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All Journal Mimbar Agribisnis: Jurnal Pemikiran Masyarakat Ilmiah Berwawasan Agribisnis MATEMATIKA DAN PEMBELAJARAN JURNAL PENDIDIKAN TAMBUSAI Jurnal Basicedu IJEEIT : International Journal of Electrical Engineering and Information Technology JIKAP PGSD: Jurnal Ilmiah Ilmu Kependidikan Education and Human Development Journal Jurnal Prakarsa Paedagogia Autentik : Jurnal Pengembangan Pendidikan Dasar Jurnal Kesehatan Saintika Meditory Jurnal Pendidikan EduLine: Journal of Education and Learning Innovation Indo-MathEdu Intellectuals Journal Jurnal Pedagogik Pendidikan Dasar Seminar Nasional Hasil Riset dan Pengabdian (SNHRP) INVENTION: Journal Research and Education Studies Cakrawala: Jurnal Pendidikan PELS (Procedia of Engineering and Life Science) Jurnal Basicedu Innovative: Journal Of Social Science Research Prosiding Seminar Informasi Kesehatan Nasional Jurnal Bintang Pendidikan Indonesia Kognisi : Jurnal Penelitian Pendidikan Sekolah Dasar Semantik : Jurnal Riset Ilmu Pendidikan, Bahasa dan Budaya Perspektif: Jurnal Pendidikan dan Ilmu Bahasa Jurnal Pendidikan, Bahasa dan Budaya Harmoni Pendidikan: Jurnal Ilmu Pendidikan Prosiding Seminar Nasional Kusuma PESHUM
Hery Setiyawan
Universitas Wijaya Kusuma Surabaya
Agriculture, Biological Sciences & Forestry Arts Humanities Biochemistry, Genetics & Molecular Biology Chemistry Computer Science & IT Control & Systems Engineering Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Electrical & Electronics Engineering Engineering Environmental Science Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Library & Information Science Mathematics Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Journal : PELS (Procedia of Engineering and Life Science)

 1 
Analysis of Completeness of Informed Consent Forms for Inpatients with Surgical Cases at the General Hospital Pku Muhammadiyah Bantul: Analisis Kelengkapan Formulir Informed Consent Pasien Rawat Inap Kasus Bedah Di Rumah Sakit Umum Pku Muhammadiyah Bantul Setiyawan, Hery
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.v7i0.2234

Abstract

A hospital is a provider of health service facilities consisting of treatment and recovery as well as a health service facility consisting of outpatient services, inpatient services, emergency services and referral services. A medical record is a file that contains notes regarding the patient’s identity, examination, treatment, medical procedures and other services that have been provided to the patient. Medical recorders have the authority to carry out clinical classification systems and codefication of health-related diseases and medical procedures according to correct medical terminology. Medical terminology is a system used to organize a list of medical terms for diseases, symptoms and procedures. Disease terms or health conditions must be in accordance with the terms used in a disease classification system. Coding activities are assigning codes using letters and numbers or a combination of letters and numbers that represent data components. Activities carried out in coding include coding disease diagnosis and coding medical procedures. Incompleteness of informed consent forms or medical procedures includes a lack of understanding from doctors regarding the importance of filling out informed consent, resulting in negligence which creates obstacles in filling out informed consent which has a negative impact on doctors and the medical procedures given to patients. With this incompleteness, apart from having an impact on reducing the quality of medical records, it also has an impact on ensuring legal certainty for patients. The aim of the research is to determine the percentage of completeness, incompleteness, factors causing incompleteness, efforts to overcome incomplete informed consent for inpatient surgical cases at the PKU Muhammadiyah Bantul Hospital,Yogyakarta . Research method: using a qualitative descriptive method, with case studies, sampling using a purposive sampling method. Research results and conclusions with the percentage of complete informed consent 32.1%, incomplete doctor authentication 33.8%, incomplete patient witnesses 34.1%. The influencing factors are methods and man. Efforts to overcome incompleteness are through regularly scheduled outreach to nurses, doctors, medical records officers regarding the importance of completing the informed consent form. Check the list of informed consent data in the medical record file, whether it is complete or not.
Evaluation of Post-Claim Verification Implementation for National Health Insurance Outpatient Services in 2024: Evaluasi Pelaksanaan Verifikasi Pasca Klaim untuk Layanan Jaminan Kesehatan Nasional Rawat Jalan Tahun 2024 Setiyawan, Hery; Widowati, Vidya; Darsono, Darsono; Saputri, Ratna Aprilia
Procedia of Engineering and Life Science Vol. 9 (2025): Proceedings of the 2025 Annual Meeting of APTIRMIKI
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

