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Putri, Riza Suci Ernaman
Universitas Awal Bros
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Koding Klaim JKN INA-CBGs Terkait Chapter XIX Injury, Poisoning and Certain Other Consequences Of External Causes (S00 - T98) di RS Graha Hemine Batam Putri, Riza Suci Ernaman; Putri, Widya; Sihotang, Ruthdea Pasha
Jurnal Abdimas Saintika Vol 6, No 2 (2024): November Jurnal Abdimas Saintika
Publisher : Stikes Syedza Saintika Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30633/jas.v6i2.2918

Abstract

Pembiayaan kesehatan merupakan bagian yang penting dalam implementasi Jaminan Kesehatan Nasional(JKN). Tujuan dari pembiayaan kesehatan adalah mendorong peningkatan mutu, mendorong layananberorientasi pasien, mendorong efisiensi tidak memberikan reward terhadap provider yang melakukanover treatment, under treatment maupun melakukan adverse event dan mendorong pelayanan tim. Dengansistem pembiayaan yang tepat diharapkan tujuan diatas bisa tercapai (Novrialdi, 2016).Kelengkapan dankeakuratan dokumen klaim BPJS yang ada pada rumah sakit meliputi rekapitulasi pelayanan dan berkaspendukung pasien yang terdiri dari Surat Eligibilitas Peserta (SEP), resum medis, keterangan diagnosadari dokter yang merawat, dan bukti pelayanan, ketepatan koding, lainnya. Kelengkapan dokumen rekammedis sangat mempengaruhi kualitas statistika penyakit dan masalah kesehatan serta dalam prosespembayaran biaya kesehatan melalui aplikasi INA-CBG`s. (Iman, 2014). Berdasarkan permasalahantersebut, maka penulis tertarik melakukan pelatihan mengenai“Koding Klaim JKN INA-CBGs terkaitChapter XIX Injury, Poisoning and Certain Other Consequences of External Causes (S00 - T98) diRS Graha Hemine Batam. Dengan pelatihan ini diharapkan bisa mengatasi kendala atau keraguan, danmenganalisa pemahaman peserta/petugas rekam medis khususnya coder dalam menentukan kode ICD 10khusunya BAB XIX.Kata Kunci: Pembiayaan, Kesehatan, Rekam Medis
Compensation Audit Case at Casemix Hospital X Yastori, Yastori; Putri, Riza Suci Ernaman; Khumaira, Nurul Fitri; Oktavia, Dewi
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.v6i0.1966

Abstract

Audit Compensation Audits result in operational activities and hospital financial systems becoming disrupted and unstable. Based on a preliminary survey at Hospital This research aims to analyze Compensation Audit cases carried out by health insurance providers in 2023. The type of research used is using the Mixed Method, a research approach that combines or associates qualitative and quantitative forms. This research was conducted in March - June 2024. The research population was 11 compensation audit cases in 2023. Total sampling technique. An in-depth analysis was carried out on 11 compensation audit cases based on analysis of medical resumes, related regulations and based on ICD-10 and ICD-9-CM coding rules. The results of research that carried out an in-depth analysis of compensation audit cases showed that most compensation audit cases were caused by the enforcement of treatment classes with a total of 3 cases, specific management 2 cases, combination code 1, availability of death reports 1, regulations for enforcing the main diagnosis 1, specific management for main diagnosis 1, unavailability of anatomical pathology attachments 1, errors in establishing the main diagnosis and non-compliance with medical procedures and supporting documents 1. Compensation Audit Case Solution, namely the coder must understand medical records, claim submission documents, ICD-10, ICD-9-coding rules CM, health insurance provider and hospital PPK claim regulations, doctors need to provide clear, specific management and be able to determine the patient's condition. treatment class from the start of entry and the health insurance verifier must have the same perception as the previous verifier and be careful in reading and analyzing the claim submission documents.
SOSIALISASI PENERAPAN DIGITALISASI APPOINTMENT DI RUMAH SAKIT AWAL BROS BATAM Putri, Widya; Putri, Riza Suci Ernaman; Monique, Dinda Astya
JOURNAL OF SUSTAINABLE COMMUNITY SERVICE Vol. 2 No. 1 (2021): DECEMBER
Publisher : Transpublika Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55047/jscs.v2i1.435

Abstract

Indirect registration is conducted online with the aim of reducing patient accumulation caused by lengthy registration times. The online registration system implemented by Awal Bros Hospital Batam offers four options: registration through the Haloawalbros application, Stardok, Chatbot (specifically for online registration via WhatsApp), and the Mobile JKN application for BPJS patients. This study aims to determine the procedures for the online appointment registration system at Awal Bros Hospital Batam. The research methodology includes population sampling techniques and operational definitions of research variables. Based on the research findings, Awal Bros Hospital Batam has successfully implemented an online appointment registration system. Four applications are available for conducting online appointments at Awal Bros Hospital Batam: Haloawalbros, Stardok, Chatbot with WhatsApp, and the Mobile JKN application for BPJS-insured patients.
SOCIALIZATION OF THE ACCURACY REGARDING THE CALCULATION OF RECAPITULATION FOR INPATIENTS BASED ON AGE, DISEASE AND GENDER AT CHARIS MEDIKA HOSPITAL Putri, Riza Suci Ernaman; Putri, Widya; Triani, Melfina
JOURNAL OF SUSTAINABLE COMMUNITY SERVICE Vol. 4 No. 4 (2024): SEPTEMBER
Publisher : Transpublika Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55047/jscs.v4i4.732

Abstract

A hospital is one of the subsystems of health services that organizes two types of services for the community, namely health services and administrative services. Health services include medical services, medical rehabilitation and care services. Every health service or hospital should be proud if every patient who visits continues to increase, the increase in patients can be seen from the changes in the existing graph of the number of patient visits. The number of patient visits that continues to increase greatly affects the smooth running of each health service, because patients who often visit have high trust in the health service they visit. The number of visits for inpatients for postpartum care based on age, disease, and gender is 115 visits, the number of visits for care patients based on age, disease, and gender is 37 visits. It can be concluded that medical records officers should write down inpatient data completely and clearly in the register book, good communication between medical records officers and doctors treating patients should be good so that the diagnosis written by the doctor in the patient's medical record is easy to read.
Co-Authors - Yastori, - Fani Farhansyah Khumaira, Nurul Fitri Kusumo, Retno Larasati, Amelya Hanifah Monique, Dinda Astya Mulyana Mulyana Oktavia, Dewi Putri, Widya Rahmawati Rahmawati Retno Kusumo Sihotang, Ruthdea Pasha siti wulandari Sulaiman, Vhina Triani, Melfina Widya Putri Windharti, Ceriani Yuni Utami