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All Journal Jurnal Medika Malahayati Jurnal Kesehatan Tambusai Jurnal Puan Indonesia Tedc Gema Lingkungan Kesehatan Journal of Innovative and Creativity Indonesian Journal of Public Health and Nutrition
Monica, Rizqy Dimas
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ANALISIS PENDING KLAIM BPJS GUNA MENUNJANG KELANCARAN KLAIM JKN DI RSAU LANUD SULAIMAN BANDUNG Pujilestari, Intan; Monica, Rizqy Dimas; Indriyani, Rina
Jurnal TEDC Vol 17 No 3 (2023): JURNAL TEDC
Publisher : UPPM Politeknik TEDC Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70428/tedc.v17i3.743

Abstract

Health services as a sub-component of the national health system that have direct contact with the community. In order to realize good and quality health services, the government is responsible for the implementation of public health insurance through the National Health Insurance through claims pending or delayed claims from the BPJS to the hospital. In July to September there were pending claims of 68 out of 1912 files resulting in delays in payment of Rp. 83,561,200. The purpose of this study is to find out the pending BPJS claims to support the smooth running of JKN claims at the Sulaiman Air Force Hospital in Bandung. The research method used is descriptive method with a quantitative approach. Data collection techniques used are observation, interviews and documentation studies. The population in this study is the pending BPJS claim files for 2021, with a sample of 211 outpatient pending files and 80 inpatient files. The sampling technique is saturated sampling. The results of the author's research, there is no written SOP regarding the implementation of claims at the hospital. The sample of pending BPJS claim data on outpatient care was 211 (3%) from 7016 files and inpatient care was 80 (10.16%) from 787 files. The occurrence of pending claims will affect the smoothness of the conformity of the payment amount submitted to the JKN. The average suitability of payment of outpatient claims was 96.8% and 89.84% for inpatient care. The cause of pending is due to coding, medical, and administrative factors. The author's conclusions and suggestions are that there is no written SOP regarding the implementation of claims, it is better to make a procedure for implementing claims in writing. Pending claims occur due to incomplete claim requirements so that they can hinder the smooth payment of claims submitted. It is better to conduct socialization and regular meetings to all relevant parties regarding claim procedures and claim settlement.
HUBUNGAN KEPUASAN KERJA DAN KINERJA KARYAWAN DI BAGIAN PENDAFTARAN RAWAT JALAN RUMAH SAKIT UMUM DAERAH BANDUNG KIWARI Rohaeni, Neni; Monica, Rizqy Dimas; Rachmawati, Gina Siti; Pujilestari, Intan
Jurnal TEDC Vol 18 No 1 (2024): JURNAL TEDC
Publisher : UPPM Politeknik TEDC Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70428/tedc.v18i1.781

Abstract

Hasil observasi di bagian pendaftaran RSUD Bandung Kiwari, terdapat petugas merangkap pekerjaan di luar tugas pendaftaran, dan karyawan pada shift siang tidak cukup melakukan tugas pendaftaran ketika volume pekerjaan banyak kondisi tersebut menyebabkan masalah ketidakpuasan kerja yang berefek kepada kinerja karyawan. Tujuan penelitian ini untuk mengetahui Hubungan Kepuasan Kerja dengan Kinerja Karyawan Pendaftaran di Bagian Pendaftaran Rawat Jalan RSUD Bandung Kiwari. Metode penelitian yang digunakan adalah metode mixed methods dengan pendekatan kuantitatif dan kualitatif. Teknik pengumpulan data dengan observasi, wawancara, kuesioner, studi kepustakaan. Teknik pengolahan data yaitu editing, coding, prosessing, cleaning. Sampel dalam penelitian ini berjumlah 19 orang responden petugas rekam medis di bagian pendaftaran rawat jalan. Data dianalisis secara univariat dan bivariat menggunakan analisis chi square. Proses perhitungan menggunakan program IBM SPSS Statistics 29. Hasil penelitian berdasarkan uji chi square menunjukkan bahwa terdapat hubungan yang signifikan antara kepuasan kerja dengan kinerja karyawan pendaftaran rawat jalan. Berdasarkan hasil uji chi square di peroleh nilai p=0,000 (p value <0,05). Ini termasuk hubungan yang memadai dengan arah positif yang bahwasanya semakin banyak kebahagiaan kerja, semakin tinggi kinerjanya. Penulis menyarankan pihak Rumah Sakit bisa mempertahankan kepuasan kerja serta kinerja petugas rekam medis, melengkapi sarana dan prasarana seperti menambahkan loket dan petugas pendaftaran rawat jalan pada shift pagi. Kata kunci : Kepuasan Kerja, Kinerja, Petugas Rekam Medis
Co-Authors Aliana, Feby Alin Anisa, Alya Azzahra, Salsadilla Recka Choirunnisa, Adinda Damayanti , Eva Darmawan , Dadang Fadila, Erida Fadilah, Fitria Gerinata Ginting Ginting , Gerinata Gunawan, Edih Hada, Encep Hadijah, Aini Indriyani, Rina Kartikasari, M.Nur Dewi Liawati, Nunung Luqman Nulhakim Luqmanul Hakim Marlina, Lusi Neni Rohaeni Nopiyanti, Sabila Nur Azizah Prastawa, Rafif Hanan Pujilestari, Intan Pujilestaria , Intan Purnawirawan, Yosep Rachmawati, Gina Siti Rahayu , Ayu Hendrati Rahayu, Ayu Hendrati Rahmatika, Shabila Rizky Ratiana, Widia Ruhyat, Ejeb Soelistijaningroem, Matoeari Suharto Suharto Trianto, Wowo Vinandiani, Vina Waluya, Ady Widiawati, Anisa Yurika, Yurika Zulva, Siti