Article Per Year (5 Year)
p-Index From 2021 - 2026
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All Journal Indonesian Journal of Global Health Research
Siti Maemun
Universitas Respati Indonesia; Sulianti Saroso Infectious Disease Hospital; & Indonesian College of Epidemiology

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Factors Affecting Coding Inaccuracy on Pending Claims Santy Yuliana Gultom; Eka Yoshida; Susiana Nugraha; Siti Maemun; Aninda Dinar Widiantari
Indonesian Journal of Global Health Research Vol. 8 No. 3 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i3.981

Abstract

In 2025, coding inaccuracies in National Insurance Health (NIH) inpatient claims at Sulianti Saroso Infectious Disease Hospital (SSIDH) significantly contributed to pending claims, negatively impacting the hospital's financial performance. This study aimed to identify the factors influencing coding inaccuracies on NHI pending claims. Using a mixed-methods approach with an explanatory sequential design, researchers analyzed 425 randomly selected NHI inpatient claim files. Chi-Square tests revealed significant relationships between pending claims and five variables: incomplete supporting data, differences in perception between coders and NIH verifiers, incomplete medical administration, incomplete medical resumes, and coding non-compliance (all with p-values of 0.000). Logistic regression analysis showed that differences in perception between coders and the SSAA verifier had the greatest impact, increasing the likelihood of pending claims by a factor of 1,789.5. Incomplete supporting data increased the likelihood by 1.1 times, while coder competence and experience increased it by 6.1 times. The study concluded that coding inaccuracy is primarily influenced by differences in perception between hospital coders and SSAA verifiers, followed by coder competence and incomplete documentation.  To reduce pending claims, the study recommends improving coder training, standardizing communication protocols between hospitals and SSAA, and strengthening administrative completeness. These measures are crucial for enhancing claim accuracy and improving hospital financial outcomes.
The Influence of the 7P Marketing Mix (Product, Price, Place, Promotion, People, Process, Physical Evidence) on Patient Loyalty Monalisa Putri Eka Berti; Tri Budi Wahyuni Rahardjo; Titus Indrajaya; Siti Maemun; Aninda Dinar Widiantari
Indonesian Journal of Global Health Research Vol. 8 No. 3 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i3.984

Abstract

The increasing number of hospitals in Jakarta reflects the high demand for healthcare services, which, in turn, may intensify competition. On the other hand, a 15% decrease in the number of returning patients during the 2023–2024 period at the outpatient unit of Sulianti Saroso Hospital indicates low patient loyalty. This study analyzes the relationship between the 7Ps marketing mix and patient loyalty at the outpatient unit of Sulianti Saroso Hospital. A quantitative, cross-sectional design was used, with 110 outpatients as respondents selected via purposive sampling. Data were collected using a valid and reliable questionnaire and analyzed using Chi-Square analysis. The research findings demonstrate a significant relationship between the 7Ps of the marketing mix and customer loyalty. Each element, product (p-value = 0.0001), price (p-value = 0.0001), place (p-value = 0.0001), promotion (p-value = 0.0001), people (p-value = 0.0001), process (p-value = 0.0001), and physical evidence (p-value = 0.0001) shows a statistically significant correlation. The study concludes that all components of the marketing mix positively and significantly influence customer loyalty, with the service process as the most dominant factor.
Co-Authors Aninda Dinar Widiantari Eka Yoshida Monalisa Putri Eka Berti Santy Yuliana Gultom Susiana Nugraha Titus Indrajaya Tri Budi Wahyuni Rahardjo