Jaipur Hospital operator arrested over alleged RGHS fraud

Jaipur: A private hospital operator in Jaipur was arrested on Sunday for allegedly submitting forged and fabricated documents under the Rajasthan Government Health Scheme (RGHS). 

According to news reports, the case stems from a complaint filed on September 29, 2025, by Jitendra Kumar Sharma at a local police station. He alleged serious irregularities during the treatment of his mother at a private hospital in the Mansarovar area.

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The complaint states that the hospital collected substantial amounts of cash without issuing any bills or receipts, raising suspicions of financial malpractice. The complainant further claimed that hospital authorities failed to inform the family about the deterioration of his mother’s condition, and they were later abruptly told of her death. When he demanded medical records and billing details, hospital staff allegedly refused to cooperate and even intimidated him by involving outsiders.

Given the gravity of the allegations, Jaipur Police constituted a Special Investigation Team (SIT) to probe the matter thoroughly. As part of the investigation, a medical board comprising eight doctors from SMS Hospital reviewed the treatment records.

The board found no evidence of medical negligence in the care provided to the patient. However, the investigation uncovered discrepancies in the hospital’s administrative practices.

DCP South Rajarshi Raj stated that no action has been taken against the hospital for medical negligence. The action was taken for document fraud. The department had also filed a complaint regarding the fraud. Following an investigation, the private hospital operator was arrested, reports Patrika.

Speaking to TOI, Officials said the hospital management allegedly showed the patient as discharged and readmitted multiple times and tampered with a consent form by altering dates before uploading it online. The RGHS authorities also found irregularities during their inquiry, and a forensic science laboratory report confirmed tampering of documents, police said.

Following his arrest, the accused doctor reportedly experienced anxiety and a decline in health. He was admitted to SMS Hospital for medical care. Station House Officer Lakhan Singh Khatana confirmed that the doctor complained of severe stress.

The arrest has sparked a strong reaction from the private healthcare sector. Vijay Kapoor, President of the Private Hospitals and Nursing Homes Association, criticized the move, calling it contrary to established government standard operating procedures (SOPs).

According to Patrika, he alleged that this move, taken under pressure from lawyers, would have serious long-term consequences. He said that private hospitals would hesitate to admit and treat critical patients. Serious patients would face difficulties in accessing treatment in private hospitals, ultimately borne by the public. He said that in the event of a patient's death during treatment, there is a clear and specific system and guidelines for further investigation and action, which must be followed.

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