REF: IDN-RGHS-COMP-2025-003  |  CONFIDENTIAL
Regulatory Compliance Framework

RGHS Compliance & Digital Governance Framework

Complete Rajasthan Government Health Scheme (RGHS) compliance implementation covering e-card verification, claims processing, package rate management, empanelment requirements, and statutory reporting — integrated within the IdeaDunes Hospital Information System.

🛡 RGHS 2024-25 Guidelines Compliant
01

RGHS Compliance Overview

Rajasthan Government Health Scheme requirements and IdeaDunes coverage

Regulatory Mandate: All empanelled hospitals under RGHS must implement digital health records, electronic claims submission, and e-card verification by 2025. Non-compliance risks empanelment suspension and claims rejection.

The Rajasthan Government Health Scheme (RGHS), administered by the State Insurance & Provident Fund Department, provides cashless medical benefits to state government employees, pensioners, and their dependents. Empanelled hospitals must comply with specific digital and operational requirements to continue receiving reimbursements.

Key RGHS Compliance Areas

#Requirement AreaRGHS MandateIdeaDunes SolutionStatus
1E-Card VerificationReal-time verification of beneficiary e-cards before treatmentIntegrated e-card scanner/reader with RGHS portal API✓ Ready
2Package Rate AdherenceTreatment charges must match RGHS-approved package ratesAuto-populated package rates with version-controlled rate master✓ Ready
3Pre-AuthorizationMandatory pre-auth for listed procedures >₹10,000Digital pre-auth workflow with document upload & tracking✓ Ready
4Electronic ClaimsClaims must be submitted electronically via RGHS portalAuto-generated claim forms with required fields pre-filled✓ Ready
5Treatment RecordsComplete digital treatment records for every RGHS patientEMR with RGHS-specific templates and mandatory field validation✓ Ready
6Discharge SummaryStandardized discharge summary within 24 hoursAuto-generated discharge summaries with RGHS format compliance✓ Ready
7MIS ReportingMonthly MIS reports submitted to RGHS officeAutomated MIS generation with export to RGHS-required formats✓ Ready
8Grievance RedressalDigital grievance logging and resolution trackingIntegrated complaint management with SLA tracking✓ Ready
9Empanelment DashboardReal-time empanelment status and renewal alertsDashboard with license expiry, compliance score, renewal workflow✓ Ready
10Beneficiary PortalPatient-facing status of claims and treatmentPatient portal with claim status, treatment history, e-receipts✓ Ready
02

Multi-Regulatory Compliance

NABH, DPDP Act, PM-JAY, BMW Rules, and Clinical Establishments Act

A. NABH 6th Edition Compliance

NABH Requirement: The 6th edition (2024) mandates digital infrastructure for patient safety, quality indicators, and clinical audit trails. IdeaDunes maps to all 10 NABH chapters.
NABH ChapterRequirementIdeaDunes Module
AAC (Access, Assessment, Continuity)Patient registration, triage, referrals, care continuityPatient Registration, OPD, Referral Management
COP (Care of Patients)Clinical protocols, medication management, surgical safetySOAP Notes, E-Prescription, Surgical Checklist
MOM (Management of Medication)Drug formulary, adverse reaction reporting, storagePharmacy Module, Drug Formulary, ADR Reporting
PRE (Patient Rights & Education)Consent management, patient education, feedbackDigital Consent, Patient Portal, Feedback System
HIC (Hospital Infection Control)Infection surveillance, antibiotic stewardship, hand hygieneInfection Control Dashboard, Antibiotic Tracker
HRM (Human Resource Management)Staff credentials, training records, competency evaluationHR Module, Training Tracker, Credentialing
IMS (Information Management)Medical records, data security, information accessibilityEMR, Audit Trail, Role-Based Access, Encryption
QI (Quality Improvement)Quality indicators, incident reporting, root cause analysisQuality Dashboard, Incident Module, KPI Tracking
ROM (Responsibilities of Management)Strategic planning, budget management, compliance oversightManagement Dashboard, Budget Module, Compliance Score
FMS (Facility Management & Safety)Equipment maintenance, safety protocols, disaster preparednessEquipment Tracker, Safety Checklists, Drill Logs