One of the challenges in the implementation of JKN (National Health Insurance) in health care facilities is the possibility of fraud. So in an effort to prevent fraud and ensure the quality of claims BPJS made a new policy for the implementation of postclaim verification after the claim is paid. So if there is a discrepancy in the nominal claim, the hospital has the right to refund the difference to the BPJS. This study is a descriptive qualitative research using a case study approach. The subjects were outpatient coder, internal verifier, and head of pusjamkes as source triangulation. The purpose of this study was to determine the implementation of postclaim verification of outpatient JKN at RSU PKU Muhammadiyah Bantul in 2024. The results of this study are (1)the flow of settlement implementation is appropriate; (2)the percentage of 403 postclaim verification data of outpatient JKN, (65%) verified data and (35%) clarified data. The data are clarified based on each aspect, coding aspects (58%), administrative aspects(23%), and medical aspects(19%); (3)the factors that cause Postclaim verification data clarified outpatient JKN is due to high workload, lack of human resources, incompleteness and inaccuracy of service documentation, does not have SPO(standard operating procedure); (4) efforts to resolve by submitting the number of human resources, confirmation with related PPA (Professional Caregiver), conducting evaluation and monitoring, and implementation of the settlement refers to the BA(official report) agreement, PNPK, and hospital PPK. The conclusion of this study is that the coding aspect is the highest aspect of the postclaim verification data clarified outpatient JKN, the factors that cause the elements of man(human), material(material),and method(method).
Co-Authors Abdillah Abdillah Abdul Talib bin Bon Agus Setiadi Agustin, Ardia Amelia Endah Nur Izzah2 Amelia, Hikmah Putri Anggraini, Dilla Puspa Anna Roosyanti Aprilia Dwi Ismawati Apriliyah, Putri Aulia, Nafilah Alifta Aulia, Salwa Rizki Aulia, Salwa Rizky Ayu Larasati Cantika Dinova Ramadila Damon , Simonsius Aldiano Darsono Darsono DESI EKA PRATIWI Diyas Age Larasati Dwi Juniati Dwi Maharani, Putri Aprilia Dwilatifa, Aini Zahra Dwipuspa, An Nitta Edy Prasetyo Elsofi Alintya Elsofi Alintya Endang Nuryasana Fadlila, Tsania Noor Firdaus, Nafilah Alifta Fitriani, Amelia Rizky Ghassani, Farhan Gultom, Rissanti Ayudita Oktaviery Hasanah, Lailatul Hendra Rohman Herfa Maulina Dewi Soewardini Herfa Maulina Dewi Soewardini Hermawan, Feri Ifa Ayiyida Ilham Nuril Fahmi Indira Fitri Aisyah Intan, Alfina Irmawati, Mulya Fauzah Jaragi, Figo Ahmad Putra JOKO MARIYONO Kurniasih, Anisah Kustopo Budiraharjo Lam'aa, Nisrina Fauzia Larasati , Gandes Laudy, Muchammad Afdany Leni Yuliana Leny Yuliana M, Hanny Nur Jan’nah Maheswari, Alesia Nala Majiid, Shofina Laila Manurung, Ferdi Marpaung, Rachel Angelica Putri Miftakhul Jannah Migie Handayani Mukson Mukson Murty, Tantri Inggrit Galuh Hanantha Nabilah, Qonita Ayu Nazilah Rikhmatus Silmi Neyla Najwa Oktavia Ni'mah, Ellisa Hidayatun Ningrum, Dwi Agus Tina Ningrum, Hesty Wahyu Nisa, Siti Hanifah Khairun Noerdianasari, Miranda Nugraha, Faizqinthar Bima Nur Azizah Nurfadillah, Suryani Nurhandayani, Raditya Oktavia, Rani Oktavianti, Pungki Dwi Partika, Neta Tabhita Prayudi, Anselmus Abimayung Puspitasari, Bella Putra, Zadika Winono Putri, Ellena Aurellia Putri, Syafana Azelita Quraini, Qori Ulil Rahmatullah, Widia Rasmi, Sita Satya Reicilya, Mutiara Frida REZA SYEHMA BAHTIAR Rivalda, Rizki Nabila Rizky Widyaningrum Roessali, Wiludjeng Roiyanita, Azarinatur Romadona, Syal Sa Billa Intan Roosyanti, Anna Santi, Tissa Laras Santoso, Vica Alverina Auria Saputra, Maulana Rafi Rulis Saputri, Ratna Aprilia Savitri Suryandari savitri suryandari Setya Ridia Cahyaning Dewi Tyastuti Siswanto Imam Santoso Siti Khabibah Sitinjak, Dewi Elisabeth Sofina Qiftidhaia Sudarlin, Yustinus Suhartono Suhartono Sukma Laila Nur Jannah Sulastri Sulastri Suprihatien, Suprihatien Suroso, Nur Listiana Dwi Hutami Syaefuddin, Lutfiah Taryzca Putri Laela Ramadhani Titik Ekowati Virginaura, Fionni Athaya Wardah Putri Fa’izah Wibiyanti, Annisa Delvira Putri Widowati, Vidya Widya Putri, Alberte Nissa Wiratama, Hanan Kusuma Worang, Deangelo Revano Yuanta, Friendha Yuliana, Leni Zidna Ilma Nafia Zn, Risma Ayu Oktavia Zona Putra, Resdika