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All Journal POSITIF Jurnal Penelitian Kesehatan Suara Forikes Health Notions Journal Of Nursing Practice Jurnal Rekam Medis dan Informasi Kesehatan Jurnal Ilmu Kesehatan Jurnal Informasi Kesehatan Indonesia (JIKI) JPP IPTEK (Jurnal Pengabdian dan Penerapan IPTEK) Poltekita : Jurnal Ilmu Kesehatan Darmabakti : Junal Pengabdian dan Pemberdayaan Masyarakat Majalah Kesehatan Indonesia Jurnal Empathy Pengabdian Kepada Masyarakat Jurnal Rekam Medik & Manajemen Informasi Kesehatan (RAMMIK) Prosiding Seminar Informasi Kesehatan Nasional Nanggroe: Journal Of Scholarly Service Jurnal Pendidikan Kesehatan (e-Journal) Nanggroe: Journal of Scholarly Service Jurnal Pendidikan Teknologi Informasi (JUKANTI) ABDIMAS KOSALA : Jurnal Pengabdian Kepada Masyarakat ASSYIFA: Jurnal Ilmu Kesehatan Jurnal ARSI : Administrasi Rumah Sakit Indonesia Jurnal Rekam Medis dan Informasi Kesehatan Indonesia Journal of Medical and Health Science KREATIF: Jurnal Pengabdian Masyarakat Nusantara Journal of Golden Generation Health Jurnal Keperawatan Terapan Indonesian Journal of Health Insurance and Medical Records (IJHIMR)
Akbar, Prima Soultoni
Politeknik Kesehatan Kemenkes Malang
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Analysis of the Accuracy of Diagnosis Codes on the Return of BPJS Claim Files at TNI-AD Bhirawa Bhakti Hospital Malang: Analisis Keakuratan Kode Diagnosis Terhadap Pengembalian Berkas Klaim BPJS di RS TNI-AD Bhirawa Bhakti Malang Bella Artamevia, Fifi; Akbar, Prima Soultoni; Nurhadi, Nurhadi
JOURNAL OF MEDICAL AND HEALTH SCIENCE Vol. 2 No. 2 (2024): December
Publisher : Universitas Muhammadiyah Sidaorjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/anamnetic.v2i2.1601

Abstract

Coding accuracy is the accuracy and suitability of codes for both diagnoses and actions carried out by coding officers based on applicable provisions, namely ICD 10 version 2010 and ICD 9 CM. The accuracy of diagnostic data is very important in the field of clinical data management, BPJS health billing, and other issues related to health services. said to be accurate, if the files (Individual Patient Report, Coding Confirmation, Supporting Report, medical resume, and operation report) are consistent with each other. It is said to be inaccurate if one or several files do not show consistency. The aim of this research is to determine the analysis of the accuracy of diagnosis codes on the return of BPJS claim files at the TNI-AD Bhirawa Bhakti Hospital, Malang. The type of research used is quantitative, collecting data through interviews. The research subjects were 45 medical records. The research results show that the average return of claim files is 12% of the total claim files submitted each month. The return of claim files was due to the coding officer's lack of understanding of coding rules, incomplete files, the coding officer's background not meeting medical recorder competency standards and the absence of regular meetings related to coding training being held. From the results of this research, it can be concluded that there is a return of claim files due to incompleteness and carelessness of officers. Based on this conclusion, the author suggests holding regular meetings to discuss the accuracy of codification and completeness of medical records as well as additional human resources so that hospitals can minimize refunds of claim costs by parties. BPJS Health. Suggestions for future researchers, when this suggestion is implemented by hospitals, will there be a good influence on the accuracy of the codification and claims return process by BPJS Health.
ANALISIS FAKTOR YANG MEMPENGARUHI KEAKURATAN KODE DIAGNOSIS PASIEN RAWAT INAP DI RS X KOTA MALANG Akbar, Prima Soultoni
Jurnal Informasi Kesehatan Indonesia (JIKI) Vol. 11 No. 1 (2025): Jurnal Informasi Kesehatan Indonesia
Publisher : Politeknik Kesehatan Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jiki.v11i1.5427

