Trust patients sent for management at
73
any time designated for that empaneled hospital
17
Satisfactory service certificate for a period of two years from at least
one or two or three State or Central Govt. / Mumbai Port Trust /
PSUs / Organization / Department.
18 Bidders Self-Evaluation of EOI Submitted For Empanelment Of
Private Hospitals – As Per Annexure – XII
19 Bidders Self - Evaluation of EOI Submitted For Diagnostic Radiology
Centre– As Per Annexure – XIII
20 Performance Bank Guarantee Format –As per Annexure - XIV
21 Draft Memorandum of Agreement (MOA) – As per Annexure - XV
22 Any other Documents
Tenderer must ensure that all the required documents are signed &
stamped before scanned and uploaded online by them and submitted in
Technical cover duly highlighted respective field.
Date: Signature of Authorized Person
Place: Full Name:
Hospital / Diagnostic Centre
Seal:
74
ANNEXUERE: X
EVALUATION FORMAT OF EOI SUBMITTED BY THE HOSPITAL.
Sr. No.
PARAMETERS Facility
Available YES or NO
Total Marks
Marks Obtained
I
Location (4) *Select only one response
Mumbai, Suburban Mumbai Yes No 4
Navi Mumbai Yes No 3
Thane, Yes No 2
Other locations Yes No 1
II
Category of Specialty Services (12) *Select only one response
1.Cardiology Yes No 2.Cardiothoracic surgery Yes No 3.Vascular surgery Yes No 4.Neurology Yes No 5.Neurosurgery Yes No 6.Nephrology & Dialysis 24 hours Yes No 7.Urology Yes No 8.Surgical Gastroenterology Yes No 9.MedicalGastroenterology Yes No 10.Paediatric Surgery Yes No 11.Medical Oncology, Chemotherapy & Radiotherapy
Yes No
12.Surgical Oncosurgery Yes No 13.Plastic Surgery & Burns management
Yes No
14.Reconstructive Surgery(Joint replacement)
Yes No
15.Maxillofacial surgeries (Maxilla & Mandibular)
Yes No
Among above Super specialty (>12 specialties )
Yes No 12
Among above Super specialty (>10 to 12 specialties )
Yes No 10
Among above Super specialty (>5 to 10 specialties)
Yes No 8
Among above Super specialty (>3 to 5 specialties)
Yes No 6
Among above Super specialty (>2 to 3 specialties)
Yes No 4
Among above Super specialty (<2 specialties)
Yes No 2
75
III
ICU with Ventilator and all facilities (6) *Encircle one
responses in each
ICCU
>5 Beds Yes No 1
<5Beds Yes No 0.5
Medical ICU
>5 Beds Yes No 1
<5Beds Yes No 0.5
Surgical ICU
>5 Beds Yes No 1
<5Beds Yes No 0.5
Neuro ICU
>5 Beds Yes No 1
<5Beds Yes No 0.5
NICU
>5 Beds Yes No 1
<5Beds Yes No 0.5
PICU
>5 Beds Yes No 1
<5Beds Yes No 0.5
IV
OPERATION THEATRES (5) *Select only one response
>5 Equipped OT`s Yes No 5
>3 -4 Equipped OTs Yes No 4
>2-3 Equipped OT`s Yes No 3
>1-2 Equipped OT`s Yes No 2
<1 Equipped OT Yes No 1
V
Type of Hospital (3) *Select only one response DNB/MD/MCH/DM training hospital Yes No 3
Diploma Training Hospital Yes No 2
Nursing School Yes No 1
No training institute Yes No 0
VI
No. of Functional Beds (excluding Intensive Care) (7) *Select only one response
>500 Yes No 7
>300-500 Yes No 6
>200-300 Yes No 5
>100-200 Yes No 4
<100 Yes No 2
VII
Span of Control (4)
Duty Doctor to patient Ratio (2) *Select only one response
1:10 Yes No 2
76
1:15 Yes No 1
01:>15 Yes No 0
Nurse to patient Ratio(non ICU)(2) *Select only one response
1:10 Yes No 2
1:12 Yes No 1
01:>12 Yes No 0
VIII
Availability of in-house doctors (full time) with regards to the
occupied inpatient beds. (4) *Select only one response
a.MCH/DM Yes No 4
b. MD/MS doctors Yes No 2
c. MBBS Doctors Yes No 1
d. Blend of doctors Yes No 1
e. Allied Medicine Doctors Yes No 1
X
Infrastructure / Facilities /Other (9) *Encircle all responses
Cath Lab Yes No 3
Warmers/Incubators Yes No 1
OT-Laminar Air Flow Yes No 1
In-House Laundry Yes No 1
In-House Pharmacy Yes No 1
CSSD Yes No 1
Availability of 24 hr power back up Yes No 1
XI
MEDICAL AUDIT (3) *Encircle all responses
Fire Safety Equipment Yes No 1
Fire Safety Drill & Certificate Yes No 1
Regular Medical Audits are conducted Yes No 1
XII
Diagnostic Services In - House.
In -House NABL Lab (7) *Encircle all responses
Hematology Yes No 1
Biochemistry Yes No 1
Microbiology Yes No 1
Histopathology Yes No 1
Serology Yes No 1
Immunological Studies Yes No 1
Cultures Yes No 1
In -House Non - NABL Lab (3.5) *Encircle all responses
Hematology Yes No 0.5
Biochemistry Yes No 0.5
77
Microbiology Yes No 0.5
Histopathology Yes No 0.5
Serology Yes No 0.5
Immunological Studies Yes No 0.5
Cultures Yes No 0.5
XIII
Blood Bank Services (24Hours) (5) *Select only one response
Registered In-House Blood Bank Yes No 5
Blood Storage Facility Yes No 2
No Blood Bank Yes No 0
XIV
Super Specialty Treatment Investigation (12) *Encircle all responses
1. CT Scan Yes No 1
2. TMT Yes No 0.5
3. Holter Yes No 0.5
4. Mammography Yes No 1
5. CT Angio Yes No 0.5
6. MR Angio Yes No 0.5
7. MRCP Yes No 1
8. PFT & Bronchoscopy Yes No 0.5
9. Bone Dexa Scan Yes No 0.5
10. Bone Densitometry Yes No 0.5
11.USG Yes No 0.5
12.2D Echocardiogram Yes No 0.5
13. Dental X-rays & OPG Yes No 0.5
14. PET Yes No 1
15. MRI Yes No 1
16. Specialized Investigation (NCV/EMG, EEG)
Yes No 1
17. Nuclear Medicine (DTPA Thyroid Scan)
Yes No 1
XV
Availability of Ambulance facilities (3) *Select only one response
In house ALS Yes No 3
In-house: BLS Yes No 2
Outsourced Yes No 1
No ambulance Yes No 0
XVI
Hospital Infection Control measures (3) *Encircle all responses
HEPA Filters and Air Exchanges Yes No 2
Availability of Infection Control Protocols
Yes No 1
78
XVII
Hospital Information System and Medical Records Dept. (1) *Encircle all responses
Hospital Information System (HIS) Yes No 1
No Hospital Information System (HIS) Yes No 0
XVIII
Accreditation (3) *Select only one response
NABH/JCI Accreditation Yes No 3
ISO Certification Yes No 2
IPHS Certification Yes No 1
No Accreditation Yes No 0
XIXI
Bio Medical Waste Disposal System (2) *Select only one
response
Common Treatment Disposal Facility Yes No 2
In House Yes No 1
No Facility
Yes No 0
XX
Diet services
Diet services 1
No Diet Services 0
XXI
Annual Turnover of the Hospital in aggregate of three financial years ending March 2016
>100 crore
Yes
No 3
> 50-100 crore
Yes
No 2
Up to 50 crore
Yes
No 1
The total possible marks are 100. Selection process would involve short- listing of applicants on technical evaluation based on marks scored by the applicants on each of the criteria as provided above. The maximum possible marks, which may be scored by an applicant, are 100. Minimum qualifying marks are 60 out of 100 (i.e. 60 % of the total possible marks). The applicants scoring 60 and above would be short-listed for next round for selection. After short-listing of applicants as mentioned above, final selection of the Hospitals from the short-listed applicants would be made on the basis of the lowest financial bid made by an applicant.
