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Overview of the Causes of BPJS Health Pending Claims Due to Inaccuracy of Diagnosis Codes in Sebelas Maret University (UNS) Hospital Bella, Cindy Rozza; Pratama, Aldi; Abidin , Arif Zaenal
Procedia of Engineering and Life Science Vol. 6 (2024): The 3rd International Scientific Meeting on Health Information Management (3rd ISMoHI
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/pels.v6i1.1933

Abstract

In submitting a BPJS Health claim, not all submitted documents can be claimed. Claim status is declared ineligible or pending. A pending claim occurs if the claim file submitted by the hospital is incomplete or does not comply with the requirements set by BPJS Health. Delayed claims can disrupt hospital cash flow and cause losses for the hospital and BPJS Health participants. This research aims to describe the causes of pending claims at UNS Hospital. This research is a quantitative descriptive study with a population of 182 inpatients pending claim documents at UNS Hospital for the period August-October 2023. The sample for this research is 78 pending claim documents based on diagnosis code verification. The sampling technique is total sampling. Based on the data obtained, the number of documents with coding confirmation is 78 pending claim documents s or 11.3% of the total pending claims in the period August – October 2023. This data shows that the majority of pending claim documents are due to inaccurate diagnosis. The factor causing pending claims from BPJS Health inpatients at UNS Hospital occurs due to differences in perception between hospital staff and BPJS Health and is not purely due to coder error, but due to a lack of supporting data as a diagnosis enforcer which affects the accuracy of the code.
Analisis Rantai Pemasaran Sayur Hidroponik: Studi Kasus di Kota Kendari Nurhalipa; Fidina, Tsabita; Sugiarti, Shella; Tania, Putri; Zelina; Anggraini, Revi; Sarlian; Pratama, Aldi; Riska; Ma'mun, Sitti Rahma
Agrisurya Vol 2 No 2 (2023): Agrisurya : Jurnal Agribisnis dan Sumber Daya Pertanian
Publisher : Fakultas Pertanian Universitas Muhammadiyah kendari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51454/agrisurya.v2i2.378

Abstract

Demand for hydroponic vegetables are increasing, especially urban areas, including Kendari. This is because vegetables grown hydroponically have advantages: they are environmentally friendly, the production produced is hygienic, plant growth is faster, the quality of crop yields can be maintained and the quantity can be increased. This study aims to analyse the hydroponic vegetable marketing channel in Kendari City. The selection of respondents purposely selected on five hydroponic businesses and three traders and retailers. The results show that, there are two marketing channels, namely: Channel I from farmers - consumers; and Channel II from Farmers – collectors – market traders – consumers. Of the two channels, it is known that farmers receive the greatest profit when selling directly to consumers (Channel I), while in Channel II the highest margin is obtained by retailers of IDR 37,000/kg.
THE EFFECT OF CAPITAL ADEQUACY RATIO (CAR), COST EFFICIENCY RATIO (CER), AND NET INTEREST MARGIN (NIM) ON PROFITABILITY (Study on Sub-Sector Banking Companies Listed on the Indonesia Stock Exchange for the period 2017-2019) Pratama, Aldi; Lilia, Wirda
Jurnal Ekonomi Bisnis Manajemen Prima Vol. 3 No. 2 (2022): Jurnal Ekonomi Bisnis Manajemen Prima
Publisher : JEBIM Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jebim.v3i2.1745

Abstract

Abstract The purpose of this study was to analyze the effect of the variable Capital Adequacy Ratio (CAR), Cost Efficiency Ratio (CER), and Net Interest Margin (NIM) on the profitability of sub-sector banking companies listed on the Indonesia Stock Exchange for the period 2017-2019. This type of research uses quantitative methods. This study uses a sample of companies in the sub-sector banking listed on the Indonesia Stock Exchange. Based on the purposive sampling technique, it was obtained a sample of 27 companies by 43 companies of total population. The data used in this study are secondary data in the form of corporate financial reports obtained from the website www.idx.co.id. The results showed that partially and simultaneously the CAR, CER, and NIM variables had a significant effect on profitability. Keywords: Capital Adequacy Ratio (CAR), Cost Efficiency Ratio (CER), Net Interest Margin (NIM), Profitability.
PENGARUH MODEL PEMBELAJARAN STUDENT CENTER LEARNING (SCL) TERHADAP MOTIVASI BELAJAR DI SMPN 30 KOTA MAKASSAR Pratama, Aldi; Bunyamin, Andi; Syahrul, Muhammad; Wahab, Abdul; Azhar, Muh
Pendas : Jurnal Ilmiah Pendidikan Dasar Vol. 11 No. 03 (2026): Volume 11 Nomor 03, September 2026 Publish
Publisher : Program Studi Pendidikan Guru Sekolah Dasar FKIP Universitas Pasundan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23969/jp.v11i03.59183

