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All Journal Jurnal Wiyata : Penelitian Sains dan Kesehatan JITTER (Jurnal Ilmiah Teknologi Informasi Terapan) Jurnal Manajemen Informasi dan Administrasi Kesehatan JURNAL PENDIDIKAN TAMBUSAI Hearty : Jurnal Kesehatan Masyarakat Indonesian of Health Information Management Journal (INOHIM) Health Sciences and Pharmacy Journal EDUTEC : Journal of Education And Technology Jurnal Ilmiah Manusia dan Kesehatan Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI) BERNAS: Jurnal Pengabdian Kepada Masyarakat JOURNAL OF COMMUNITY MEDICINE AND PUBLIC HEALTH RESEARCH Jurnal Kesehatan Tambusai Jurnal Ilmiah Wahana Pendidikan Interdisciplinary Social Studies Journal of Comprehensive Science Jurnal Rekam Medik & Manajemen Informasi Kesehatan (RAMMIK) Cerdika: Jurnal Ilmiah Indonesia Mutiara: Multidiciplinary Scientifict Journal Jurnal Umum Pengabdian Masyarakat (JUPEMAS)
Sonia, Dina
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Journal : Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI)

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Hubungan Ketepatan Kode Diagnosis Terhadap Status Klaim JKN Rawat Inap di Rumah Sakit Pelabuhan Jakarta Amanda, Rizkia; Sonia, Dina
Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI) Vol. 8 No. 2 (2023): 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.v8i2.1436

Abstract

The accuracy of determining the diagnosis code is necessary for the benefit of patient health information in carrying out health services. The accuracy of the diagnosis code is also required for the benefit of claiming National Health Insurance (JKN). The research aims to determine the correlation between the accuracy of the diagnosis code and the status of inpatient National Health Insurance (JKN) claims. The research method was an inferential analysis with a cross-sectional research design using the chi-square statistical test. The samples of the research were 125 medical records. Samples were taken by way of proportional stratified random sampling. Based on the research results, the accuracy of determining the diagnosis code was 114 (91,2%) while the inaccuracy of determining the diagnosis code was 11 (8,8%). JKN claims received were 104 (83,2%) while JKN claims that were postponed were 21 (16,8%). The results of the chi-square statistical test obtained odd ratio value of 20,7, meaning that the correct diagnosis codes has 20,7 times chance of JKN claims approval than the incorrect diagnosis codes. The significance value obtained of 0.000. The p-value shows <0.05, so Ho is rejected and Ha is accepted or there is a correlation between the accuracy of the diagnosis code and the status of inpatient JKN claims at the Pelabuhan Jakarta Hospital. This research concludes that there is a correlation between the accuracy of the diagnosis code and the status of inpatient JKN claims.
Co-Authors Agustin, Cahyadi Agustin, Rosalia Amanda, Rizkia Budiantono, Budiantono Daniel Happy Putra Dewi, Puja Sintia Endah Wardani Fannya, Puteri Fannya, Putery Farid, Zaki Much Fatimatuzzahra, Joevancha Livancha Febriyani, Madinah Fernando, Nauvaldy Rayhan Firmansyah, Muhamad Ruslan Fitria, Lailatul Fitrianingsih, Wulandari Fitriyanti , Nuriyah Gita Sugiarti Gita, Elsa Chandra Halimah, Sitti Haliza, Dina Nur Happy Putra , Daniel Indawati, Laela Indriyani, Wilda Iqbal, Muhammad Fuad Ismi Suci Oktavia Az Ivonia Kenahin Bahi Karolina, Caren Kusnandi, Dang Kusuma, Muhammad Akmal Lailia, Siti Afkarina Lestari, Firly Oktavia Magdalena, Selvy Manullang, Febe Cristiani Maufirah, Fitria Nur Maulana, Panji Maulanasari, Devi Maulinabila, Ayulia Miliana, Elta Mufida, Melani Aulia Muvira, Muhammad Yusuf Nugraha, Intan Nurhadiyati Nuraininabilah, Fanny Nur’aeni, Ai Ainun Nur’aini, Nur’aini Nurfadila, Riski Aisah Nurhadi, Muhammad Nurhayatun , Susi Nurindah Sari, Lilis Nuroctaviani, Aini Nurripdah, Alfiah Nursilmi, Devina Lulu Nuryani, Sinta Nur’aeni, Ai Ainun Nur’aini, Nur’aini Permata Satia, Ervina Prasetyo, Muhammad Jefri PUTRI WAHYUNI Putri, Antonia Venta Nathaniela Rani Wulandari Rifki Aulia Ramadan, Muhammad Rizal Fauzi Rosita, Annida Ulfiar Sabina, Diva Safhira, Shabita Salomo, Titus Satriyo Satriyo Satrya, Bangga Agung Septiani, Sundari Sevilla, Flavia Suciani, Intan Surya Dhama, Ananda Meilana Susanti, Dhina Ayu Syach, Choirul Anam Syarif, Hilwa Syarifah, Winda Nabila Viatiningsih, Wiwik Widjaja, Lily Yulia, Noor Yuniar, Ananda Eka Alya