Chief Medical Officer, Mumbai Port Trust
79
ANNEXURE: XI
EVALUATION FORMAT OF EOI SUBMITTED FOR DIAGNOSTIC
RADIOLOGY CENTRE
Sr.
No. Parameters
Facility
Available
Yes or No
Total
Marks
Marks
Obtained
I
Location *Select any one Response 7
Within 10 Kms From MbPT Hospital Yes No 7
Within 10-20 Kms From MbPT Hospital Yes No 5
Within 20- 30 Kms From MbPT Hospital Yes No 3
>30 Kms From MbPT Hospital Yes No 1
II
List of Services * Select all response 16
M.R.I Yes No 2
C.T. Yes No 2
PET.C.T. Yes No 2
Gamma Camera Yes No 2
DEXA Yes No 2
Mammography Yes No 2
OPG Yes No 2
C.T. Guided Interventional Procedures Yes No 2
III
Qualified Staff With Requisite Approvals * Select all response 8
Technicians Yes No 2
Nurse Yes No 2
Dedicated Liaison Officer for MbPT Yes No 2
AERB Approved Yes No 2
IV
Radiologist *Select any one Response 4
Full Time Yes No 4
Part Time Yes No 2
V
Experience *Select any one Response 6
PG with 5 years with Super specialty
Fellowship Yes No
6
PG with > 10years Experience Yes No 4
PG with > 5years Experience Yes No 2
VI
Life Saving Equipments * Select all response 6
Defibrillator Yes No 2
Anesthesia Equipments Yes No 2
Emergency Drugs Yes No 2
VII
Emergency Services (24 X7) * Select any one response 3
Available Yes No 3
Not Available Yes No 0
Evaluation of the Equipments
VIII
Life of New Equipment * Select any one response in all equipments
28
C.T. ≤ 5
years Yes No 4
80
>5
Years Yes No 2
M.R.I
≤ 5
years Yes No 4
>5
Years Yes No 2
PET.C.T.
≤ 5 years
Yes No 4
>5
Years Yes No 2
Gamma Camera
≤ 5
years Yes No 4
>5
Years Yes No 2
DEXA
≤ 5
years Yes No 4
>5 Years
Yes No 2
Mammography
≤ 5
years Yes No 4
>5
Years Yes No 2
OPG
≤ 5
years Yes No 4
>5
Years Yes No 2
IX
Specification Of Equipment
C.T. * Select any one response *Select any one Response 6
> 128 Slice Yes No 6
128 Slice Yes No 4
64 Slice Yes No 2
X
M.R.I * Select any one response 4
3 TESLA Yes No 4
1.5 TESLA Yes No 2
XI
Mammography * Select any one response 4
Direct Digital Mammography Yes No 4
Conventional Mammography Yes No 2
XII
PET.C.T. * Select any one response 4
64 Slice Yes No 4
16 Slice Yes No 2
XIII
Average Financial Turn over for last 3 years 4
>10 crore Yes No 4
>5 -10 crore Yes No 3
>1 - 5 crore Yes No 2
Up to 1 crore Yes No 1
NOTE: From Item no. IX to XII, the Bidders should quote for the diagnostic
modalities only if they fulfill the minimum specification for the respective
equipment (Minimum score of 2 for each modalities).
81
ANNEXUERE: XII
BIDDERS SELF-EVALUATION OF EOI SUBMITTED FOR EMPANELMENT OF PRIVATE HOSPITALS
Sr. No.
PARAMETERS Facility
Available YES or NO
Total
Marks
Marks Obtaine
d
Mentioned the
documentary proof of scoring marks
I
Location (4) *Select only one response
Mumbai, Suburban Mumbai
Yes No 4
Navi Mumbai Yes No 3
Thane, Yes No 2
Other locations Yes No 1
II
Category of Specialty Services (12) *Select only one response
1.Cardiology Yes No
2.Cardiothoracic surgery Yes No
3.Vascular surgery Yes No
4.Neurology Yes No
5.Neurosurgery Yes No
6.Nephrology & Dialysis 24 hours
Yes No
7.Urology Yes No
8.Surgical Gastroenterology
Yes No
9.MedicalGastroenterology
Yes No
10.Paediatric Surgery Yes No
11.Medical Oncology, Chemotherapy & Radiotherapy
Yes No
12.Surgical Oncosurgery Yes No
13.Plastic Surgery &
Burns management Yes No
14.Reconstructive Surgery(Joint replacement)
Yes No
15.Maxillofacial surgeries (Maxilla & Mandibular)
Yes No
Among above Super specialty (>12 specialties )
Yes No 12
Among above Super specialty (>10 to 12 specialties )
Yes No 10
Among above Super specialty (>5 to 10 specialties)
Yes No 8
82
Among above Super specialty (>3 to 5 specialties)
Yes No 6
Among above Super specialty (>2 to 3 specialties)
Yes No 4
Among above Super specialty (<2 specialties)
Yes No 2
III
ICU with Ventilator and all facilities (6) *Encircle one responses in each
ICCU
>5 Beds Yes No 1
<5Beds Yes No 0.5
Medical ICU
>5 Beds Yes No 1
<5Beds Yes No 0.5
Surgical ICU
>5 Beds Yes No 1
<5Beds Yes No 0.5
Neuro ICU
>5 Beds Yes No 1
<5Beds Yes No 0.5
NICU
>5 Beds Yes No 1
<5Beds Yes No 0.5
PICU
>5 Beds Yes No 1
<5Beds Yes No 0.5
IV
OPERATION THEATRES (5) *Select only one response
>5 Equipped OT`s Yes No 5
>3 -4 Equipped OTs Yes No 4
>2-3 Equipped OT`s Yes No 3
>1-2 Equipped OT`s Yes No 2
<1 Equipped OT Yes No 1
V
Type of Hospital (3) *Select only one response
DNB/MD/MCH/DM training hospital
Yes No 3
Diploma Training Hospital
Yes No 2
Nursing School Yes No 1
No training institute Yes No 0
VI No. of Functional Beds (excluding Intensive
Care) (7) *Select only one response
83
>500 Yes No 7
>300-500 Yes No 6
>200-300 Yes No 5
>100-200 Yes No 4
<100 Yes No 2
VII
Span of Control (4)
Duty Doctor to patient Ratio (2) *Select only one response
1:10 Yes No 2
1:15 Yes No 1
01:>15 Yes No 0
Nurse to patient Ratio(non ICU)(2) *Select only one response
1:10 Yes No 2
1:12 Yes No 1
01:>12 Yes No 0
VIII
Availability of in-house doctors (full time) with
regards to the occupied inpatient beds. (4) *Select only one response
a.MCH/DM Yes No 4
b. MD/MS doctors Yes No 2
c. MBBS Doctors Yes No 1
d. Blend of doctors Yes No 1
e. Allied Medicine Doctors Yes No 1
X
Infrastructure / Facilities /Other (9) *Encircle all responses
Cath Lab Yes No 3
Warmers/Incubators Yes No 1
OT-Laminar Air Flow Yes No 1
In-House Laundry Yes No 1
In-House Pharmacy Yes No 1
CSSD Yes No 1
Availability of 24 hr power back up
Yes No 1
XI
MEDICAL AUDIT (3) *Encircle all responses
Fire Safety Equipment Yes No 1
Fire Safety Drill & Certificate
Yes No 1
Regular Medical Audits are conducted
Yes No 1
XII Diagnostic Services In - House.
