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All Journal Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI) Indonesian Journal of Global Health research Jurnal Kesehatan Tambusai JUKESHUM: Jurnal Pengabdian Masyarakat Zadama: Jurnal Pengabdian Masyarakat Jurnal Ilmiah Pengabdian Kepada Masyarakat Pengabdian Kepada Masyarakat Indonesia SEAN (ABDIMAS SEAN)
Christy, Johanna
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Humanities Chemical Engineering, Chemistry & Bioengineering Civil Engineering, Building, Construction & Architecture Computer Science & IT Dentistry Economics, Econometrics & Finance Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Social Sciences

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Journal : Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI)

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Faktor-Faktor Penyebab Pending Klaim BPJS Rawat Inap Di RSUD Dr. Pirngadi Kota Medan Tahun 2022 Christy, Johanna; Nengsih, Yeyi Gusla; Sitorus, Mei Sryendang; Widyasari, Savira
Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI) Vol. 9 No. 1 (2024): Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Edisi Februari
Publisher : Akademi Perekam dan Informasi Kesehatan Imelda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jipiki.v9i1.1311

Abstract

BPJS claims are submissions for patient care costs for BPJS participants in claiming that there are problems pending claims which are influenced by several factors. The implementation of BPJS claims in submitting files is still delayed so it must be pending, and there are still patient BPJS claim files that are returned for repair, as a result of delays in submitting BPJS claims causing delays in disbursing funds that should be received by the hospital. the factors that cause pending BPJS claims at RSUD Dr. Pirngadi Medan City. The purpose of this study was to determine the factors causing pending claims of BPJS Inpatients at RSUD Dr. Pirngadi Medan City in 2022. This type of research uses a qualitative descriptive method, in this study the population used by officers in the medical record amounted to 4 people and 49 pending files. The results of this study indicate that the cause of pending BPJS claims is caused by differences in perceptions between INA CBG's officers and Verifiers in filling out patient diagnoses, causing obstacles for hospitals, incomplete BPJS claim requirements, diagnoses that are not in accordance with the action, drugs that are not in accordance with diagnostics and the hospital network which is sometimes slow, resulting in errors in the INA-CBGs application and the computer takes a long time to load. Suggestions from this study should be routine checking of the completeness of medical record documents, so that the requirements for submitting BPJS claims have been filled out correctly. The hospital network is further developed so that the work using computer networks is more effective. To equate the perception between the coder and the verifier, it is recommended that officers collaborate more often with doctors regarding diagnosis and disease codes.
Faktor-Faktor Yang Mempengaruhi Ketepatan Kode Diagnosa External Cause Kasus Kecelakaan Sepeda Motor Di RSU Imelda Pekerja Indonesia Medan Tahun 2023 Simanjuntak, Marta; Christy, Johanna; Erlindai, Erlindai; Berutu, Novita Sari
Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI) Vol. 9 No. 2 (2024): Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Edisi Agustus
Publisher : Akademi Perekam dan Informasi Kesehatan Imelda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jipiki.v9i2.1533

Abstract

Codefication classification is an activity that groups diseases based on certain. Coding of disease diagnoses must be carried out accurately and completely. The assignment of disease diagnosis codes is in accordance with ICD-10 rules. External cause is a code used to classify the external cause of an illness whwther caused by accidents, injuries, burns, poisoning, side effects of other cause. Factors thar influence the accuracy of external cause diagnosis codes are discrepancies in giving diagnosis codes, erros and discrepancies in giving additional codes for descriptions of activity and place of occurrence. As a passenger or driver, do not include the external cause code in the wxisting diagnosis. This research was conducted at RSU Imelda Pekerja Indonesia Medan with the aim of research to determine the factors that influence the accuracy of the external cause diagnosis code for motorbike accident cases at RSU Imelda Pekerja Indonesia Medan in 2023. This research uses quantitative analytical methods with a cross sectional approch. The research results showed that there was a significant influence of the variable completeness of assessment eith coding accuracy with a value (p value 0.002 < 0,05), there was an influence of completeness of laboratory examination with coding accuracy with a value ( p value 0.045 < 0,05), there was an influence og the quality of code officers according to length of service with value (p value 0.003 < 0,05) and there is an influence on the quality of code officers according to training followed by value (p value 0.017 < 0,05).
Co-Authors Berutu, Novita Sari Elfalini Warnelis Erlindai, Erlindai Evi Efriamta Siagian Gultom, Risatantry Gusla Nengsih, Yeyi Hutauruk, Puput Melati Junita Bancin, Lamtiur Khairani Khairani Khairani Lase , Kristalina Lase, Chrisman Nila Sari Priscillia, Prilly Putri S, Afni Efani Putri, Maidina Rizki, Lina Samgryce Siagian, Hartika Sihite, Geovani Arta Simanjuntak, Marta Sitorus, Mei Sryendang Syahputri, Melati Adila Theresia Hutasoit Veronika, Ida Widyasari, Savira Zebua, Berlian Oktarianis