B. DPDP Act 2023 Compliance

Penalty Warning: The Digital Personal Data Protection Act 2023 prescribes penalties up to ₹250 Crore for data breaches and non-compliance. Healthcare data is classified as "sensitive personal data" requiring enhanced protection.
DPDP RequirementImplementationTechnical Details
Consent Collection (8 types)Digital consent forms with audit trailTreatment, data processing, sharing, research, marketing, insurance, telemedicine, genetic
Purpose LimitationData tagged to specific processing purposesPurpose codes on all data collection forms
Data MinimizationCollect only necessary data per contextRole-based form fields, mandatory vs optional
Right to ErasurePatient data deletion workflowAnonymization engine, legal retention exceptions
Breach Notification72-hour automated notification systemIncident detection, DPO alert, CERT-In reporting template
Data Protection OfficerDPO dashboard and compliance reportsPrivacy impact assessments, DPIA templates
Cross-Border TransferTransfer impact assessment and controlsData residency enforcement, whitelist countries only
Encryption at Rest/TransitAES-256-CBC + TLS 1.3Database encryption, API transport security, key rotation

C. PM-JAY / Ayushman Bharat

RequirementImplementation
Beneficiary VerificationAadhaar-based KYC + ABHA ID integration
Health Benefit Packages1,949 HBP packages with auto rate lookup
Pre-Authorization PortalDigital pre-auth with document upload to TMS
Claims ProcessingAuto-populated claims with ICD-10/procedure codes
Treatment ProtocolsStandard Treatment Workflows per HBP package
Fraud PreventionDuplicate claim detection, photo verification, geo-tagging
03

International Compliance & Country-Specific Security

Compliance readiness for any country deployment

Global Ready: IdeaDunes HIS is designed for multi-country deployment. The compliance engine adapts to local regulatory requirements through configurable compliance profiles.
Region / CountryRegulationKey RequirementsIdeaDunes Coverage
European UnionGDPR72h breach notification, DPO, consent, right to erasure, data portabilityFull Coverage
United StatesHIPAAPHI encryption, access controls, audit trails, BAA support, breach notificationFull Coverage
United KingdomUK GDPR + DPA 2018ICO registration, lawful basis, DPIA, international transfersFull Coverage
IndiaDPDP Act 2023Consent management, purpose limitation, breach notification, DPOFull Coverage
AustraliaAPPs + My Health Records13 Australian Privacy Principles, health records access controlsFull Coverage
CanadaPIPEDA + PHIPAPersonal health info protection, consent, access rightsFull Coverage
UAE / GCCDHA / HAAD / MOHSmart claims (eClaims), DRG coding, prior authorizationFull Coverage
Saudi ArabiaPDPL + NPHIESNational health insurance exchange, prior auth, eligibility checksFull Coverage
SingaporePDPA + HCSAHealthcare services consent, data protection obligationsFull Coverage
South AfricaPOPIA + NHIPersonal info protection, national health insurance integrationFull Coverage
Kenya / East AfricaData Protection Act 2019Local data residency, consent, cross-border transfer controlsFull Coverage
BrazilLGPDData subject rights, DPO, purpose specification, consentFull Coverage

Security Architecture (All Deployments)

AES-256Encryption Standard
TLS 1.3Transport Security
RBACAccess Control
100%Audit Trail Coverage
04

RGHS Module — Detailed Quotation

Comprehensive RGHS-specific module pricing with implementation details

Note: Prices in INR (₹), exclusive of 18% GST. Valid for 30 days from document date.

