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Journal : Journal of Innovative and Creativity

Evaluasi Screening Dokumen Verifikasi Internal Dalam Menentukan Kodingan Di Era Bpjs Tri Jenny Minarsih; Herniwanti Herniwanti
Journal of Innovative and Creativity Vol. 6 No. 1 (2026)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v6i1.8060

Abstract

The implementation of the National Health Insurance (JKN) system through BPJS Kesehatan requires accurate diagnosis and procedure coding to ensure appropriate claim reimbursement. Inaccurate coding and incomplete medical documentation often lead to pending and disputed claims, affecting hospital financial sustainability. This study aimed to evaluate the internal verification document screening process in determining BPJS claim coding at Hospital X and to formulate improvement strategies. A qualitative approach using SWOT analysis was applied to identify internal and external factors influencing the coding and verification process. Data were collected through interviews, document review, and SWOT questionnaires, and analyzed using IFAS and EFAS matrices. The results indicated that internal weaknesses were more dominant, particularly related to coder competency, documentation completeness, and manual screening processes, while external opportunities included regulatory support, coding training availability, and health information technology development. The SWOT analysis placed Hospital X in Quadrant III (Weakness–Opportunity), indicating that leveraging external opportunities to address internal weaknesses is essential to improve coding accuracy and reduce pending and disputed BPJS claims.
Co-Authors Abidin, Aldiga Rienarti Agus Alamsyah Ahmad Satria Efendi, Ahmad Satria Aldiga Rienarti Abidin Alni Diniati Alni Diniati, Alni Anas, Siti Nafiah Arba’a, Nurhamni Ardiana Ardiana Arisandhi, Sovia Arti, Eliyah Dwi Setyo Asril Asril Asril Asril ASRIL ASRIL Bagyo Yanuwiadi Bambang Joko Priatmadi Buchari Lapau Budi Hartono Budi Hartono Danil Sahputra Dedi Afandi Dedy Khairul Ray Desi Susanti Devis, Yesica Dewi , Oktavia Dwi Jayanti Edi Sudarto Edi Sudarto Emmi Winarni Endang P. Rahayu Endang P.R Endang Purnawati Rahayu Endang Purnawati Rahayu Endang.P Rahayu Ervira Dwiaprini As Syifa Estri Kartika Fabiola, Vanny Hilda Firman Edigan Firsty Mitalianti Fitriani Fitriani Fitriani, Ernita Furqon, Al Gustina, Tin Hamid, Abdurrahman Haryanto Haryanto Herlina Susmaneli Heryudarini Harahap Ikhtiyaruddin Irma Sari Isra Rahma Iswadi Iswadi Iswadi Iswadi Jehan Al Habib Murvi Jepisah, Doni Kamali Zaman Kamali Zaman Kasmiati, Neng Kiswanto Kiswanto Kiswanto Kiswanto Kiswanto Kiswanto lamin lamin Leonita, Emi Leonita, Emy Lestari, Rita Lita, Lita M. Kamali Zaman MAHFHIROH, INTAN Makomulamin Makomulamin Marlina, Hastuti Marngatin Marngatin Marwad, Marwad Masribut Masribut Mega Ratu Meidia Wahyuni Mhd. Rizki Triwijaya Mitra Mitra Mitra Mitra Mitra Mitra Mitra Molina, Oni Muhammad Ade Setiawan Muhammad Muzakir Fahmi muharani, Defrika Mustika Sari, Nova Muthia Nabilla Nahabila, T. Sy Rafni Nashabila, Rafni Nasyabila, Rafni Neneng, Andi Nila Puspita Sari Ningrum, Hesti Nofiyadi Nofiyadi Nofiyadi, Nofiyadi Nopriadi Nopriadi Nopriadi Nopriadi Nopriadi Novita Rani Novita Rani Nugraha, A. Fajri Nurlisis, Nurlisis Nurvi Susanti Octaviani, Dita Oktavia Dewi Oktavia Dewi Oktavia Dewi Oktavia Dewi, Oktavia Putri Hidayah Putri Permata Yanda Putri, Rossa Anugerah Rahayu Aishakina Rahayu, Endang P Rahayu, Endang Purnawati Rahayu, Yessi Rahmi, Rawdhotul Rahmi, Sherly Firsta Rany, Novita Ratna Masni, Fenny Raviola Raviola Rawani, Azzah Reno Renaldi Retno Titi Humairoh Ridwan, Junaina Riri Maharani Rizki Samur Romadiah, Ulil Sandi, Yogie Pratama Sangap Daniel T Santoso Santoso Santoso SANTOSO SANTOSO Sarah Atyikah Sarah Atyikah Sari, Rina Gustina Silfiani, Adawiyah Sitohang, Nelson Soemarno Soemarno Sri Irianti Sri Wahyuni Sumengen Soetomo Susanto, Yudi Susmeneli, Herlina Syafrani Syafrani Syafrani Syukaisih Syukaisih T. Sy Rafni Nahabila Tri Jenny Minarsih Trismon, Ignatius Udiansyah Udiansyah, Udiansyah Utamiasari, Rahmi Wijayanti, Nurul Diyah Winda Kristanti, Winda Wirdaningsih Wirdaningsih Yen Purwawinata Mohan Yessi Harnani Yorismanto, Yorismanto Yuli Devila Yunita, Jasrida Yuyun Priwahyuni Zaman, Kamali Zaman, M. Kamali