Abstract

Salah satu aspek terpenting dalam pelayanan rekam medis adalah kegiatan klasifikasi dan kodefikasi diagnosis serta tindakan. Dalam melakukan pemberian kode diagnosis pasien masih ditemukan menggunakan sistem komputerisasi dengan dokter sebagai pemberi kode diagnosis. Tujuan penelitian ini adalah mengalisis faktor yang mempengaruhi keakuratan kode diagnosis pasien rawat inap di RS X Kota Malang. Jenis penelitian ini adalah metode campuran (mixed method) dengan pendekatan kuantitatif untuk menganalisis tingkat keakuratan dan pendekatan kualitatif dengan metode wawancara, serta instrumen penelitian menggunakan lembar checklist. Teknik pengumpulan data yang digunakan dalam penelitian ini dengan menggunakan metode observasi dan wawancara. Populasi yang digunakan adalah rekam medis pasien rawat inap pada bulan September 2024. Sampel diambil secara acak yang berjumlah 98 berkas rekam medis. Informan dalam penelitian ini adalah kepala rekam medis dan petugas koding rawat inap di RS X Kota Malang, Hasil penelitian menunjukkan bahwa 18% kode diagnosis penyakit diberikan secara tidak tepat, dan 82% kode diagnosis penyakit diberikan secara tepat dari 98 berkas sampel. Faktor-faktor yang mempengaruhi keakuratan kode diagnosis pasien rawat inap di RS X Kota Malang adalah kompetensi sumber daya manusia, pelatihan, penggunaan SOP yang ditetapkan oleh rumah sakit, dan penerapan sistem reward dan punishment bagi seluruh petugas, khususnya petugas koding.
The Relationship between Completeness of Medical Information and the Accuracy of Diagnosis Codes for BPJS Inpatients at Hospital X Malang City : Hubungan Kelengkapan Informasi Medis Terhadap Keakuratan Kode Diagnosis Pasien BPJS Rawat Inap RS X Kota Malang Annisa, Nadia Salma; Akbar, Prima Soultoni
JOURNAL OF MEDICAL AND HEALTH SCIENCE Vol. 3 No. 1 (2025): Juli
Publisher : Universitas Muhammadiyah Sidaorjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/anamnetic.v3i1.1603

Abstract

Background: Completeness of medical information is critical in ensuring diagnosis code accuracy. The purpose of this study is to look at the relationship between medical information completeness and diagnosis code correctness in BPJS Patient Inpatient Medical Record Documents. Subjects and Methods: This form of research employs both quantitative and correlational methodologies. The sample consisted of 83 documents chosen at random. Chi-square was employed to analyse the data. Results: The ratio of complete medical information is 60%, whereas incomplete medical information is 40%. Medical resumes with 19 papers had the highest percentage of incompleteness (23%). The accuracy of hospital record diagnostic codes is 40%, while inaccuracies are 60%. Inaccuracies in diagnosis codes are generated by a variety of circumstances, including wrongly defining the major diagnosis, officers being less cautious, and providing inadequate support. The chi square statistical test results in p = 0.0019. Conclusion: there is a correlation between the completeness of medical information and the accuracy of diagnosis codes in BPJS patient inpatient records. The author recommends that health professionals be more attentive when entering medical information, coders follow fundamental ICD 10 rules, and institutions provide coder training to ensure that coding activities operate smoothly.
FAKTOR PENYEBAB PENDING KLAIM BPJS RAWAT INAP DENGAN PENERAPAN REKAM MEDIS ELEKTRONIK DI RSUD DR. MOEWARDI SURAKARTA Utami, Yeni Tri; Akbar, Prima Soultoni; Amelia, Reza; Sari, Sella Yulia
Prosiding Seminar Informasi Kesehatan Nasional 2024: SIKesNas 2024
Publisher : Fakultas Ilmu Kesehatan Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47701/sikenas.vi.3939