RGHS Core Modules

#ModuleFeaturesOne-Time (₹)Monthly (₹)
R1RGHS E-Card VerificationReal-time beneficiary lookup, family member validation, photo verification, scheme status check15,0002,000
R2RGHS Package Rate MasterComplete RGHS package database, version management, rate comparison tool, auto-updates on government revisions10,0001,500
R3Pre-Authorization EngineDigital pre-auth requests, document upload (referral, diagnosis, reports), real-time approval tracking, escalation alerts20,0002,500
R4Claims Processing HubAuto-generated claims with required attachments, batch submission, rejection analysis, re-submission workflow, payment tracking25,0003,000
R5RGHS Discharge FormatterRGHS-format discharge summary auto-generation, mandatory field validation, doctor digital signature, PDF export12,0001,000
R6RGHS MIS ReportingMonthly/quarterly MIS auto-generation, beneficiary utilization, claims settlement MIS, compliance scorecard10,0001,500
R7Empanelment ManagerLicense/certificate expiry tracking, renewal workflow, document repository, inspection readiness checklist8,0001,000
R8RGHS Patient PortalBeneficiary self-service: claim status, treatment history, e-receipts, feedback, appointment booking15,0002,000
R9Grievance & EscalationPatient complaint logging, SLA tracking, auto-escalation, resolution workflow, RGHS office reporting8,0001,000
R10RGHS Analytics DashboardClaim approval rates, turnaround times, revenue by package, denial reasons, beneficiary demographics12,0001,500
TOTAL — RGHS MODULES₹1,35,000₹17,000/mo

Implementation Timeline

PhaseDurationModulesDeliverables
Phase 1: FoundationWeek 1-3R1, R2, R5, R7E-card verification, rate master setup, discharge format, empanelment baseline
Phase 2: ClaimsWeek 4-6R3, R4Pre-authorization workflow, claims processing hub, test submissions
Phase 3: AnalyticsWeek 7-8R6, R10MIS reporting engine, analytics dashboard, historical data import
Phase 4: PatientWeek 9-10R8, R9Patient portal, grievance system, go-live verification
ROI Projection: With 95%+ claim clearance rate (up from ~65%), hospitals typically recover the full investment within 3-4 months through improved RGHS reimbursement efficiency. Expected additional monthly revenue: ₹3-5 Lakhs from reduced claim denials.
05

Monitoring & Issue Detection

24/7 system monitoring, alerting, and automated issue resolution

Monitoring AreaMetrics TrackedAlert ThresholdAuto-Action
System HealthCPU, memory, disk, network latencyCPU >80%, memory >85%, disk >90%Auto-scale, cleanup old logs
Application ErrorsError rate, response time, 5xx countError rate >1%, p95 >2sAuto-restart, alert DevOps
Database PerformanceQuery time, connection pool, deadlocksQuery >500ms, pool >80%Query optimization alert
Security EventsFailed logins, suspicious IPs, brute force5+ failures/minute from single IPAuto-block, alert security team
RGHS Claim StatusPending claims age, rejection rateClaims pending >7 days, rejection >10%Alert billing team, escalation
Compliance ScoreRGHS/NABH/DPDP compliance indicatorsScore drops below 90%Alert compliance officer
Backup StatusLast backup time, backup integrityBackup >24h old, integrity failTrigger immediate backup
Certificate ExpirySSL, licenses, empanelment certificates30 days before expiryRenewal reminder workflow
06

Terms & Acceptance

Standard terms and authorization signatures

Payment Terms

Milestone%Trigger
Advance40%Upon agreement signing and project kickoff
Phase 1 Delivery25%Foundation modules deployed and verified
Phase 2-3 Delivery25%Claims + Analytics modules go-live
Final Acceptance10%All modules deployed, 2-week UAT completed

Support & Warranty

Authorization Signatures

Authorized Signatory
Hospital Administration
IdeaDunes Technology
Business Development

Date: _________________   |   Location: _________________   |   REF: IDN-RGHS-COMP-2025-003

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