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All Journal Indonesian Journal of Artificial Intelligence and Data Mining Jurnal Kreativitas PKM JOURNAL OF SCIENCE AND SOCIAL RESEARCH Jurnal Manajemen Informasi Kesehatan Indonesia (JMIKI) Indonesian of Health Information Management Journal (INOHIM) PREPOTIF : Jurnal Kesehatan Masyarakat Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI) J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan PELS (Procedia of Engineering and Life Science) Jurnal Akuntansi, Ekonomi dan Manajemen Bisnis
Husni Abdul Muchlis
Universitas Esa Unggul
Computer Science & IT Control & Systems Engineering Economics, Econometrics & Finance Education Electrical & Electronics Engineering Engineering Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences

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Evaluasi Rekam Medis Elektronik Menggunakan Model Unified Theory of Acceptance and Use of Technology Husni Abdul Muchlis; Wahyu Sulistiadi
Jurnal Manajemen Informasi Kesehatan Indonesia (JMIKI) Vol 11, No 1 (2023)
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.v11i1.451

Abstract

Rekam Medis Elektektronik (RME) merupakan sistem informasi kesehatan yang terkomputerisasi yang dibuat dan dirujuk oleh staf yang berwenang. Sampai saat ini tingkat adopsi RME di Indonesia masih rendah, hal ini dikarenakan persepsi terkait sulitnya penerapan RME baik dari segi  infrastruktur, teknologi dan sumber daya manusia. Unified Theory of Acceptance and Use of Technology adalah teori yang digunakan untuk mengevaluasi RME dan melihat faktor yang mempengaruhi niat user dalam adopsi RME. Penelitian ini bertujuan memberikan bukti akurat dan faktor yang mempengaruhi adopsi RME melalui Systematic Review. Metode penelitian ini menggunakan Preferred Reporting Items for Systematic Reviews and Meta Analyses. Hasil Penelitian didapatkan sebanyak 408 jurnal yang dicari melalui data base Google scholar, Emerald, Perpustakaan Nasional, Science Direct dan ProQuest.. Hasil penelitian menjelaskan, terdapat 8 jurnal yang relevan dalam penelitian dan 8 jurnal menyatakan semakin tinggi niat user dalam menggunakan RME semakin tinggi frekuensi dalam penggunaan RME. Kedua, 7 jurnal menyatakan dorongan dari orang terdekat dan manajemen menjadikan faktor penting user dalam menerima dan menggunakan RME. Ketiga, jika RME dianggap mampu meningkatkan kinerja dan memberi manfaat lebih maka user dengan mudah menerima RME. Dengan demikian faktor terpenting dalam penerapan RME yang pertama harus dilihat adalah Social Influence, Performance Expectancy, Facilitating Condition, Effort Expectancy
FAKTOR - FAKTOR YANG BERHUBUNGAN DENGAN PEMANFAATAN FASILITAS KESEHATAN DI DESA SILULUK Oktavianti, Putri; Muchlis, Husni Abdul; Hosizah, Hosizah; Temesvari, Nauri Anggita
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 8 No. 3 (2024): DESEMBER 2024
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v8i3.33840

Abstract

Pemanfaatan pelayanan kesehatan di Indonesia secara umum dapat dikatakan baik, kendalanya yaitu Aksesibilitas, pendapatan yang masih rendah, penilaian individu mengenai penyakit, dan kepemilikan jaminan kesehatan. Rendahnya pemanfaatan fasilitas kesehatan baik milik pemerintah maupun swasta antara lain karena inefisiensi dan buruknya kualitas dalam sektor kesehatan, buruknya kualitas infrastruktur dan banyaknya pusat kesehatan yang tidak memiliki perlengkapan yang memadai, jumlah dokter yang tidak memadai di daerah pedesaan, tidak memiliki asuransi kesehatan, serta kurangnya pendidikan tenaga kerja kesehatan. Tujuan penelitian untuk mengetahui faktor-faktor yang berhubungan dengan pemanfaatan fasilitas kesehatan di Desa Siluluk. Jenis penelitian yaitu kuantitatif dengan pendekatan analitik. Besar populasi sebanyak 272 atau 75 kartu keluarga, sampel diambil dalam satu kartu keluarga 1 orang perwakilalan maka sampel sebanyak 75 orang masyarakat dengan teknik mengambilan sampel menggunakan sampel jenuh. Teknik Analisa data univariat, dan multivariat dengan regresi logistik berganda. Berdasarkan hasil penelitian didapatkan 57 orang memiliki jaminan kesehatan, yang mengatakan akses sulit sebanyak 63 orang, penilaian individu tentang penyakit yang mengatakan tidak baik 65 orang, dan responden yang tidak memanfaatkan sebanyak 58 orang. Analisis multivariat menjelaskan bahwa terdapat hubungan yang signifikan antara Aksesibilitas p-value 0,036 < 0,05 dengan pemanfaatan fasilitas kesehatan, sedangkan tidak ada hubungan yang signifikan terdapat pada variabel kepemilikan jaminan kesehatan p-value 1,000 > 0,05 dan variabel penilaian individu mengenai penyakit p-value 0,179 > 0,05.
PENGARUH AKURASI KODING TERHADAP HASIL PENGAJUAN KLAIM RAWAT INAP BPJS KESEHATAN DI RS SENTRA MEDIKA CIBINONG Lestari, Jayanti; Muchlis, Husni Abdul; Hosizah, Hosizah; Temesvari, Nauri Anggita
JOURNAL OF SCIENCE AND SOCIAL RESEARCH Vol 8, No 1 (2025): February 2025
Publisher : Smart Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54314/jssr.v8i1.2798