In -House NABL Lab (7) *Encircle all responses
84
Hematology Yes No 1
Biochemistry Yes No 1
Microbiology Yes No 1
Histopathology Yes No 1
Serology Yes No 1
Immunological Studies Yes No 1
Cultures Yes No 1
In -House Non - NABL Lab (3.5) *Encircle all responses
Hematology Yes No 0.5
Biochemistry Yes No 0.5
Microbiology Yes No 0.5
Histopathology Yes No 0.5
Serology Yes No 0.5
Immunological Studies Yes No 0.5
Cultures Yes No 0.5
XIII
Blood Bank Services (24Hours) (5) *Select only one response
Registered In-House Blood Bank
Yes No 5
Blood Storage Facility Yes No 2
No Blood Bank Yes No 0
XIV
Super Specialty Treatment Investigation (12) *Encircle all responses
1. CT Scan Yes No 1
2. TMT Yes No 0.5
3. Holter Yes No 0.5
4. Mammography Yes No 1
5. CT Angio Yes No 0.5
6. MR Angio Yes No 0.5
7. MRCP Yes No 1
8. PFT & Bronchoscopy Yes No 0.5
9. Bone Dexa Scan Yes No 0.5
10. Bone Densitometry Yes No 0.5
11.USG Yes No 0.5
12.2D Echocardiogram Yes No 0.5
13. Dental X-rays & OPG Yes No 0.5
14. PET Yes No 1
15. MRI Yes No 1
16. Specialized Investigation (NCV/EMG, EEG)
Yes No 1
85
17. Nuclear Medicine (DTPA Thyroid Scan)
Yes No 1
XV
Availability of Ambulance facilities (3) *Select only one response
In house ALS Yes No 3
In-house: BLS Yes No 2
Outsourced Yes No 1
No ambulance Yes No 0
XVI
Hospital Infection Control measures (3) *Encircle all responses
HEPA Filters and Air Exchanges
Yes No 2
Availability of Infection Control Protocols
Yes No 1
XVII
Hospital Information System and Medical Records Dept (1) *Encircle all responses
Hospital Information System (HIS)
Yes No 1
No Hospital Information System (HIS)
Yes No 0
XVIII
Accreditation (3) *Select only one response
NABH/JCI Accreditation Yes No 3
ISO Certification Yes No 2
IPHS Certification Yes No 1
No Accreditation Yes No 0
XIXI
Bio Medical Waste Disposal System (2) *Select
only one response
Common Treatment Disposal Facility
Yes No 2
In House Yes No 1
No Facility
Yes No 0
XX
Diet services
Diet services 1
No Diet Services 0
XXI
Annual Turnover of the Hospital in aggregate of three financial years ending March 2016
< 100 crore
Yes
No 3
< 50-100 crore
Yes
No 2
< 50 crore
Yes
No 1
SIGNATURE OF BIDDER WITH SEAL
86
ANNEXURE: XIII
BIDDERS SELF - EVALUATION OF EOI SUBMITTED FOR DIAGNOSTIC RADIOLOGY CENTRE
Sr. No.
Parameters Facility Available
Yes or No Total Marks
Marks Obtained
Mentioned the
documentary proof of scoring marks
I
Location *Select any one Response 7
Within 10 Kms From MbPT Hospital Yes No 7
Within 10-20 Kms From MbPT Hospital Yes No 5
Within 20- 30 Kms From MbPT Hospital Yes No 3
>30 Kms From MbPT Hospital Yes No 1
II
List of Services * Select all response 16
M.R.I Yes No 2
C.T. Yes No 2
PET.C.T. Yes No 2
Gamma Camera Yes No 2
DEXA Yes No 2
Mammography Yes No 2
OPG Yes No 2
C.T. Guided Interventional Procedures Yes No 2
III
Qualified Staff With Requisite Approvals * Select all response
8
Technicians Yes No 2
Nurse Yes No 2
Dedicated Liason Officer for MbPT Yes No 2
AERB Approved Yes No 2
IV
Radiologist *Select any one Response 4
Full Time Yes No 4
Part Time Yes No 2
V
Experience *Select any one Response 6
PG with 5 years with Superspecialty
Fellowship Yes No
6
PG with > 10years Experience Yes No 4
PG with > 5years Experience Yes No 2
VI
Life Saving Equipments * Select all response 6
Defibrillator Yes No 2
Anesthesia Equipments Yes No 2
Emergency Drugs Yes No 2
VII
Emergency Services (24 X7) * Select any one response 3
Available Yes No 3
Not Available Yes No 0
Evaluation of the Equipments
VIII Life of New Equipment * Select any one response in all
equipments 28
87
C.T.
≤ 5
years Yes No 4
>5
Years Yes No 2
M.R.I
≤ 5
years Yes No 4
>5 Years
Yes No 2
PET.C.T.
≤ 5
years Yes No 4
>5
Years Yes No 2
Gamma Camera
≤ 5
years Yes No 4
>5
Years Yes No 2
DEXA
≤ 5 years
Yes No 4
>5
Years Yes No 2
Mammography
≤ 5
years Yes No 4
>5
Years Yes No 2
OPG
≤ 5
years Yes No 4
>5 Years
Yes No 2
IX
Specification Of Equipment
C.T. * Select any one response *Select any one Response 6
> 128 Slice Yes No 6
128 Slice Yes No 4
64 Slice Yes No 2
X
M.R.I * Select any one response 4
3 TESLA Yes No 4
1.5 TESLA Yes No 2
XI
Mammography * Select any one response 4
Direct Digital Mammography Yes No 4
Conventional Mammography Yes No 2
XII
PET.C.T. * Select any one response 4
64 Slice Yes No 4
16 Slice Yes No 2
XIII
Average Financial Turn over for last 3 years 4
>30 crore Yes No 4
>20 -30 crore Yes No 3
>10 - 20 crore Yes No 2
>10 crore Yes No 1
SIGNATURE OF BIDDER WITH SEAL
88
ANNEXURE - XIV
Performance Bank Guarantee
To:
Board of Trustees of Port Of Mumbai
WHEREAS _____________________________________________________(Name of Hospital) has undertaken, Agreement No. ______________ ________________________ dated, __________________2017 to ________ ___________ _________ _______________________ (Description of Services) hereinafter called "the Agreement". AND WHEREAS it has been stipulated by you in the said Agreement that the Hospital selected for empanelment shall furnish you with a bank Guarantee by a nationalized bank for the sum specified therein as security for compliance with the Hospital performance obligations in accordance with the Agreement. AND WHEREAS we have agreed to give the Hospital a guarantee: THEREFORE, WE __________________________________(Name of the Bank) hereby affirm that we are Guarantors and responsible to you, on behalf of Hospital (herein after referred to “the Second Party” up to a total of _________________________________(Amount of the guarantee in Words and Figures) and we hereby irrevocably, unconditionally and absolutely undertake to immediately pay you, upon your first written demand declaring the Second Party to be in default under the Agreement and without cavil or argument, any sum or sums within the limit of ___________________________ as aforesaid, without your needing to prove or to show this grounds or reasons for your demand or the sum specified therein. This guarantee is valid until the ___________ day of ______________ 2020 This Guarantee shall be incorporated in accordance with the laws of India. We represent that this Bank Guarantee has been established in such form and such content that is fully enforceable in accordance with its terms as against the Guarantor Bank in the manner provided herein.
The Guarantee shall not be affected in any manner by reason of merger, amalgamation, restructuring or any other change in the constitution of the Guarantor Bank or of the Hospital. Date Signature and Seal of Guarantors Address: _____________________________________ _____________________________________
89
ANNEXURE - XV
DRAFT MOA
TENDER REF. No. CMO 61/2017-18
MUMBAI PORT TRUST MEDICAL DEPARTMENT
All the Hospitals / Diagnostic Centers which are to be empaneled by the MbPT are advised to prepare the Agreement between the Chief Medical Officer, Mumbai Port Trust Hospital and the concerned Hospital on a non-judicial stamp paper of Rs. 100/- for further necessary action.
(Chief Medical Officer,
Mumbai Port Trust Hospital)
90
AGREEMENT BETWEEN BOARD OF TRUSTEES OF THE PORT OF MUMBAI
AND
………………………………… (Name of the Hospital),
This Agreement is made on the ________ day of _________, 2017 between the Board
of Trustees of the Port Of Mumbai acting through Chief Medical Officer, Mumbai
Port Trust Hospital having its office at Nadkarni Park, Wadala (East) Mumbai – 400
037 (hereinafter called MbPT Hospital, which expression shall, unless repugnant to
the context or meaning thereof, be deemed to mean and include its successors and
assigns) of the First Part
AND
……………………………………….. (Name of the Hospital with Address) of the Second
Part.
WHEREAS, the Mumbai Port Trust Hospital is providing comprehensive medical
care facilities to the Mumbai Port Trust Employees / Pensioners.
