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All Journal LINK Infokes : Jurnal Ilmiah Rekam Medis dan Informasi Kesehatan PELS (Procedia of Engineering and Life Science) Proceeding of International Conference Health, Science And Technology (ICOHETECH) Prosiding Seminar Informasi Kesehatan Nasional
Utami, Yeni Tri
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Humanities Biochemistry, Genetics & Molecular Biology Chemistry Computer Science & IT Control & Systems Engineering Decision Sciences, Operations Research & Management Education Electrical & Electronics Engineering Engineering Health Professions Industrial & Manufacturing Engineering Medicine & Pharmacology Nursing Public Health Veterinary

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Journal : Proceeding of International Conference Health, Science And Technology (ICOHETECH)

 1 
Alert Features for Healthcare in Increasing Hospital Revenue from DRG Reimbursement: A Systematic Literature Review Maryati, Warsi; Utami, Yeni Tri; Muhtarom, Moch
Proceeding of the International Conference Health, Science And Technology (ICOHETECH) 2025: Proceeding of the 6th International Conference Health, Science And Technology (ICOHETECH)
Publisher : LPPM Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47701/3am59z25

Abstract

The inadequate quality of medical records and theelevated rate of insurance claim denials worldwide havenecessitated the incorporation of alert functionalities intoElectronic Health Record (EHR) systems to enhancedocumentation precision and reimbursementeffectiveness. This research seeks to evaluate the impactof alerts on healthcare professionals' ability to enhancethe quality of medical records (completeness, accuracy,timeliness) and insurance claim results through aSystematic Literature Review (SLR) following PRISMA 2020guidelines. Out of 538 studies sourced from PubMed,Scopus, and Web of Science, 14 were selected based onstrict inclusion criteria. The synthesis of results reveals thatalerts—particularly those integrated with clinical decisionsupport—substantially enhance documentation qualityand decrease claim rejections. The successful execution ofthis integration relies on EHR compatibility, managementbacking, user education, and the alleviation of alertfatigue. These results offer an empirical foundation foroptimizing hospital revenue by improving the quality ofmedical records and the efficiency of claims, althoughadditional research is required in the contexts ofdeveloping countries and for evaluating cost-effectiveness.
ANALYSIS OF FACTORS CAUSING PENDING BPJS CLAIMS IN EMERGENCY CASES AT PANDAN ARANG REGIONAL GENERAL HOSPITAL BOYOLALI Utami, Yeni Tri; Rahayuningsih, Lilik Anggar Sri; Itasari, Pipit; Bobo, Cesilia Juliana da Cruz Tasi; Silva, Densiana Nunes da
Proceeding of the International Conference Health, Science And Technology (ICOHETECH) 2025: Proceeding of the 6th International Conference Health, Science And Technology (ICOHETECH)
Publisher : LPPM Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47701/dfv7e244

Abstract

Pending BPJS claims for emergency cases is one of the obstacles in the healthcare payment process, impacting the smooth operation of the hospital. At Pandan Arang Regional Hospital (RSUD) in Boyolali, the number of pending claims is quite high, with 1,045 pending claims in 2024. This study aims to analyze the factors causing pending BPJS claims for emergency cases at Pandan Arang Regional Hospital in Boyolali. The research method used is descriptive with a retrospective approach. The study population of pending BPJS emergency claims was 1,045, with a sample of 289 individuals using simple random sampling. The results indicate that pending claims were largely caused by factors such as inappropriate emergency conditions (180 cases (62.28%), incomplete documentation (55 cases (19.03%), and other factors (54 cases (18.69%). This situation disrupts hospital cash flow, increases staff workload, and potentially decreases the quality of patient care. Therefore, improved efforts are needed through routine training, the preparation of clear SOPs, increased coordination between units, and the use of information technology so that the claims process runs more optimally and the quality of hospital services is maintained.
CORRELATION BETWEEN THE ACCURACY OF MEDICAL TERMINOLOGY AND DIAGNOSTIC CODES FOR RESPIRATORY CASES IN HOSPITAL INPATIENTS Utami, Yeni Tri; Wariyanti , Astri sri; Susilowati , Sheilla
Proceeding of the International Conference Health, Science And Technology (ICOHETECH) 2023: Proceeding of the 4th International Conference Health, Science And Technology (ICOHETECH)
Publisher : LPPM Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47701/icohetech.v4i1.3429

Abstract

Accuracy of writing terminology medical necessary to get accurate diagnosis code. Based on results studies introduction to document record medical patient take care Inpatient diagnosis of respiratory cases carried out at Mitra Pedan General Hospital was found to be 60% inaccurate medical terminology and 40% diagnostic code inaccuracies. This research aims to determine the relationship between accuracy in writing medical terminology and accuracy respiratory case diagnosis code for the patient take care stay. Deep method study This namely analytics with a retrospective approach. Amount population 530 documents with sample a total of 229 documents use proportionate stratified random sampling technique. Research instruments include observation guidelines, interview guidelines, checklists, and ICD – 10. Data management by editing, coding, classification, tabulation, cleaning, and data presentation. Analysis using univariate and bivariate. Accuracy writing diagnoses in respiratory cases was more than 140 documents (61%). big rather than inaccuracy as many as 89 documents (39%). For accuracy accurate respiratory case diagnosis code more than 195 documents (85%). big than inaccuracy as many as 34 documents (15%). Data is processed with the Chi-Square statistical test using SPSS, the p value is = 0.149 so p> 0.05. In conclusion namely H0 accepted and Ha rejected, meaning that there is no connection between accuracy of writing medical terminology with accuracy of respiratory case diagnosis codes at Mitra Pedan General Hospital in 2022. This because in handle inaccuracy writing medical terminology, coding officers will confirm directly with doctor so that the resulting diagnosis code still accurate.
Co-Authors Akbar, Prima Soultoni Amelia, Reza Astikasari, Salsa Bobo, Cesilia Juliana da Cruz Tasi Eni Nur Rahmawati hudzaifah ahmad, hudzaifah Itasari, Pipit Lilik Anggar Sri Rahayuningsih Maryati, Warsi Muhtarom, Moch Sari, Sella Yulia Shabetini, Vionita Silva, Densiana Nunes da Susilowati , Sheilla Wariyanti , Astri sri Wikan, Nugroho