Abstract

Berdasarkan hasil survei di RSUD dr. Moewardi jumlah klaim BPJS rawat inap yang mengalami pending sebanyak 4878 berkas (16,29%). Penelitian ini bertujuan untuk mengetahui faktor penyebab pending klaim BPJS rawat inap pada penerapan rekam medis elektronik di RSUD dr. Moewardi Surakarta. Metode penelitian menggunakan deskriptif dengan pendekatan retrospektif. Populasi dan Sampel yang digunakan adalah seluruh berkas klaim BPJS rawat inap yang mengalami pending tahun 2023. Metode pengumpulan data dengan observasi dan wawancara. Pelaksanaan klaim BPJS rawat inap telah dilaksanakan sesuai dengan Standar Operasional Prosedur. Faktor penyebab pending klaim diklasifikasikan menjadi 4 faktor yaitu berkas tidak lengkap sebanyak 2995 berkas (61,39 %), ketidaklengkapan berkas penunjang pasien sebanyak 1031 berkas (21,13 %), ketidaktepatan pengodean sebanyak 457 berkas (9,36 %), dan reseleksi diagnosis dan kode yang tidak sesuai dengan kriteria BPJS sebanyak 395 berkas (8,09 %). Dampak dari kasus pending klaim yaitu terjadinya cash flow rumah sakit yang terganggu dan penambahan beban kerja petugas. Upaya dalam mengatasi pending klaim dengan merevisi atau konfirmasi penyebab pending klaim kemudian menelaah kembali dan apabila diperlukan melakukan konfirmasi dengan unit terkait. Sebaiknya RSUD dr. Moewardi melakukan peningkatan koordinasi dengan unit-unit yang terkait mengenai syarat kelengkapan pengajuan klaim sehingga dapat meminimalisir terjadinya pending klaim pada bulan-bulan berikutnya.
Peningkatan Literasi Digital Kesehatan bagi Masyarakat dalam Mengakses Informasi Medis yang Akurat melalui Pemanfaatan Sistem Informasi Kesehatan Putri, Santy Irene; Widiyanto, Aris; Ummah, Wiqodatul; Supriyono, Nisa'i Daramita; Prisusanti, Retno Dewi; Akbar, Prima Soultoni; Widiatrilupi, Raden Maria Veronika; Purwanti, Anik; Abdullah, Ikhwan; Wardoyo, Puspo; Gamar, No’o
Darmabakti : Jurnal Pengabdian dan Pemberdayaan Masyarakat Vol 6 No 02 (2025): Darmabakti : Junal Pengabdian dan Pemberdayaan Masyarakat
Publisher : Lembaga Peneliian dan Pengabdian Masyarakat (LPPM) Universitas Islam Madura (UIM)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31102/darmabakti.2025.6.02.366-374

Abstract

The use of digital technology in the health sector is increasing, but public health digital literacy is still relatively low. This affects the public's ability to access accurate and reliable medical information. This service activity aims to improve public health digital literacy in using health information systems to find the right medical information. This program is carried out with preparation stages which include socialization to the community as well as the preparation of training materials and tools. The implementation of the activity consisted of a theory session by introducing digital technology and health information systems, followed by a practicum session where participants were trained using health applications and digital medical platforms. The evaluation was conducted by collecting feedback from participants to assess their improvement in knowledge and skills in accessing medical information digitally. The results of the evaluation showed that the majority of participants felt more confident in using technology to obtain accurate medical information after participating in this training.
Telehealth Usage During The Coronavirus Disease 2019 Pandemic: A Meta-Analysis Akbar, Prima Soultoni; Putri, Santy Irene; Widiyanto, Aris; Atmojo, Joko Tri; Prisusanti, Retno Dewi; Ramadhanti, Tarisa Aulia
Poltekita : Jurnal Ilmu Kesehatan Vol. 17 No. 3 (2023): November
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v17i3.2905

Abstract

The recent pandemic has increased telemedicine use tremendously, but it has also pronounced access gaps to telemedicine. This study aimed to investigate factors affecting patient use of telehealth during the Coronavirus Disease 2019 Pandemic. This article was created using a systematic review and meta-analysis study that searched for articles in electronic databases such as Science Direct, PubMed, and Google Scholar. Observational studies are included in full papers with a publication year until 2022 were searched for this study. The Review Manager 5.3 (RevMan) software was used to analyze the articles in this study. We observed heterogeneity with a random-effect model to analyze the effect size from each primary study, and the results were reported as an adjusted odds ratio (aOR) and corresponding 95 percent confidence interval (CI). A total of 9 articles reviewed in the meta-analysis (consisting of 4 articles in each variable) showed that patients whose primary language is non-English (aOR= 0.72; 95% CI= 0.59 to 0.87; p= 0.0008) and have Medicaid insurance English (aOR= 0.86; 95% CI= 0.77 to 0.97; p= 0.02) were less likely to use telemedicine compared to patients who speak English and utilize private insurance. Medication insurance and non-English as a preferred language reduced the likelihood of patients using telemedicine.
The Effectiveness of Telemedicine for Glycemic (Hba1c) Management of Patients with Diabetes Mellitus Type 2: A Meta-Analysis Putri, Santy Irene; Supriyono, Nisa'i Daramita; Fajriah, Asruria Sani; Akbar, Prima Soultoni
Majalah Kesehatan Indonesia Vol. 6 No. 3: 2025
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/makein.2025261

