Common use of Note on Surgical Management Clause in Contracts

Note on Surgical Management. All surgeries related to the components of poly-trauma and mentioned in packages are covered irrespective of hospitalization period. 1) All surgical packages are maximum amounts that can be claimed under that category and claim shall be settled based on the type of surgery performed, number of days of hospital stay and associated injuries treated that are not defined in the Scheme. 2) Pre-Authorization shall be given for full amount and claim shall be settled as per above guidelines. 3) Package for Surgical Correction of Long bone is for each bone and hospital can claim multiples of the package amount for multiple fractures sustained. However for both bones fractures in forearms and legs the second package shall be halved as procedure involved for second bone is minor and involves same field of operation and same sitting. 4) Separate package is provided for coverage of wound management in Compound Fractures. Since it is wound management in compound fracture, these packages shall only be used in association with fracture management of long bones in trauma either by Internal Fixation or by External Fixation. 5) Separate packages are provided for surgical management of Facial Bone Fractures and Pelvic Bone Fracture in Trauma. 6) Packages are provided for surgical management of Patella Fracture and small bone fractures in trauma; however these packages are applicable only when these fractures are sustained as a component of Poly-trauma i.e. in association with other injuries defined in poly-trauma.

Note on Surgical Management. All surgeries related to the components of poly-trauma and mentioned in packages are covered irrespective of hospitalization period. 1) . All surgical packages are maximum amounts that can be claimed under that category and claim shall be settled based on the type of surgery performed, number of days of hospital stay and associated injuries treated that are not defined in the Scheme. 2) . Pre-Authorization shall be given for full amount and claim shall be settled as per above guidelines. 3) . Package for Surgical Correction of Long bone is for each bone and hospital can claim multiples of the package amount amounts for multiple fractures sustained. However for both bones fractures in forearms and legs the second package shall be halved as procedure involved for second bone is minor and involves same field of operation and same sitting. 4) . Separate package is provided for coverage of wound management in Compound Fractures. Since it is wound management in compound fracture, these packages shall only be used in association with fracture management of long bones in trauma either by Internal Fixation or by External Fixation. 5) . Separate packages are provided for surgical management of Facial Bone Fractures and Pelvic Bone Fracture in Trauma. 6) . Packages are provided for surgical management of Patella Fracture and small bone fractures in trauma; however these packages are applicable only when these fractures are sustained as a component of Poly-trauma i.e. in association with other injuries defined in poly-trauma.

Note on Surgical Management. All surgeries related to the components of poly-trauma and mentioned in packages are covered irrespective of hospitalization period. 1) . All surgical packages are maximum amounts that can be claimed under that category and claim shall be settled based on the type of surgery performed, number of days of hospital stay and associated injuries treated that are not defined in the Scheme. 2) . Pre-Authorization shall be given for full amount and claim shall be settled as per above guidelines. 3) . Package for Surgical Correction of Long bone is for each bone and hospital can claim multiples of the package amount for multiple fractures sustained. However for both bones fractures in forearms and legs the second package shall be halved as procedure involved for second bone is minor and involves same field of operation and same sitting. 4) . Separate package is provided for coverage of wound management in Compound Fractures. Since it is wound management in compound fracture, these packages shall only be used in association with fracture management of long bones in trauma either by Internal Fixation or by External Fixation. 5) . Separate packages are provided for surgical management of Facial Bone Fractures and Pelvic Bone Fracture in Trauma. 6) . Packages are provided for surgical management of Patella Fracture and small bone fractures in trauma; however these packages are applicable only when these fractures are sustained as a component of Poly-trauma i.e. in association with other injuries defined in poly-trauma.