Abstract

This study aims to determine the application of the Student Center Learning (SCL) learning model, describe the level of student learning motivation, and analyze the effect of the Student Center Learning model on student learning motivation. This study uses a quantitative approach with an ex post facto research type. The study population was 346 eighth grade students, while the sample was 63 students determined using the Slovin formula with a proportional random sampling technique. Data collection was carried out through questionnaires and documentation. Data were analyzed using descriptive and inferential statistical analysis including classical assumption tests, multiple linear regression, t-tests, F-tests, and coefficients of determination (R²) with the help of the SPSS program. The results showed that the application of the Student Center Learning model was in the moderate category, with a percentage of Small Group Discussion of 65.07%, Role Playing of 63.49%, and Discovery Learning of 73.01%. Student learning motivation was also in the moderate category. The results of the simultaneous test show that the Student Center Learning model has a positive and significant effect on student learning motivation, indicated by the F count value of 28.464 which is greater than the F table of 2.266 with a significance value of 0.000 <0.05. The results of the partial test also show that Small Group Discussion (t count = 6.294; sig. = 0.000), Role Playing (t count = 6.250; sig. = 0.000), and Discovery Learning (t count = 3.263; sig. = 0.002) each have a positive and significant effect on learning motivation. The coefficient of determination (R²) value of 0.591 indicates that the Student Center Learning model is able to explain 59.1% of the variation in student learning motivation, while 40.9% is influenced by other factors outside the study. Thus, it can be concluded that the application of the Student Center Learning model has a positive and significant influence on students' learning motivation in the subject of Islamic Religious Education for class VIII at SMP Negeri 30 Makassar City.  
Analisis Penerapan Pembelajaran IPAS Kontekstual Berbasis Lingkungan Sekitar pada Siswa Kelas V SDN 17 Pekanbaru Pratama, Aldi; Mustika, Dea
YASIN Vol 6 No 5 (2026): YASIN: Jurnal Pendidikan dan Sosial Budaya
Publisher : Lembaga Yasin AlSys

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58578/yasin.v6i5.11986

Abstract

Natural and Social Sciences (IPAS) learning in elementary schools continues to face challenges in connecting learning materials with students’ real-life experiences. This study aimed to analyze the implementation of contextual IPAS learning based on the surrounding environment among fifth-grade students at SDN 17 Pekanbaru. The study employed a qualitative descriptive approach involving four fifth-grade teachers and six students from Class V-D as informants. Data were collected through observation, interviews, and documentation from August 10 to 13, 2026, as part of a research process conducted from December 2025 to August 2026. Data trustworthiness was examined through triangulation, while data analysis involved data condensation, data display, and conclusion drawing and verification. The results showed that seven components of contextual learning—constructivism, inquiry, questioning, learning community, modelling, reflection, and authentic assessment—had been implemented in IPAS learning. Teachers connected the material with students’ experiences, utilized the school environment, including family medicinal plants (TOGA), and facilitated observation, question-and-answer sessions, group discussions, demonstrations, reflection, and the assessment of both learning processes and outcomes. However, the implementation was not entirely consistent because of limitations in time, learning media, and planning. This study concludes that contextual IPAS learning based on the surrounding environment has been implemented and has the potential to create more active and meaningful learning. These findings imply the need for school support in strengthening planning, providing learning media, and enhancing teacher capacity to ensure that the surrounding environment is utilized systematically in learning.