Abstract

Diabetes mellitus (DM) is a degenerative disease caused by genetic and environmental factors. Therefore, patients with DM type 2 requires regular control. One of the health facilities that allows a fine control and follow up over patients with DM is telemedicine. This study aimed to estimate the average effectiveness of telemedicine on glycemic management (HbA1C) of patients with DM type 2. The current research employed a systematic review with meta-analysis research design. The subjects of the study were articles published in 2005 - 2021. The article search was conducted for a maximum of 1 month over journal databases: PubMed, ScienceDirect, and Google Scholar. The primary study employed Randomized Controlled Trial with articles search according to the established PICO model, where P (Population), in this sense, patients suffering from DM type 2, I (Intervention) which was Telemedicine, C (Comparison) or non-telemedicine, and O (Outcome), which was glycemic management (HbA1c). A total of 10 primary studies were assessed with Critical Appraisal Center for Evidence-Based Medicine (CEBM). The results demonstrated that telemedicine is effective in glycemic management (HbA1c) of DM type-2 patients with a p-value of <0.05, namely p<0.04 and a standardized mean difference (SMD) value of -0.24 (95% CI, -0.34 to -0.15). The results of this meta-analysis provide strong scientific evidence regarding the benefits of telemedicine in lowering HbA1c levels in patients with type 2 DM.
Pemanfaatan Video Edukasi dan Pelatihan Canva untuk Mendukung Kesehatan Anak Panti Asuhan Avid Wijaya; Prima Soultoni Akbar; Eiska Rohmania Zein
KREATIF: Jurnal Pengabdian Masyarakat Nusantara Vol. 5 No. 4 (2025): Jurnal Pengabdian Masyarakat Nusantara
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/kreatif.v5i4.8394

Abstract

The Al-Ikhlas Orphanage, located in Sidorahayu Village, Malang, faces challenges related to low levels of health education and limited awareness of non-communicable diseases (NCDs) among the children. These issues stem from restricted resources and inadequate access to relevant health information.This community service program aims to enhance the children’s health knowledge, digital literacy, and awareness of NCDs. The implementation methods include developing educational video content tailored to the children’s level of understanding, conducting training on video creation using the Canva application and promoting healthy lifestyle practices, as well as evaluating the program through satisfaction surveys, interviews, and skill assessments.The targeted outcomes include improved knowledge among orphanage children about NCD prevention, acquisition of basic skills in educational video production, documentation of the activities in video format, and publication of a scientific article in a national journal.The results demonstrate an increase in the children’s understanding of the importance of NCD prevention, enhanced practical skills in producing educational videos using Canva (including template selection, addition of text, images, and audio, as well as video export), and greater motivation and enthusiasm among participants to independently create health-related educational content.
Analisis Determinan dan Ketepatan Kode Diagnosis Penyakit Sistem Respirasi Berbasis ICD-10: Studi Evaluasi di Puskesmas X Kota Malang Prima Soultoni Akbar; Anggi Ardhiasti
Journal of Golden Generation Health Vol. 1 No. 2 (2025): November 2025 : Journal of Golden Generation Health
Publisher : PT. Lembaga Penerbit Penelitian Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65244/jggh.v1i1.146

