NABH Benefits to Hospitals: Enhancing Quality, Revenue, and PMJAY Advantages
Introduction to NABH Accreditation
The National Accreditation Board for Hospitals & Healthcare Providers (NABH) is a quality certification that sets benchmarks for healthcare excellence in India. Hospitals with NABH accreditation adhere to stringent quality standards, ensuring superior patient care, operational efficiency, and compliance with regulatory norms.
NABH accreditation is highly beneficial for hospitals, as it not only improves service quality but also provides financial and operational advantages. One of the most significant benefits is the additional 10% Benefit under the Pradhan Mantri Jan Arogya Yojana (PMJAY) for hospitals that have NABH accreditation. This article explores the NABH benefits to hospitals and how OASIS Hospital Solutions can help in obtaining NABH accreditation and optimizing health claim processing for better revenue growth.
What is NABH Accreditation?
NABH is a constituent board of the Quality Council of India (QCI) that provides accreditation to hospitals and healthcare providers. It follows global healthcare benchmarks and promotes patient safety and quality in medical facilities.
There are three levels of NABH accreditation:
- Entry-Level NABH Accreditation – For small and mid-sized hospitals looking to improve healthcare quality standards.
- Progressive-Level NABH Accreditation – An intermediate level aimed at continuous quality improvement.
- Full NABH Accreditation – The highest level of quality certification, which involves comprehensive compliance with NABH standards.
Among these, entry-level NABH accreditation is a crucial step for hospitals aiming to enhance their quality while gaining financial benefits under PMJAY.
NABH Benefits to Hospitals
Hospitals accredited by NABH enjoy numerous advantages, from operational efficiency to financial incentives. Below are the key benefits:
1. Increased PMJAY Billing (10% Additional Benefit)
One of the most significant advantages of NABH accreditation is the additional 10% Benefit on health claims under PMJAY. This means that hospitals with NABH accreditation can receive higher payments for treatments offered to PMJAY beneficiaries.
Example: If a hospital provides a procedure worth ₹50,000 under PMJAY. However, an NABH-accredited hospital gets ₹55,000 for the same procedure, ensuring higher revenue generation.
2. Enhanced Patient Trust and Hospital Reputation
NABH accreditation acts as a quality assurance for patients, ensuring that the hospital follows international standards in patient care, hygiene, and medical ethics. This leads to increased trust and higher patient inflow.
3. Improved Quality of Care and Patient Safety
With NABH accreditation, hospitals adopt better protocols, efficient management systems, and continuous monitoring, leading to superior patient outcomes and reduced medical errors.
4. Eligibility for Government Health Schemes and Insurance Tie-ups
Many government and private insurance companies prefer partnering with NABH-accredited hospitals. PMJAY and other government schemes recognize NABH-accredited hospitals as reliable service providers, ensuring higher patient referrals.
5. Operational Efficiency and Cost Reduction
NABH-accredited hospitals follow standardized procedures, which help in reducing wastage, optimizing resource utilization, and improving hospital management. This leads to cost savings in hospital operations.
6. Better Staff Performance and Training
Hospitals that undergo NABH accreditation provide continuous training and development for medical and administrative staff. This improves the skillset of employees and ensures compliance with high-quality patient care standards.
7. Competitive Advantage Over Non-NABH Hospitals
Accreditation provides a hospital with a competitive edge over non-accredited hospitals. Patients, insurance providers, and healthcare agencies prefer NABH-accredited hospitals for treatments.
8. Increased Medical Tourism Opportunities
With the rise of medical tourism in India, international patients prefer hospitals with NABH accreditation. This accreditation provides global recognition, attracting foreign patients seeking high-quality healthcare at affordable costs.
9. Legal and Regulatory Compliance
NABH-accredited hospitals comply with the latest healthcare regulations, infection control policies, and safety protocols, reducing legal risks and ensuring smooth hospital operations.
10. Improved Documentation and Record Keeping
NABH promotes proper documentation, which helps in smooth hospital audits, insurance claims, and maintaining accurate patient records. This reduces administrative hassles and enhances efficiency.
NABH Advantage in PMJAY Health Scheme
The Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PMJAY) is a flagship healthcare scheme in India, providing cashless treatment to economically weaker sections. Hospitals under PMJAY benefit from increased patient footfall, and NABH accreditation further enhances these benefits.
How NABH Accreditation Increases PMJAY Benefits?
- 10% Higher Payment: NABH-accredited hospitals get an extra 10% benefit over regular PMJAY rates.
- Higher Trust Among PMJAY Patients: Patients trust NABH-accredited hospitals for better quality care.
- Faster PMJAY Claim Approvals: Well-maintained records and standardized treatment protocols lead to quicker approvals.
- Greater Preference in Empanelment: Government schemes prefer NABH hospitals over non-accredited ones.
Q&A Section
1. Why should hospitals get NABH accreditation?
Hospitals should get NABH accreditation to improve service quality, ensure patient safety, and gain financial benefits such as a 10% additional benefit under PMJAY.
2. How does NABH accreditation increase hospital revenue?
NABH accreditation increases hospital revenue by improving patient trust, enhancing insurance tie-ups, and providing an extra 10% PMJAY benefit.
3. Can small hospitals apply for NABH accreditation?
Yes, small hospitals can apply for Entry-Level NABH Accreditation, which is designed for small and mid-sized healthcare providers to improve service quality.
4. How does OASIS Hospital Solutions assist in NABH accreditation?
OASIS Hospital Solutions provides complete support in NABH documentation, compliance, training, and audit preparation to help hospitals obtain accreditation smoothly.
5. What are the benefits of NABH in PMJAY claim processing?
NABH ensures better documentation, leading to faster PMJAY claim approvals, reduced claim rejections, and higher payment rates.
Conclusion
NABH accreditation is a game-changer for hospitals, offering quality improvement, higher patient trust, better operational efficiency, and increased PMJAY payment. Hospitals that obtain NABH accreditation enjoy 10% additional PMJAY benefits, enhanced reputation, and greater financial stability.
OASIS Hospital Solutions provides end-to-end support in acquiring NABH entry-level accreditation, health insurance claim processing, and revenue optimization, helping hospitals achieve higher growth and profitability.
If your hospital is looking to get NABH accreditation and maximize PMJAY benefits, contact OASIS Hospital Solutions today and take the first step towards quality excellence and financial success!