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All Journal PROSIDING SEMINAR NASIONAL Disease Prevention and Public Health Journal Jurnal Administrasi Kesehatan Indonesia Jurnal Aplikasi Bisnis dan Manajemen (JABM) E-Journal Mutiara Medika: Jurnal Kedokteran dan Kesehatan JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) IJNP (Indonesian Journal of Nursing Practices) BERDIKARI : Jurnal Inovasi dan Penerapan Ipteks Jurnal Manajemen Kesehatan Yayasan RS.Dr. Soetomo Jurnal Keperawatan Muhammadiyah Journal of Maternal and Child Health Martabe : Jurnal Pengabdian Kepada Masyarakat Citra Delima Scientific journal of Citra Internasional Institute Jurnal Admmirasi Jurnal Kesehatan Karya Husada Jurnal Aisyah : Jurnal Ilmu Kesehatan Jurnal Ilmiah Kesehatan Iqra International Journal Of Science, Technology & Management (IJSTM) Community Medicine and Education Journal Midwinerslion : Jurnal Kesehatan STIKes Buleleng Dinamika Kesehatan: Jurnal Kebidanan dan Keperawatan JHeS (Journal of Health Studies) Jurnal Keperawatan Notokusumo Citra Delima Scientific journal of Citra Internasional Institute Media Penelitian dan Pengembangan Kesehatan Jurnal Penelitian Keperawatan Strada Jurnal Ilmiah Kesehatan (SJIK) Unnes Journal of Public Health
Arlina Dewi
University Of Muhammadiyah Yogyakarta
Aerospace Engineering Agriculture, Biological Sciences & Forestry Arts Humanities Automotive Engineering Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Civil Engineering, Building, Construction & Architecture Computer Science & IT Control & Systems Engineering Decision Sciences, Operations Research & Management Dentistry Earth & Planetary Sciences Economics, Econometrics & Finance Education Electrical & Electronics Engineering Energy Engineering Environmental Science Health Professions Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Mechanical Engineering Medicine & Pharmacology Nursing Public Health Social Sciences Transportation Veterinary

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Journal : PROSIDING SEMINAR NASIONAL

 1 
THE QUALITY CONTROL OF INA-CBG’S CODING AS A CAUSE OF NEGATIVE CLAIM AT BAGAS WARAS KLATEN HOSPITAL Veronica Retno Setyaningsih; Mahendro Prasetyo Kusumo; Arlina Dewi
PROSIDING SEMINAR NASIONAL & INTERNASIONAL 2017: Proceeding International Seminar of Occupational Health and Medical Sciences (I-SOCMED) 2017 “
Publisher : Universitas Muhammadiyah Semarang

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Abstract

The pattern of payment that is applied by Jaminan Kesehatan Nasional (JKN) in advanced health facilities (hospitals) is a prospective payment pattern. Prospective Payment pattern known as casemix is a grouping diagnoses and procedures with reference to clinical characteristics which is similar and resource used or maintenance cost is similar. The grouping is done by software groupers. Bagas Waras hospital in making diagnosis grouping sometimes experiences the negative difference (loss) between the real cost of hospital fees in accordance with the Indonesia Case Based Group (INA CBGs) cost package approved by Badan Penyelenggara Jaminan Sosial (BPJS).This study is to determine the cause of the change file BPJS claims that the negative consequences of coding problems after qualitycontrol of INA-CBGs coding in Bagas Waras hospital Klaten. This study was a qualitative research design action (Action Research). This study used a model of action research (Action Research) of S Kemmis and R McTaggart which is designed through two cycles of the procedure: (1) planning , (2) action (3) observation, (4) reflection  in each cycle. The research instrument used a questionnaire. Analysis of the data used qualitative analysis and quantitative analysis.The results showed that the frequency of claims BPJS start of the cycle I, II and III, there was a decreasing in the proportion of the, it is due to an error coding, Leght OfStay (LOS) extends, the cost of medical action that is excessive, and Excess Cost investigations. In improving the ability of diagnosis coding, Bagas Waras hospitalcontinuously strives to improve their ability to apply the Hospital Information System (SIRS).The cause of negative claim in a file BPJS after INA-CBGs control coding in Bagas Waras hospital  is the employees do not understand the overall coding system, and  do not run the monitoring and evaluation system of coding.  Keyword : Negative Claim of BPJS, Coding INA CBG's
Co-Authors A.A. Ketut Agung Cahyawan W Agus Tri Widiyantara Agus Tri Widiyantara, Agus Tri Agustiani, Sirli Amirul Mustofa ANNISA FIRDAUSI Arini, Merita Aris Suparman Wijaya Aris Suparman Wijaya, Aris Suparman Asmi, Sarah Ayu Budi Asri Bashir Astuti, Yurni Dwi Ayu, Yennyka Dwi azizah khoiriyati Basha, Muzaitul Akma Binti Mustapa Kamal Bekti, Nikma Kurnianingtyas Bekti, Nikma Kurnianingtyas Cahyani, Faridha Cherol Nelson Ering Della Mawros Dwita Della Mawros Dwita, Della Mawros Dewi, Trisna Setya Dharmayuda, Cokorda Gde Oka Dianita Sugiyo, Dianita Dwi Ambarwati, Dwi Dwi Nur Anggraeni Ekorini Listiowati, Ekorini Endang Sulistyawati Erni Rahmawati Fananie, Yasser Ahmad Fidela Firwan Firdaus Fidela Firwan Firdaus, Fidela Firwan Fradita Eka Sukardi Fradita Eka Sukardi, Fradita Eka Gofur Ahmad Harigustian, Yayang Idris, Desi Natalia Trijayanti Ietje Nazaruddin Kusuma Dewi, Dyah Tri Kusumo, Mahendro Prasetyo Lellee, Ralph. J. Mariska Urhmila, Mariska Merita Arini Minanton Murnani, Sari Nanik Sri Khodriyati Novita Kurnia Sari Novita Kurnia Sari Nugroho, Irfan Helmi Nur Hidayah Prakoso, Denny Anggoro R. Sapto Hendri Boedi Soesatyo Rudy Dwi Laksono Saputra, Rahmana Febri Sekarsiwi, Anggraini Respati Setyonugroho, Winny Sri Sumaryani Suhendar Sulaeman Sumardi Sumardi Supriyatiningsih, Supriyatiningsih Supriyatiningsih, Supriyatiningsih Suryanto, Farid Susanto Susanto Tendean, Angelia Friska Titih Huriah Veronica Retno Setyaningsih Warih Andan Puspitosari, Warih Andan Widyatmoko, Danar Wijaya, Adi Indra Wirasto, Anggit Yurni Dwi Astuti