AND WHEREAS, MbPT Hospital proposes to provide treatment facilities and
diagnostic facilities to the Beneficiaries in the Private Recognized Hospitals in
Mumbai, Navi Mumbai, Thane and Kalyan.
AND WHEREAS, (Name of the Hospital) offered to give the following treatment /
diagnostic facilities to the MbPT Beneficiaries in the Hospital.
…………………………………………………………………………………………………………
…………………………………………………………………………………………………………
…………………………………………………………………………
NOW, THEREFORE, IT IS HEREBY AGREED between the Parties as follows:
1. DEFINITIONS & INTERPRETATIONS
1.1 The following terms and expressions shall have the following meanings for
purposes of this Agreement:
91
1.1.1 “Agreement” shall mean this Agreement and all Schedules, supplements,
appendices, appendages and modifications thereof made in accordance with
the terms of this Agreement.
1.1.2 “Benefit” shall mean the extent or degree of service the beneficiaries are
entitled to receive as per the rules on the subject.
1.1.3 “Bill Clearing Agency “(MBPT HOSPITAL) means the agency appointed by
MbPT Hospital for processing of Data/ Bills of all MbPT beneficiaries (both
serving and pensioner) attending the empanelled Private Hospitals and for
making payment.
1.1.4 “Refer Letter” shall mean the MbPT Hospital Refer Letter, issued by Chief
Medical Officer, Mumbai Port Trust or any authorized person nominated by
Chief Medical Officer, Mumbai Port Trust.
1.1.5 “Refer Letter Holder” shall mean a person having a MbPT Refer Letter
Holder.
1.1.6 “MbPT Beneficiary” shall mean a person who is eligible for coverage of MbPT
and holds a valid MbPT Refer Letter.
1.1.6 “Coverage” shall mean the types of persons to be eligible as the beneficiaries
of the Scheme to health services provided under the Scheme, subject to the
terms, conditions and limitations.
1.1.7 “Diagnostic Center” shall mean the (Name of the Diagnostic Center)
performing tests / investigations
1.1.8 “Imaging Centre” shall mean the (Name of the Imaging Centre) performing X-
ray, CT Scan, MRI, USG, PET Scan etc.,
1.1.9 “Emergency” shall mean any condition or symptom resulting from any
cause, arising suddenly and if not treated at the earliest opportunity would
92
be detrimental to the health of the patient or shall jeopardize the life of the
patient.
1.1.10 “Empanelment” shall mean the hospital authorized by the MbPT Hospital for
treatment purposes for a particular period.
1.1.11 “Hospital” shall mean the (Name of the Hospital) while performing under this
Agreement providing medical investigation, treatment and the healthcare of
human beings.
1.1.12 “De-recognition of Hospital” shall mean debarring the hospital on account of
adopting unethical practices or fraudulent means in providing medical
treatment to or not following the good industry practices of the health care
for the MbPT beneficiaries after following certain procedure of inquiry
1.1.13 “Party” shall mean either the MbPT or the Hospital and “Parties” shall mean
both the MbPT and the Hospital.
1.1.14 “Package rate” is defined as lump sum cost of inpatient treatment/ day care
for which a patient has been referred by Chief Medical Officer, Mumbai Port
Trust or any authorized person nominated by Chief Medical Officer, Mumbai
Port Trust to Hospital. This includes all charges pertaining to a particular
treatment/ procedure including:
a. Registration charges,
b. Admission charges.
c. Accommodation charges (includes diet provided to patient),
d. Operation charges
e. Injection charges,
f. Dressing charges,
g. Doctor/consultant visit charges,
h. ICU/ICCU charges,
i. Monitoring charges,
j. Transfusion charges,
k. Anesthesia charges,
l. Operation theatre charges,
93
m. Procedural charges/surgeon’s fee,
n. Cost of surgical disposables and all sundries used during
hospitalization,
o. Cost of medicines.
p. Related routine and essential investigations,
q. Physiotherapy charges etc.
r. Pre-anesthetic check up
s. Any other charges levied during stay under package days duration.
t. Nursing care and charges for its services and all other incidental
charges related thereto
u. The above list is an illustrative one only.
The package rate, however, does not include expenses on telephone, tonics,
cosmetics / toiletries, etc. These are not part of the treatment regimen. Cost
of these additional items, if provided with the prior consent of the patient,
has to be settled with the patient, for which no reimbursement shall be
admissible.
In order to remove the scope of any ambiguity on the point of package rates,
it is reiterated that the rate quoted for a particular procedure must be
inclusive of all sub-procedures and all related procedures to complete the
treatment procedure. The patient shall not be asked to bear the cost of any
such procedure/item.
Implants shall be allowed as per Government ceiling rate if Price is
controlled by Government or as per actual with approved standard
percentage of discount Rate in second price bid, whichever may be less.
1.1.15 “Specialized treatment” shall mean the treatment in a particular specialty.
1.1.16 “TPA” shall mean a Third Party Administrator authorized by MbPT to
process the medical reimbursement claims or to carry out medical audit.
1.1.17 “Rate” – Charges for approved procedures / services as may be notified by
MbPT from time to time.
94
2. TERMS & CONDITIONS RELATED TO PACKAGES AND RATES 2.1 Approved Rates to be Charged: The Hospital agrees that it shall charge
from the MbPT beneficiary as per the rates for a particular procedure /
package deal as prescribed by the MbPT and attached as Annexure (rate
list), which shall be an integral part of this Agreement.
2.2 Package rate shall mean and include lump sum cost of in-patient treatment
/ daycare/diagnostic procedure for which a Mumbai Port Trust
beneficiary/Mumbai Port Trust staff has been permitted by the competent
authority or for treatment under emergency from the time of admission to
the time of discharge including two immediate consecutive post-operative
review visit (but not limited to):
(1) Registration charges (2). Admission charges (3.) Accommodation charges
including patients’ diet (4). Operation Charges (5).Injection Charges
(6).Dressing Charges(7).Doctor/consultant visit charges (8).ICU/ICCU
charges (9).Monitoring Charges(10).Transfusion charges (11).Anesthesia
charges (12).Operation Theatre charges(13).Procedural charges/Surgeon’s
fee (14).Cost of surgical disposable and all sundries used during
hospitalization (15).Cost of medicines (16).All other related routine and
essential investigations (17).Physiotherapy (18).Nursing care and charges for
its services and all other incidental charges related thereto.
2.3 The Bidding Hospital/Diagnostic Center shall provide certain discounts on
drugs/treatment/procedures/devices as per quoted “Standard Highest
discount percentage rate (H1)” for non-package treatments/ Procedures and
approved by MbPT. These are: -
In case of emergency, if the Mumbai Port Trust patient is admitted for the
specialty/ super specialty procedure/investigation for which the hospital/
diagnostic center is not empaneled to, the hospital/ diagnostic center shall
levy MbPT approved rates for the procedure/investigation. If no such rates
are available, then there shall be a discount of as per “Standard Highest
discount percentage rate (H1)” in Price Bid – II for non-package treatments/
Procedures and approved by MbPT on normal scheduled rates of the hospital
with prior permission of Chief Medical Officer, Mumbai Port Trust.
95
2.4 The hospital shall not refuse to treat any Mumbai Port Trust patient in case
of emergency in any specialty/super specialty which is available in hospital
despite it is empaneled or not for the same. However, intimation for approval
has to be given to the office of Chief Medical Officer, Mumbai Port Trust as
soon as practicable/preferably next working day in case of holiday. In case
of genuine delay, reason should be given and approval should be taken from
Chief Medical Officer, Mumbai Port Trust.
2.5 Cost of implants/stents/grafts will be paid in addition to package rates as
per actual rates for the same after allowing the quoted “Standard Highest
discount percentage rate (H1)” for non-package treatments/ Procedures and
approved by MbPT.
2.6 Hospital shall not charge more than the approved package rates and
approved discount rates for various items to Mumbai Port Trust Employees
and their family members and to all Retired Employees and their Spouses.
2.7 The services provided by the Hospitals to MbPT Beneficiaries shall be on
credit basis for all Employees and their family members and to all Retired
Employees and their Spouses.
2.8 Expenses on toiletries, cosmetics, telephone bills etc. are not payable by
MbPT and are not included in package rates.
