Peter Herey
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Tinjauan Kelancaran Klaim Pasien Covid-19 Peter Herey; Nauri Anggita Temesvari
Jurnal Rekam Medis dan Informasi Kesehatan Vol 5, No 2 (2022): Oktober 2022
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jrmik.v5i2.8057

Abstract

The increase of Covid-19 cases that occurred in Indonesia affected the financial system in healthcare facilities. One of the policies resulting from the increase of Covid-19 cases is that the Ministry of Health issued technical instructions for reimbursement of health service claims for hospitals that provide Covid-19 services. In the implementation of these rules, there are obstacles so that the claims submitted are delayed or not approved. The purpose of this study is to analyze Covid-19 claims approval in terms of input, process, and output components. The research method is cross-sectional with a quantitative descriptive approach. The research was conducted at Siloam Sentosa Hospital Bekasi by reviewing Covid-19 claims with data collection method was done using the document review. The instrument used is a document review sheet to identify policies and describe the approval of claims. The population in this study were all Covid-19 claims in January-February 2021. The sample was taken using a saturated sample with a total of 108 claims. The applications used for the claim process are INA-CBG and E-claims. In the implementation of claim submission, the hospital adopted the technical instruction for claim reimbursement issued by the Ministry of Health and has implemented it. The results of the study show that 63% of approved claims. The cause of the claim not being approved occurred in the process component where the difference of understanding from the coder so that it was not correct in coding, completeness of claim documents, and inconsistency in filling out medical records
Penilaian Keberhasilan Implementasi Rekam Medis Electronik Peter Herey; Indrawati, Ratna; Hosizah
Jurnal Manajemen Informasi Kesehatan Indonesia (JMIKI) Vol 13 No 1 (2025)
Publisher : Asosiasi Perguruan Tinggi Rekam Medis dan Informasi Kesehatan Indonesia- APTIRMIKI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33560/jmiki.v13i1.771

Abstract

tahun 2022 belum dirasakan oleh pengguna EMR. Tujuan penelitian ini adalah untuk menganalisis pengaruh kualitas informasi, kualitas sistem dan lean six sigma terhadap manfaat nyata implementasi rekam medis elektronik dengan penggunaan EMR sebagai variabel intervening. Jenis penelitian termasuk dalam kuantitatif dengan desain cross sectional study. Populasi yang digunakan adalah Dokter dan Dokter Spesialis sebagai pengguna EMR. Teknik sampling menggunakan total sampling yang menjadikan seluruh Dokter dan Dokter Spesialis berjumlah 52 sebagai responden. Teknik pengumpulan data menggunakan kuesioner, dan metode analisa menggunakan analisa three box method dengan uji regresi linier berganda. Hasil analisis membuktikan terdapat pengaruh kualitas informasi, kualitas sistem dan lean six sigma terhadap manfaat nyata dengan penggunaan EMR sebagai variabel intervening. Kualitas informasi, kualitas sistem dan lean six sigma berpengaruh positif terhadap penggunaan EMR dan manfaat nyata, serta penggunaan EMR berpengaruh positif terhadap manfaat nyata, dan mampu mengintervensi pengaruh kualitas informasi, kualitas sistem dan lean six sigma terhadap manfaat nyata. Kualitas informasi merupakan variabel yang paling kuat mampu meningkatkan penggunaan EMR dan manfaat nyata, sedangkan kualitas sistem merupakan variabel terendah dalam meningkatkan penggunaan EMR dan manfaat nyata. Kata kunci : kualitas informasi, kualitas sistem, lean six sigma, manfaat nyata.