Article Per Year (5 Year)
p-Index From 2021 - 2026
0.23
P-Index
This Author published in this journals
All Journal Journal of Sharia (JOSH)
Mutia Annisa
Universitas Islam Bandung, Indonesia
Social Sciences

Published : 1 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 1 Documents
Search

 1 
PENERAPAN SANKSI ADMINISTRATIF TERHADAP RUMAH SAKIT PELAKU FRAUD KLAIM JKN DALAM PERSPEKTIF HUKUM KESEHATAN Mutia Annisa
JOSH: Journal of Sharia Vol. 5 No. 02 (2026): Vol. 05 No. 02 Juni 2026
Publisher : Universitas Sunan Drajat Lamongan, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55352/josh.v5i02.2659

Abstract

Fraudulent claims in Indonesia’s National Health Insurance (JKN) pose a serious threat to financial sustainability and quality of healthcare services. Hospitals, as referral healthcare providers, are highly vulnerable to fraudulent practices such as upcoding, phantom billing, and diagnosis manipulation. This study analyzes the regulation and effectiveness of administrative sanctions imposed on hospitals committing JKN claim fraud from a health law perspective. Using a normative legal research method with statutory, conceptual, and case approaches, this study finds that although administrative sanctions are normatively regulated, their implementation remains ineffective in creating deterrence and legal certainty. Sanctions tend to be formalistic and weakly enforced due to limited supervision and inter-institutional coordination. Strengthening regulations, supervision systems, and sanction standards is therefore essential to ensure legal protection and sustainability of JKN
Co-Authors