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All Journal Jurnal Penelitian Pendidikan IPA (JPPIPA) Jurnal EduHealth PELS (Procedia of Engineering and Life Science)
Murcittowati, Putu Ayu Sri
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Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Computer Science & IT Control & Systems Engineering Education Electrical & Electronics Engineering Engineering Health Professions Materials Science & Nanotechnology Physics Public Health Veterinary

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Journal : PELS (Procedia of Engineering and Life Science)

 1 
Legal Protection for Medical Recorders and Health Information Personnel in the Management of Electronic Medical Records: Perlindungan Hukum Bagi Tenaga Perekam Medis dan Informasi Kesehatan dalam Pengelolaan Rekam Medis Elektronik Wardana, I Wayan Dody Putra; Sudarsana, I Gede Diki; Murcittowati, Putu Ayu Sri; Wirajaya, Made Karma Maha
Procedia of Engineering and Life Science Vol. 7 (2025): Prosiding Seminar Nasional dan Rakernas PORMIKI X
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/pels.v7i0.2091

Abstract

Medical recorders and health information workers are one type of health workers who have the authority to manage electronic medical record services in health service facilities in accordance with Minister of Health Regulation Number 24 of 2022 concerning medical records. Electronic medical records in their application pose risks in terms of privacy and confidentiality considering that they are vulnerable to changes in data, duplication of data, transfer and buying and selling by irresponsible people. In addition, intentional or unintentional negligence in managing medical record documents makes this profession very vulnerable to lawsuits and legal sanctions in carrying out its authority. Seeing these problems, legal certainty and protection is needed for medical record and health information workers in carrying out their professional principles in managing electronic medical record services. This research was carried out to find out how legal protection is for medical recording and health information workers in managing electronic medical record services. The method in this research is a normative legal method with a statutory approach and a conceptual approach. Based on the results of this research, it is known that medical recording and health information workers have legal certainty and protection, both preventive and repressive, in accordance with the mandate of the state constitution in the 1945 Constitution and confirmed in Law Number 17 of 2023 concerning Health and Minister of Health Regulation Number 55 of 2013 concerning the Implementation of Work Medical. As a profession that exercises its authority, medical recorders and health information have legal implications if they commit a violation. In this way, medical recorders and health information workers have received legal protection and legal implications in maintaining electronic medical records as long as they meet professional standards and health service standards.
Analysis of Verification Aspects Associated with the Return of BPJS Health Claims for Inpatients at RSU Surya Husadha Denpasar: Analisis Aspek-Aspek Verifikasi yang Berhubungan dengan Pengembalian Klaim BPJS Kesehatan Pasien Rawat Inap di RSU Surya Husadha Denpasar Yunawati, Ni Putu Linda; Aridayana, I Putu Mega; Faidah, Nurul; Murcittowati, Putu Ayu Sri
Procedia of Engineering and Life Science Vol. 7 (2025): Prosiding Seminar Nasional dan Rakernas PORMIKI X
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/pels.v7i0.2093

Abstract

Submission of claims by hospitals to the Social Security Agency (BPJS) Health will go through a verification process and requires compliance with verification aspects. However, they often experience refunds or delays in payments due to non-compliance with established regulations. This results in negative impacts such as disruption to hospital cash flow, increased workload, and failure to achieve service quality indicators. It is necessary to have claim data ready before submitting a claim by the hospital. The aim of this research is to determine the relationship between aspects of membership administration, service administration and health services with the return of BPJS Health claims. This type of research uses quantitative descriptive analysis with a cross sectional approach. This research was conducted on 145 pending claims selected using a simple random sampling technique. Based on the results of the discrepancy analysis in the aspects of membership administration, namely 6 files (4.1%), service administration, namely 103 files (71%), and health services, namely 36 files (24.8%). These three aspects of verification are related to the return of BPJS Health claims, resulting in a p-value = 0.000, meaning H0 is rejected. To increase efficiency and reduce the number of claim returns, it is necessary to carry out internal verification before claims are sent to BPJS Health.
Co-Authors Aridayana, I Putu Mega Budiani, I Dewa Ayu Eka I Gusti Ayu Kartika, I Gusti Ayu Made Karma Maha Wirajaya Ni Ketut Supasti Dharmawan Nurul Faidah Perwira, Kadek Yuda Sudarsana, I Gede Diki Wardana, I Wayan Dody Putra Yunawati, Ni Putu Linda