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Analisis Penyebab Pending Klaim Berkas BPJS Kesehatan Pelayanan Pasien Rawat Inap Di Rumah Sakit X Larasty, Gevi; Farhansyah, Fani; Anisa, Desfa
Jurnal Manajemen, Ekonomi, Hukum, Kewirausahaan, Kesehatan, Pendidikan dan Informatika Vol 2 No 2 : Desember (2023): Jurnal Manajemen, Ekonomi, Hukum, Kewirausahaan, Kesehatan, Pendidikan
Publisher : Shofanah Media Berkah

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Abstract

BPJS Health claim files for Quarter 1 January, February and March 2023 with 129 BPJS health claim files for the most important inpatient services. The reason for the return was because it did not pass the service administration verification, the difference in diagnosis coding between the BPJS coder and the hospital diagnosis code and the incompleteness of the claim file. So the settlement of claims results in pending claims which disrupt the hospital's financial flow. The aim of this research is to find out the most important BPJS Health file claims for inpatient services at Hospital The results of this research are the percentage of factors causing pending BPJS health claims for inpatient services based on the suitability of membership administration, namely 100%. The percentage of factors causing pending BPJS health claims for inpatient services based on suitability of service administration is 91.6% appropriate and 8.4% inappropriate. And the percentage of factors that cause pending BPJS health claims for inpatient services based on suitability of health administration is 94.7% appropriate and 5.3% inappropriate.
EDUCATION BUILDS STUDENTS' AWARENESS ABOUT THE IMPORTANCE OF DATA SECURITY FROM CYBER THREATS Anisa, Desfa
Awal Bros Journal of Community Development Vol 7 No 1 (2026): Awal Bros Journal of Community Development
Publisher : LPPM Universitas Awal Bros

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54973/abjcd.v7i1.840

Abstract

The rapid development of digital technology has driven increased internet usage among students, but this has not been matched by adequate awareness regarding personal data security. Students' lack of understanding of the importance of personal data protection can increase the risk of various cyber threats such as data theft, account hacking, and online fraud. This Community Service Activity was held on December 9, 2025 at Tunas Baru Jin Se Eung High School. This activity aims to increase students' knowledge and awareness of the importance of maintaining personal data security from cyber threats. The method of implementing the activity includes preparation, implementation, and evaluation stages through lectures, discussions, and questions and answers. The results of the activity show an increase in students' understanding and changes in attitudes towards safer and more responsible digital behavior. Students are able to identify types of personal data, recognize various forms of cyber threats, and understand the basic steps in protecting personal data. This PKM activity is expected to contribute to improving students' digital literacy and forming a generation of students who are smart, safe, and wise in utilizing digital technology.
Designing of Decision Support System for Determining the Underlying Cause of Death in Mortality Codification Pradita, Riska; Anisa, Desfa; Dwiansyah, Anggia Natasha
International Journal of Health and Information System Vol. 3 No. 3 (2026): January
Publisher : Indonesian Journal Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/ijhis.v3i3.80

Abstract

Inaccuracies are often encountered in determining the Underlying Cause of Death (UCoD), which can impact the quality of reported mortality data. In this case, a system is needed to assist coders in determining the UCoD. Clinical Decision Support System (CDSS) is a system designed to assist decision-making in patient clinical management, including in determining UCOD. The purpose of this study was to design a CDSS in determining UCOD mortality codification. The research method used is descriptive research with an Action Research design consisting of four stages: Diagnosing, Planning, Taking, and Evaluating Action. The objects of this study were SIMRS, medical record documents, and death certificates. Data were collected through interviews and documentation studies. The research results obtained were user requirements consisting of features, databases, and system displays. The design was carried out using UML modeling such as Flowcharts, Use Case Diagrams, Activity Diagrams, Class Diagrams, Data Flow Diagrams, and Prototypes. The evaluation results showed that the designed CDSS was acceptable to users as a tool in determining UCOD, with a value above the global average score (77). The conclusion of this study obtained that the CDSS design is considered effective in helping coders to determine UCoD.