2.9 Envisaged duration of Package rates for indoor treatment is as follows: -
Up to 12 Days: for Specialized (Super specialty) treatment
Up to 7 Days: for the other Major Surgeries
Up to 3 Days: for Laparoscopic Surgeries/normal Deliveries
1 Day: for day care/Minor OPD surgeries.
2.10 Increased duration of indoor treatment due to infection or the consequences
of surgical procedure if not justified or due to any improper procedure will
not be paid by MbPT.
96
2.11 However, Extended stay more than period covered in the package rate may
be permitted in exceptional cases provided the same is supported by relevant
documents and medical records and certified as such by hospital. The
additional reimbursement shall be limited to accommodation charges as per
entitlement, investigation charges at approved rates, and doctors’ visits
charges (two visits /day) and cost of medicine for additional stay. The
approval from Chief Medical Officer, Mumbai Port Trust is required in the
matter and the same shall be attached with the bill so sent for payment.
2.12 The maximum room rent for different categories would be as per approved
rates/terms & conditions prevailing for Mumbai Port Trust.
2.13 Room rent is applicable only for treatment procedures for which there is no
MbPT prescribed package rate. Room rent will include charges for
occupation of Bed, diet for the patient, charges for water and electricity
supply, linen charges, nursing and routine up keeping. Room rent for
different categories would be as per MbPT terms & conditions.
2.14 During the treatment in ICCU/ICU, no separate room rent will be
admissible.
2.15 Private ward is defined as a hospital room where single patient is
accommodated and which has an attached toilet (lavatory and bath). The
room shall have furnishings like wardrobe, dressing table, bedside table,
sofa set etc. as well as a bed for attendant. The room has to be air
conditioned.
2.16 Semi private ward is a hospital room where 2 or 3 patients are
accommodated which has attached toilet facilities and necessary
furnishings.
2.17 General ward is defined as Hall that accommodates 4 to 10 patients.
2.18 Normally treatment in higher category of accommodation than the entitled
category is not permissible, however in case of an emergency when entitled
category accommodation is not available; admission in immediate higher
97
category is to be allowed till entitled accommodation is available. Even in
this case the Hospital has to charge as per entitlement of the patient.
2.19 The hospital/diagnostic center shall provide treatment/investigation to
Mumbai Port Trust patients on credit basis for all Employees and their
family members and to all Retired Employees and their Spouses.
2.20 Patient will be referred with a MbPT Refer Letter signed by Chief Medical
Officer, Mumbai Port Trust or any authorized person nominated by Chief
Medical Officer, Mumbai Port Trust.
2.21 Cases referred between 4 pm to 9 am next morning (Emergency cases) will
be signed by Casualty medical officer; the same MbPT Refer Letter will be
signed by the Chief Medical Officer, Mumbai Port Trust Hospital, Nadkarni
Park, Wadala East, Mumbai next day and will be sent by mail/post. These
cases will be referred only after discussion with the concerned specialist
which has to be mentioned on the referral form.
2.22 Direct admission without referral form will not be entertained at all. If
entertained, the payment of such procedures will not be made to the
Hospital by MbPT.
2.23 The hospital shall not refer the patient to other specialist/other hospital
without prior permission of Chief Medical Officer, Mumbai Port Trust.
2.24 The Hospital should furnish the interim report once in a week about the
status of the patients admitted for the treatment/procedure of non-package
diseases to the Chief Medical Officer, Mumbai Port Trust.
2.25 Feedback form will be filled by the patient/ attendant at Mumbai Port Trust
hospital after discharge.
2.26 If one or more minor procedures form part of a major treatment procedure,
then package charges would be permissible for major procedure and only
50% of charges for minor procedures.
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2.27 To ensure smooth administration of MbPT Hospital, the Hospitals should
ensure that advices on discharge prescriptions for continuation of Medicines
must be written on Generic names only. As MbPT has already implemented
the practice of prescribing the Medicines in all the prescriptions on Generic
names only.
2.28 Any legal liability arising out of such services shall be the sole responsibility
of the Hospital/Centre and shall be dealt with by the concerned
hospital/diagnostic center. However, Services will be provided by the
hospital/diagnostic center as per the terms of contract.
2.29 Primary and Secondary Health care to Mumbai Port Trust beneficiaries is
being provided by MbPT Dispensaries and Mumbai Port Trust Hospital.
However, in case of emergency the super specialty Hospital/Diagnostic
centers may start treatment/investigation and take Expost facto approval
from the office of the Chief Medical Officer, Mumbai Port Trust.
2.30 Direct admission without referral form should not be entertained at all
except in lifesaving conditions such as cardiac/neurological emergencies,
road side accidents, emergencies needing immediate ventilator support with
ICU care etc. Such cases shall be reported to the office of the Chief Medical
Officer, Mumbai Port Trust immediately and latest within 24working hours
positively with necessary documents only through authorized representative
of Hospitals. However, Ex-post-facto approval shall be given by the Chief
Medical Officer, Mumbai Port Trust after having complete and valid
justification from the treating hospital/center, at his/her sole discretion.
2.31 Hospital will investigate/treat the Mumbai Port Trust beneficiary patient
only for the condition for which they are referred with permission, and in the
specialty/super specialty and/or purpose for which they are approved by
Mumbai Port Trust. However, in case of unforeseen emergencies during
admission necessary life saving measures may be taken and concerned
authorities may be informed accordingly with justification for approval as
soon as it is practicable to do so.
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2.32 During the in-patient treatment of Mumbai Port Trust beneficiary, the tie-up
hospitals/empaneled center will not ask the attendant to provide separately
the medicine/sundries/equipment or accessories from outside and will
provide the treatment within the package rates, fixed by the MbPT which
includes the cost of all the items.
2.33 During the in-patient treatment of Mumbai Port Trust beneficiary,
Empaneled Hospitals should get prior permission from the Chief Medical
Officer if the patient needs any medicine which costs more than Rs.10000/-.
2.34 In case of any natural disaster/epidemic, the hospital/diagnostic center
shall have to fully cooperate with the Mumbai Port Trust and will
convey/reveal all the required information, apart from providing
treatment/investigation facility.
3. DURATION
This Agreement shall remain in force for a period of 2 years or till it is modified or
revoked, whichever is earlier. The Agreement may be extended for subsequent
period at the sole discretion of the Chief Medical Officer, Mumbai Port Trust subject
to fulfillment of all terms and conditions of this contract and with mutual consent.
An agreement will be signed on Stamp paper of appropriate value before starting of
services/extension of Contract. Cost of stamp paper and incidental charges related
to contract shall be borne by the empaneled center. Contract will be effective with
effect from the date of the contract.
4. SUBMISSION OF BILLS TO MBPT HOSPITAL
The Hospital shall submit the physical bill as well as electronic bill to the MbPT
Hospital for processing of bills and payment. The hospital shall send bills along
with necessary supportive documents to the office of the Chief Medical Officer,
Mumbai Port Trust as soon as bills are generated after discharge of patient for
further necessary action. The details of documents to be submitted are as follows: -
Discharge slip duly verified by treating doctor incorporating brief history of the
case, diagnosis, details of procedure done/treatment given/advised along with the
duration.
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a. Reports of investigations duly verified, b. Original receipts of medicines/implants duly verified, c. Stickers of implants duly verified, d. Wrappers of costly medicine/implants duly verified, e. Referral Slip/Form, f. Patient /Attendant satisfaction certificate duly signed as provided in
Annexure – III.
The above documents related to treatment/investigation duly verified by the
treating /investigating Doctor shall be submitted by the hospital/diagnostic center
along with the bill in duplicate in prescribed pro forma. The CD of procedure
/MRI/CT Scan / X-ray film etc. is required with each and every bills if it is
done. The bills must be submitted to this office within 15 day of
discharge/investigation to this office for payment. However, the diagnostic centers
shall send the bills on monthly basis along with the abovementioned documents
whichever is applicable. The bills received after the above mentioned period shall
not be entertained.