Abstract

Validitas data klinis merupakan fondasi utama dalam keberlanjutan sistem pembiayaan Jaminan Kesehatan Nasional (JKN) dan penentuan kebijakan kesehatan publik. Penelitian ini bertujuan untuk menganalisis akurasi kode diagnosis penyakit respirasi dan faktor penyebab ketidaktepatan di Puskesmas X Kota Malang. Metode yang digunakan adalah studi deskriptif kuantitatif ini mengaudit 90 rekam medis yang dipilih secara acak dari periode Agustus 2025. Analisis akar masalah dilakukan menggunakan pendekatan manajemen 5M (Man, Material, Method, Management dan Money). Hasil ditemukan tingkat akurasi kode sebesar 67% dan ketidaktepatan 33%. Faktor penyebab utama meliputi defisiensi kompetensi koder, kualitas input diagnosis dokter yang rendah, ketidakpatuhan SOP, serta absennya evaluasi mutu internal dan sistem insentif. Kesimpulan penelitian ini terdapat tingkat ketidaktepatan sebesar 33% berimplikasi pada risiko finansial dan manajerial. Diperlukan intervensi melalui pelatihan spesifik dan penegakan SOP untuk optimalisasi mutu data.
Detection of Asymptomatic Cases of Covid-19 Pregnant Women: A Systematic Review Prima Soultoni Akbar; Santy Irene Putri; Astri Yunita
Journal Of Nursing Practice Vol. 5 No. 2 (2022): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v5i2.201

Abstract

Background: There have been many cases of the Covid-19 coronavirus detected in pregnant women. Data posted by the Centers for Disease Control and Prevention (CDC) shows that around 55% of pregnant women who are confirmed Covid-19 and hospitalized are asymptomatic. Purpose: The purpose of this study is to systematically review the detection of asymptomatic Covid-19 cases in pregnant women. The articles were selected from WorldCat, ProQuest, EBSCO, and PubMed Database journals published from January to April 2020. "Covid-19" or "Coronavirus" or “Coronaviruses” or "2019-nCoV" or "SARS-CoV" or "MERS-CoV" and “Asymptomatic” and “Pregnant Women” were the keywords included for this review. Articles in English or Indonesian language that were published or in press articles about Covid-19, focusing on the detection of asymptomatic Covid-19 cases of pregnant women, and the type of study is cohort were inclusion criteria. Methods: The articles using language rather than English or Indonesian were excluded. Articles for which no abstract and no provided any significant information were in the exclusion criteria. Results: A total of 628 articles achieve from the databases, the authors identified that 12 articles were analyzed. Conclusion: Based on the results of a review of several articles it can be concluded that pregnant women who do not have symptoms of Covid-19 show a large enough percentage and have a greater risk of receiving intensive care compared to women who are not pregnant.
Co-Authors ACHMAD JAELANI RUSDI Ahmad Jaelani Rusdi Alvionita, Chyntia Vicky Amelia, Reza Angga Ferdianto Anggi Ardhiasti Annisa, Nadia Salma Aquanturi Tri Darmayanti Ardhiasti, Anggi Artha Budi Susila Duarsa Astri Yunita Atmojo, Joko Tri Avid Wijaya Ayu Anulus Bella Artamevia, Fifi Bhisma Murti Citra Alifa Puspaningtyas Dahlia, Mustika Sinci Devy Putri Nursanti Dewi, Cindy Shinta Eiska Rohmania Zein Endang Sri Dewi Endang Sri Dewi Hastuti Suryandari Fajriah, Asruria Sani Fatimah Azzahro Nur Firdausiyah Fiashriel Lundy Lundy Gamar, No’o Handayani, Rina Tri Hariez, Tsalits Maulidah Hartaty Sarma Sangkot Hendra Dwi Kurniawan Ikhwan Abdullah ingrum, Herlinda Dwi N Intan Putri Maharani Joko Tri Atmojo Joko Tri Atmojo Kadek Dwi Pramana Kumalasari, Eri Puji Maria Paula Marla Nahak Muhammad Ibnu Maulana Nabila Fardilan Nindita Arum Veibiani Nur Laili Qomariah Nurhadi Purwanti, Anik Raden Maria Veronika Widiatrilupi Ramadhanti, Tarisa Aulia Rashati, Dewi Retno Dewi Prisusanti Rina Tri Handayani Rita Adriani Benya Adriani Sangkot, Hartaty Sarma Santy Irene Putri Santy Irene Putri Saras Kuntari Sari, Sella Yulia Selvi Marcellia Silfia Angela N Halu Sri Lestari Supriyono, Nisa'i Daramita Suryani, Pudji Syahira, Nurfathina Syukma Ramadhani Faizal Nur Tsalits Maulidah Hariez Utami, Yeni Tri Wardoyo, Puspo Widiyanto, Aris Wiqodatul Ummah Zein, Eiska Rohmania