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Journal : International Journal of Public Health Science (IJPHS)

Potential fraud and its’ prevention in the implementation of national health insurance at Dadi Regional Hospita Saru, Amaliah Amriani Amran; Arifin, Muhammad Alwy; Darmawansyah, Darmawansyah; Razak, Amran; Syafar, Muhammad; Rahmatia, Rahmatia
International Journal of Public Health Science (IJPHS) Vol 12, No 3: September 2023
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v12i3.22952

Abstract

The National Health Insurance program started running in Indonesia on January 1, 2014. Along with the increasing number of National Health Insurance participants and health facilities, more criticism has emerged from various parties, including from National Health Insurance providers regarding the alleged fraud. Fraud can have a negative effect on finances, the standard of medical care, and the perpetrator's reputation. This study's goal was to assess the likelihood that fraud may occur at Dadi Regional Hospital in Makassar, Indonesia. The study also explored the procedures and policies in place for preventing the fraud. This qualitative study employed phenomenological design. The results of the study show that there is a fraud prevention system at Dadi Regional Hospital in the form of policy and guideline formulation, a culture of prevention, implementation of quality control, and cost control. Even though they already have a prevention system in place, there is still some lack of information being disseminated about the fraud prevention team established. There are still frequent discrepancies between the diagnosis code input in the National Health Insurance system and the patient's diagnosis Hence, the Internal Monitoring Unit is still in the process of establishing a fraud prevention system
Co-Authors A Mustava, Novia A. Aztri Fithrayani Alam Abdul Hakim Abdul Haris Odja Abdul Razak Abdullah Maulani Adam, Samsudin Hi. Adelita Lubis, Adelita Adil, Nur Rahmi Adu, Baharudin Ahmad Fadhel Syakir Hidayat Ahmad Hamid, Ahmad ahmad yani Alam, Aztri Fithrayani Alexander Alvaro Roja, Syrilus Ali, Silvani Umar Amiruddin, Esa Penilta Amran Razak Angriani, Arini Anwar Parawangi, Anwar Ardi , Muhammad Ardi, Siti Nur Annisa Armin, Rismayani Askois, Abdurahman Asraf, Asraf Astuti, Fina Azis Azis Baharuddin, aswin Baharudin Baharudin Darmawansyah Darmawansyah Dewa, I Dewa Nyoman Usadha DEWI SARTIKA DIAN LESTARI Eliyah Acantha Manapa Sampetoding Endang Ruswiyani Eviyanti, Sovi Junita Fadzila, Fara Fahira Dwi Faradillah, Sri Rahayu Febriyanti, Lulu Fina Astuti Fitrianingsih, Desi Gusni, Gusni Hajeni Hajeni Halmuniati Halmuniati, Halmuniati Hamida, La Ode Hanafiah, Wa Ode Hasan, Sahrul Hendrawati, Novita Erni Herlawan, Herlawan Hidayat, Muhammad Fikri Ibnu, Nuzul Imran, Hamzah Al INDRALISTIANA, INDRALISTIANA Indryani, Dian Iriana, Artati Isa, La Jaenab, Jaenab Jais, Ernawati Jasin, Hamida JUNAID GAZALIN Kahar, Irsan Kartin Aprianti Kusumawati, Sarah Kusumayadi, Firmansyah La Eru Ugi La Ode Asmin La Yuki Yanto Lomagio, Afriana Lubis, Mia Aulina Ma'ruf, Adnan Maemunah Maneba, Sanaria Mariani Maya Nurlita, Maya Melinda Ibrahim Mohamad, Roni Muhammad Alwy Arifin Muhammad Ardi, Muhammad Muhammad Syafar Muhammad Yusuf Mulyadi, Dwi Zulkifar Mumpuni, Ayuningtiyas Putri mungin eddy wibowo, mungin eddy Muntazar, Muhammad Firdaus Al Naba, Abd Hakim Nanda Hartawati Nandi Nandi, Nandi Nandito, Ferdi Nilawati, Iva Nining Syafitri Nur, Fuad Nur, Muh. Nur, Muh. Akbar Nurfiani, Nurfiani Nurhayati, A Nurhilmah, Nurhilmah NURWAHIDAH NURWAHIDAH P, A. Rahmawati. Pajarianto, Hadi Paputungan, Ririn Paputungan, Vindi Penta Putra, Mokhammad Dedi Prafiad, Sigit Puji Muniarty Putri, Suci Kasriani RAHMI, ELVI Ramadhan Tosepu Ramlawati Ramlawati Raodah Raodah, Raodah Rasmuin, Rasmuin Riskyana, Riskyana Riswanto, A. Heri Saadia, Wa Ode Nur Halimatus Saifullah Saifullah Sandy, Gilang Ary Sardiana, Sardiana Sari Piola, Marina Paramitha Saru, Amaliah Amriani Amran Septiana, Irma Setiawan, Muh. Farhan Setiawan, Rifky Shofiyanti Nur Zuama Sinay, Francisca Riconita Siti Helmyati Sunawan Sunawan Syahrul R, Syahrul Syaifullah, Syarif Syam, Rapika Syamsul Alam Ramli Syata, Wahyu Muh. Tambunan, Rince Teguh Santoso Thalib, Mohamad Anwar Umar, Adria Yansah Usa, Suwarni La Wahyuni B., Asti Wairisal, Paulus Liberthy Wulan, Dian Nawa Yanto, La Yuki Yaqinah, Ainul Yulita Sirinti Pongtambing Yunus, Sitti Rahma Zaki Mubarok, Zaki Zulkiflih, Zulkiflih