Under laboratory services, the centre needs to submit the slides of Histo-
pathological examination with the department of pathology. The slides would be
taken up for technical evaluation, to judge the quality of slides by the pathologist
/can be sent for the same at higher government centers. Payment of the same
would be at the discretion of the Chief Medical Officer, Mumbai Port Trust,
Nadkarni Park, Wadala East, Mumbai, if at all found to be of poor quality.
5. PAYMENT WITHIN THIRTY DAYS
MbPT Hospital would ensure that payment of hospital claims would be done in
time bound manner- within a period of 30 days from the date of submission of bills
in physical format to the MbPT Hospital.
MbPT beneficiary attending hospital in emergency: In such a situation the Hospital
shall intimate to Chief Medical Officer, Mumbai Port Trust within 2 hours of
admission and MbPT Hospital shall respond in 4 hours (however treatment shall
not be denied to any MbPT member and this is only an initiation of the e-workflow).
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Post discharge hospital would upload bills and download documents as per
requirements of MbPT Hospital within 72 hours.
6. INFORMATION TO BE PROVIDED TO THE MBPT HOSPITAL BY HOSPITALS
MbPT beneficiary attending hospital with Refer Letter -- upon admission hospital
shall verify and submit information of admission online to MBPT HOSPITAL. MbPT
Hospital shall respond in 4 hours. Post discharge hospital would upload bills and
download documents as per MbPT Hospital requirements within 72 hours. MbPT
Hospital shall respond/clear the bill in Ten working days.
7. INFRASTRUCTURE FOR INTERACTION WITH MbPT HOSPITAL
The Hospital shall have:
a. Dedicated Personal Computer with Dual Core /Core 2 DUO processor and
minimum 2 GB RAM supported by UPS. OS should be Windows. Dedicated
Colour scanner with a minimum resolution 200dpi.
b. Scalable Broad Band internet connectivity with minimum assured speed of
512kbps.
c. Necessary security systems should be taken care of.
d. A designated Nodal Person to interact with MbPT Hospital.
e. The Private Hospital would be legally responsible for user authentication.
8. PROCESSING OF CLAIMS / BILLS BY MbPT HOSPITAL
The actual auditing shall start when physical copies of these bills are submitted by
concerned Hospital to the MbPT Hospital.
The Private Hospital shall also submit to MbPT Hospital the electronic bills and
other Data online in case of both serving employees & Pensioners and original bills
(Hard Copy) shall be provided to the beneficiary where payment has been made by
the beneficiary.
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The Data and electronic bills in respect of MbPT Beneficiaries shall be utilized for
statistical purposes.
The MbPT Hospital during the course of the auditing shall restrict the claims as
per MbPT Hospital rules and regulations. MbPT Hospital shall also examine in
terms of the following:
a. Appropriateness of treatment including screening of patients records to
identify unnecessary admissions and unwarranted treatments
b. Whether the planned treatment is shown as emergency treatment
c. Whether the diagnostic medical or surgical procedures that were not
required were conducted by hospital including unnecessary investigations
d. Maintaining database of such information of MbPT beneficiaries for future
use.
e. Whether the treatment procedures have been provided as per the approved
rates and the packages.
f. Whether procedures performed were only those for which permission has
been granted
The MbPT Hospital shall record their findings and intimate the same to the
Hospital concerned. The payment of the bill/claim to the Hospital concerned shall
be made directly by the Finance Department of MbPT after receipt of the physical
bills in respect of MbPT beneficiaries, etc., who had taken treatment in these
Empaneled Private Hospital in a time bound manner.
9. TDS AND OTHER STATUTORY DEDUCTIONS
TDS and other Statutory Deductions will be done as per Income Tax Rules or other
applicable statutory provisions prevalent from time to time.
10. CREDIT FACILITIES TO MbPT BENEFICIARIES
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10.1 In case of serving employees: On production of a valid MbPT Refer Letter
by the MbPT beneficiary - the hospital shall provide credit facilities to all the
serving employees and their dependent family members and CISF Personnel
and their dependent family members.
10.2 In case of Retirees and their spouses:
10.2..1 On production of a valid MbPT Refer Letter the hospital shall provide
credit facilities to the Retirees and their spouses in the empaneled
Hospitals at par with serving Employees as per MbPT Standard Rated
for package items and Standard Percentage of Discount for Non-
package items of treatment in the following life threatening
conditions namely:
a. Acute Heart Attack
b. Coronary Angiogram
c. Coronary Balloon Angioplasty with Stenting & Percutaneous
transluminal coronary angioplasty (PTCA) without any
limitation in number of stents for acute Heart Attack or as a
preventive measure for Heart Attack.
d. Coronary Artery Bypass Graft (CABG) Surgery for Heart vessels
blocks.
e. Temporary or Permanent pacemaker implantation surgery in
sudden Heart Blocks.
f. Peritoneal Dialysis & Hemodialysis for Acute and Chronic
Kidney failure.
g. Brain Attack cases - Cerebro vascular accidents (CVA)
h. Life threatening Road Traffic Accidents
i. Kidney Transplant for both Live or Cadaveric donor
j. Liver Transplant for both Live or Cadaveric donor
10.2..2 Other than life threatening conditions as mentioned in above
clause 10.2.1, On production of a valid MbPT Refer Letter by the
Retiree, the hospital shall provide the credit facilities to the Retirees
and their spouses to a maximum of CGHS Rate & the difference
amount between CGHS Rate and the MbPT Standard Rated for
package items and Standard Percentage of Discount for Non-package
items will be paid directly to the Hospital by the retirees based on the
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declaration/Consent submitted by the retiree at the time of referral to
empaneled Hospitals.
10.2..3 On specific request of MbPT as per MbPT Refer letter, the hospital
shall provide the credit facilities to the retirees and their spouses and
the entire bill will be paid by the Port in case of a specific request /
declaration/consent from the retirees.
10.3. In case of emergency the hospital shall provide credit to all MbPT
beneficiaries i.e. both serving employees and Pensioners.
11. MEDICAL AUDIT OF BILLS
There shall be a continuous Medical Audit of the services provided by the
empaneled Private Hospital.
12. TREATMENT IN EMERGENCY
In emergency the hospital shall not refuse admission or demand an advance
payment from the beneficiary or his family member and shall provide credit
facilities to the patient whether the patient is a serving employee or a pensioner
availing MbPT facilities, on production of a valid MbPT Refer Letter and the hospital
shall submit the bill for reimbursement to the MbPT Hospital. The refusal to
provide the treatment to bonafide MbPT beneficiaries in emergency cases without
valid ground, would attract disqualification for continuation of empanelment.
The following ailments may be treated as emergency which is illustrative only and
not exhaustive, depending on the condition of the patient:
Acute Coronary Syndromes (Coronary Artery Bye-pass Graft / Percutaneous,
Transluminal Coronary Angioplasty) including Myocardial Infarction, Unstable
Angina, Ventricular Arrhythmias, Paroxysmal Supra Ventricular Tachycardia,
Cardiac Tamponade, Acute Left Ventricular Failure / Severe Congestive Cardiac
Failure, Accelerated Hypertension, Complete Heart Block and Stoke Adam attack,
Acute Aortic Dissection. Acute Limb Ischemia, Rupture of Aneurysm, Medical and
Surgical shock and peripheral circulatory failure. Cerebro-Vascular Attack-Stokes,
Sudden unconsciousness, Head injury, Respiratory failure, decompensated lung
disease, Cerebro-Meningeal Infections, Convulsions, Acute Paralysis, Acute Visual
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loss. Acute Abdomen pain. Road Traffic Accidents / with injuries including fall.
Severe Hemorrhage due to any cause. Acute poisoning. Acute Renal Failure. Acute
abdomen pain in female including acute Obstetrical and Gynecological
emergencies. Electric shock. Any other life threatening condition.
13. REQUIREMENTS FOR OBTAINING TREATMENT/PROCEDURE:
Every patient is required to produce a valid MbPT Refer Letter.
Treatment / Procedure on credit shall be performed to such categories of
beneficiaries as mentioned under Clause 10 above.
Bill should be submitted to the MbPT Hospital in digital format and Physical
format. No discount of % shall be deducted in case payment is made within thirty
days from the date of submission of the bill.
The treatment procedure shall be performed on the basis of the MbPT Refer Letter
issued by the Chief Medical Officer MbPT Hospital.
MbPT beneficiaries shall be attended to on priority.
Treatment procedure shall be carried out on the production of valid MbPT Refer
Letter.
Chief Medical Officer, Mumbai Port Trust or any authorized person nominated by
Chief Medical Officer, Mumbai Port Trust shall have the right to monitor the
treatment/ procedure provided by the Hospital to MbPT beneficiary.
14. GENERAL CONDITIONS
14.1. All investigations regarding fitness for the surgery shall be done prior to the
admission for any elective procedure and are part of package. For any
material / additional procedure / investigation other than the condition for
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which the patient was initially permitted, would require the permission of
the Chief Medical Officer, Mumbai Port Trust or any authorized person
nominated by Chief Medical Officer, Mumbai Port Trust.
14.2. The hospital shall verify the MbPT Refer Letter and the MbPT Hospital is not
liable to pay in cases of impersonation or treatment of ineligible persons.
14.3. The package rate shall be calculated as per the duration specified in the
tender document under the ‘treatment requirements’. No additional charge
on account of extended period of stay shall be allowed if that extension is
due to infection on the consequences of surgical procedure or due to any
improper procedure and is not justified.
14.4. The procedure and package rates for any diagnostic investigation, surgical
procedure and other medical treatment for MbPT beneficiary under this
Agreement shall not be increased during the validity period of this
Agreement.
14.5. The empaneled Hospital shall provide services only for which it has been
empaneled by MbPT Hospital at rates that shall be fixed by MbPT from time
to time and shall be binding.
14.6. The Hospital shall intimate all instances of patients admitted on the basis of
the MbPT Refer Letter issued by the MbPT authorities in the prescribed
format within one working day through fax / email (the number of which
shall be notified) followed by post to Chief Medical Officer, Mumbai Port
Trust.
14.7. The Hospital shall intimate all instances of patients admitted as emergencies
without prior permission to the Chief Medical Officer, Mumbai Port Trust, in
the prescribed format within one working day through fax / email (the
number of which shall be notified) followed by post. The nature and
appropriateness of the emergency is subject to verification, which may be
verified, inspected or medically audited by the Chief Medical Officer, Mumbai
Port Trust or any authorized person nominated by Chief Medical Officer,
Mumbai Port Trust on random basis at its discretion.
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14.8. The Hospital shall provide reports on monthly basis by the 10th day of the
succeeding calendar month in the prescribed format to the Chief Medical
Officer, Mumbai Port Trust in respect of the beneficiaries treated /
investigated.
14.8. The Hospital shall submit all the medical records in digital format.
14.9. The Hospital agrees that any liability arising due to any default or negligence
in providing or performance of the medical services shall be borne
exclusively by the hospital who shall alone be responsible for the defect and
/ or deficiencies in rendering such services.
14.10. The Hospital agrees that during the In-patient treatment of the MbPT
beneficiary, the Hospital shall not ask the beneficiary or his attendant to
purchase separately the medicines / sundries / equipment or accessories
from outside and shall provide the treatment within the package deal rate,
fixed by the MbPT Hospital which includes the cost of all the items.
Appropriate action, including removing from MbPT empanelment and / or
termination of this Agreement, may be initiated on the basis of a complaint,
medical audit or inspections carried out by MbPT teams / appointed TPA.
14.11. The Hospital shall honour permissions issued by the Chief Medical Officer,
Mumbai Port Trust or any authorized person nominated by Chief Medical
Officer, Mumbai Port Trust to the MbPT beneficiaries holding MbPT Refer
Letter. Treatment shall be provided as per MbPT approved rates and bills
submitted for payment to the MbPT Hospital.
14.12. Changes in Infrastructure / Staff to the Hospital shall immediately
communicate to Chief Medical Officer, Mumbai Port Trust about any change
in the infrastructure / strength of staff. The empanelment shall be
temporarily withheld in case of shifting of the facility to any other location
without prior permission of Chief Medical Officer, Mumbai Port Trust. The
new establishment of the same Hospital shall attract a fresh inspection, for
consideration of continuation of empanelment.
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14.13. The Hospital shall submit an annual report regarding number of referrals
received, admitted, bills submitted to the MbPT Hospital and payment
received, details of monthly report submitted to the Chief Medical Officer,
Mumbai Port Trust, changes in the strength of doctors / staff and
infrastructure if any. Annual audit report of the hospitals shall also be
submitted along with the statement.
14.14. Authorized signatory / representative of the hospital shall attend the
periodic meetings held by Chief Medical Officer, Mumbai Port Trust,
required in connection with improvement of working conditions.
14.15. During the visit by Chief Medical Officer, Mumbai Port Trust or any
authorized person nominated by Chief Medical Officer, Mumbai Port Trust,
the Hospital authorities shall cooperate in carrying out the inspection.
14.16. In case of any natural disaster / epidemic, the hospital shall fully cooperate
with the Chief Medical Officer, Mumbai Port Trust and shall convey / reveal
all the required information, apart from providing treatment.
14.17. The Hospital shall not make any commercial publicity projecting the name
of MbPT. However, the fact of empanelment under MbPT shall be displayed
at the premises of the empaneled center, indicating that the charges shall be
as per MbPT approved rates.
14.18. The hospital shall investigate / treat the MbPT beneficiary patient only for
the condition for which they are referred with permission, and in the
specialty and / or purpose for which they are approved by MbPT Hospital. In
case of unforeseen emergencies of these patients during admission for
approved purpose / procedure, ‘provisions of emergency’ shall be applicable.
14.19. The Hospital shall not undertake treatment of referred cases in specialties
for which it is not empaneled. But it shall provide necessary treatment to
stabilize the patient and transport the patient safely to nearest recognized
hospital under intimation to Chief Medical Officer, Mumbai Port Trust.
However, in such cases the Hospital shall charge as per the MbPT rates only
for the treatment provided.
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14.20. The hospital shall not refer the patient to other specialist / other hospital
without prior permission of Chief Medical Officer, Mumbai Port Trust. Prior
intimation shall be given to Chief Medical Officer, Mumbai Port Trust
whenever patient needs further referral.
15. ENTITLEMENTS FOR VARIOUS TYPES OF WARDS
MbPT beneficiaries are entitled to facilities of private, semi-private or general ward
depending on their category of post i.e. Class I & II Officers, Class III Employees
and Class IV Employees. These entitlements are amended from time to time and
the latest order in this regards needs to be followed. The entitlement is as follows: -
S.NO. CATEGORY OF POST ENTITLEMENT
1. Class IV Employees General Ward
2. Class III Employees Semi-Private Ward
3. Class I & II Officers, HODs, Deputy Chairman,
Chairman Private Ward
Private ward is defined as a hospital room where single patient is accommodated
and which has an attached toilet (lavatory and bath). The room should have
furnishings like wardrobe, dressing table, bed-side table, sofa set, carpet, etc. as
well as a bed for attendant. The room has to be air-conditioned.
Semi Private Ward is defined as a hospital room where two to three patients are
accommodated and which has attached toilet facilities and necessary furnishings.
General ward is defined as a hall that accommodates four to ten patients.
Treatment in higher Category of accommodation than the entitled category is not
permissible.
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16. DUTIES AND RESPONSIBILITIES OF HOSPITALS
It shall be the duty and responsibility of the hospital/investigation center at all
times, to obtain, maintain and sustain the valid registration and high quality&
standards of its services and healthcare and to have all statutory/mandatory
licenses, permits or approvals of the concerned authorities as per the existing laws.
Display board regarding cashless facility for Mumbai Port Trust beneficiary will be
required. The list of necessary documents required for treatment/investigations at
the empaneled Hospital/ Diagnostic Centre must be displayed on the board. A help
desk shall be there for facilitation of Mumbai Port Trust beneficiaries. The Name
and Contact Number of Mumbai Port Trust Nodal Officer(s)should also be displayed
on the notice board in Marathi, English and Hindi.
17. NON ASSIGNMENT
The Hospital shall not assign, in whole or in part, its obligations to perform under
this Agreement, except with the MbPT’s prior written consent at its sole discretion
and on such terms and conditions as deemed fit by the MbPT. Any such
assignment shall not relieve the Hospital from any liability or obligation under this
agreement
18. HOSPITAL’S ’S INTEGRITY AND OBLIGAITONS DURING AGREEMENT
PERIOD
The Hospital is responsible for and obliged to conduct all contracted activities in
accordance with the Agreement using state-of-the-art methods and economic
principles and exercising all means available to achieve the performance specified
in the Agreement. The Hospital is obliged to act within its own authority and abide
by the directives issued by the MbPT. The Hospital is responsible for managing the
activities of its personnel and shall hold itself responsible for their misdemeanors,
negligence, misconduct or deficiency in services, if any.
19. PERFORMANCE BANK GUARANTEE
The Hospital shall furnish in the prescribed format a performance Bank Guarantee
of Rupees Two Lakhs in case of Hospitals / Rupees Fifty Thousand Diagnostic
Imaging Centre, valid for a period of 30 m0nths to ensure efficient service and to
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safeguard against any default:
20. FORFEITURE OF PERFORMANCE BANK GUARANTEE AND REMOVAL
FROM LIST OF EMPANELLED INSTITUTIONS
In case of any violation of the provisions of this Agreement by the hospital such as:
a. refusal of service,
b. undertaking unnecessary procedures,
c. prescribing unnecessary drugs/tests
d. over billing,
e. reduction in staff/ infrastructure/ equipment etc. after the hospital/
has been empaneled.
f. Non submission of the report, habitual late submission or submission incorrect data in the report
g. Refusal of credit to eligible beneficiaries and direct charging from
them.
h. if recommended by NABH at any stage
i. Discrimination against MbPT beneficiaries vis-à-vis general patients The Bank Guarantee shall be forfeited and the MbPT shall have the right to de-
recognize the hospitals / diagnostic laboratory as the case may be. Such action
could be initiated on the basis of a complaint, medical audit or inspections carried
out by MbPT teams at random.
The decision of the MbPT in this regard shall be final.
21. LIQUIDATED DAMAGES
The Hospital shall provide the services as per the requirements specified by the
MbPT in terms of the provisions of this Agreement. In case of initial violation of the
provisions of the Agreement by the Hospital such as refusal of service or refusal of
credit to eligible categories of MbPT Beneficiaries (as mentioned under Clause 10)
or defective service and negligence, the amount equivalent to 15% of the amount of
Performance Bank Guarantee shall be charged as agreed Liquidated Damages by
the MbPT, however, the total amount of the Performance Bank Guarantee shall be
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maintained intact being a revolving Guarantee.
In case of repeated defaults by the Hospital, the total amount of Performance Bank
Guarantee shall be forfeited and action shall be taken for removing the Hospital
from the empanelment of MbPT as well as termination of this Agreement
For over-billing and unnecessary procedures, the extra amount so charged shall be
deducted from the pending / future bills of the Hospital and the MbPT shall have
the right to issue a written warning to the Hospital not to do so in future. The
recurrence, if any, shall lead to the stoppage of referral to that Hospital
Before initiating action under sub clause (a) – (c) above, MbPT shall serve a show
cause notice to the Hospital for which the Hospital shall have to respond within ten
days of its receipt.
Patient can't be denied treatment on the pretext of non-availability of
beds/Specialists, failing which if the Mumbai Port Trust patient takes treatment at
some other hospital, a penalty of rupees Five thousand (Rs. 5000/-) will be
imposed on empaneled hospital and the same may be recovered from incoming
/pending bills/security money.
22. TERMINATION FOR DEFAULT
The MbPT may, without prejudice to any other remedy for breach of Agreement, by
written notice of default sent to the Hospital terminate the Agreement in whole or
part:
If the Hospital fails to provide any or all of the services for which has been
recognized within the period(s) specified in this Agreement, or within any extension
thereof if granted by the MbPT pursuant to Condition of Agreement
or
If the Hospital fails to perform any other obligation(s) under this Agreement.
or
If the Hospital, in the judgment of the MbPT has engaged in corrupt or fraudulent
practices in competing for or in executing this Agreement.
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In case of premature termination of contract by the empaneled center, it will have
to deposit Rs Two Lakh with the Chief Medical Officer, Mumbai Port Trust as
damages. An affidavit of appropriate value for the same is required to be given at
the time of contract. If Hospital fails to deposit money, the same will be recovered
& appropriated from security deposit or incoming/pending bills.
23. INDEMNITY
The Hospital shall at all times, indemnify and keep indemnified MbPT / the
Government against all actions, suits, claims and demands brought or made
against it in respect of anything done or purported to be done by the Hospital in
execution of or in connection with the services under this Agreement and against
any loss or damage to MbPT / the Government in consequence to any action or
suit being brought against the MbPT / the Government, along with (or otherwise),
Hospital as a Party for anything done or purported to be done in the course of the
execution of this Agreement. The Hospital shall at all times abide by the job safety
measures and other statutory requirements prevalent in India and shall keep free
and indemnify the MbPT from all demands or responsibilities arising from
accidents or loss of life, the cause or result of which is the Hospital negligence or
misconduct.
The Hospital shall pay all indemnities arising from such incidents without any
extra cost to MbPT and shall not hold the MbPT responsible or obligated. MbPT /
the Government may at its discretion and shall always be entirely at the cost of the
Hospital defend such suit, either jointly with the Hospital or singly in case the
latter chooses not to defend the case
24. ARBITRATION
If any dispute or difference of any kind whatsoever (the decision where of is not
herein otherwise provided for) shall arise between the MbPT and the Hospital upon
or in relation to or in connection with or arising out of the Agreement, shall be
referred to for arbitration by the Chief Medical Officer, Mumbai Port Trust, who
shall give written award of his decision to the Parties. The decision of the Chief
Medical Officer, Mumbai Port Trust shall be final and binding. The provisions of
the Arbitration and Conciliation Act, 1996 shall apply to the arbitration
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proceedings. The venue of the arbitration proceedings shall be at MbPT.
25. MISCELLANEOUS
25.1. Nothing under this Agreement shall be construed as establishing or creating
between the Parties any relationship of Master and Servant or Principal and
Agent between the MbPT and the Hospital.
25.2. The Hospital shall not represent or hold itself out as agent of the MbPT.
25.3. The MbPT shall not be responsible in any way for any negligence or
misconduct of the Hospital and its employees for any accident, injury or
damage sustained or suffered by any MbPT beneficiary or any third party
resulting from or by any operation conducted by and on behalf of the
Hospital or in the course of doing its work or perform their duties under
this Agreement or otherwise.
25.4. The Hospital shall notify the Government of any material change in their
status and their shareholdings or that of any Guarantor of the Hospital in
particular where such change would have an impact on the performance of
obligation under this Agreement.
25.5. This Agreement can be modified or altered only on written agreement signed
by both the parties.
25.6. Should the hospital get wound up or partnership is dissolved, the MbPT
shall have the right to terminate the Agreement. The termination of
Agreement shall not relieve the hospital or their heirs and legal
representatives from the liability in respect of the services provided by the
Hospital during the period when the Agreement was in force.
25.7. The Hospital shall bear all expenses incidental to the preparation and
stamping of this agreement.
26. NOTICES
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26.1. Any notice given by one party to the other pursuant to this Agreement shall
be sent to other party in writing by registered post or by facsimile and
confirmed by original copy by post to the other Party’s address as below.
1. Chief Medical Officer, Mumbai Port Trust Hospital, Nadkarni Park, Wadala
(East), Mumbai -400 037.
2. Hospital with address:
(………………………………………………………………………)
26.2. A notice shall be effective when served or on the notice’s effective date,
whichever is later. Registered communication shall be deemed to have been
served even if it returned with remarks like refused, left, premises locked,
etc.
IN WITNESSES WHEREOF, the parties have caused this Agreement to be signed
and executed on the day, month and the year first above mentioned.
Signed by
Chief Medical Officer, Mumbai Port Trust
For and on behalf of
Board of Trustees of the Port Of Mumbai
In the Presence of
(Witnesses)
1.
2.
Signed by
For and on behalf of (Hospital)
Duly authorized vide Resolution No. ……… dated ……. of (name of Hospital)
In the presence of
(Witnesses)
1.
2.
ANNEXURE (RATE LIST) TO
THE AGREEMENT