Abstract

Abstract: Claim files that are returned / pending can result in a decrease in hospital income due to a mismatch in service costs with the number of claims billed. The results of submitting inpatient claims at Sentra Medika Cibinong Hospital in September-November 2023 were 327 (10%) pending files out of 3,250 files billed. The purpose of the study was to determine the effect of coding accuracy on the results of submitting BPJS Health inpatient claims. With a quantitative approach and cross sectional design. The population was all inpatient claim files, a sample of 300 claim files with the Accidental Sampling technique. Data analysis using chi square test and observation data collection. The results showed inaccurate coding files 116 (38.7%) and accurate coding 184 (61.3%) and pending files 49 (16.3%) and not pending 251 (83.7%). While the results of the chi square test obtained a P-value of 0.002 <0.05 OR value of 2.733 It was concluded that there was an influence between coding accuracy on the results of submitting BPJS Health inpatient claims at Sentra Medika Cibinong Hospital. Furthermore, inaccurate coding accuracy files are 2.7 times more likely to be pending than accurate files. Accurate coding files were pending 20 (10.9%) and not pending 164 (89.1%), inaccurate coding files were pending 29 (25%) and not pending 87 (75%). Suggestions for conducting regular evaluations of cases that have the potential to experience pending claims. Keyword: Coding Accuracy, Submission Results, Pending Claims Abstrak: Berkas klaim yang dikembalikan/pending dapat mengakibatkan penurunan pendapatan rumah sakit akibat ketidaksesuaian biaya layanan dengan jumlah klaim yang ditagihkan. Hasil pengajuan klaim rawat inap di RS Sentra Medika Cibinong pada bulan September–November 2023 Sebanyak 327 (10%) berkas pending dari 3.250 berkas yang ditagihkan. Tujuan penelitian untuk mengetahui pengaruh akurasi koding terhadap hasil pengajuan klaim rawat inap BPJS Kesehatan. Dengan pendekatan kuantitatif dan desain cross sectional. Populasi seluruh berkas klaim rawat inap pada bulan Maret 2024, sampel 300 berkas klaim dengan teknik Accidental Sampling. Analisa data menggunakan uji chi square dan pengumpulan data observasi. Hasil penelitian menunjukan berkas koding tidak akurat 116 (38,7%) dan koding akurat 184 (61,3%) serta berkas terpending 49 (16,3%) dan tidak terpending 251 (83,7%). Sedangkan hasil uji chi square diperoleh nilai P-value 0,002 < 0,05 nilai OR 2,733 Maka disimpulkan ada pengaruh antara akurasi koding terhadap hasil pengajuan klaim rawat inap BPJS Kesehatan di RS Sentra Medika Cibinong. Selanjutnya berkas akurasi koding tidak akurat berpeluang 2,7 kali akan terpending dibandingkan berkas yang akurat. Berkas koding akurat yang terpending 20 (10,9%) dan tidak terpending 164 (89,1%), berkas koding tidak akurat yang terpending 29 (25%) dan tidak terpending 87(75%). Saran melakukan evaluasi secara berkala terhadap kasus yang berpotensi mengalami pending klaim. Kata kunci: Akurasi Koding; Hasil Pengajuan; Pending Klaim
HUBUNGAN KEAKURATAN KODE DIAGNOSIS DAN TINDAKAN DENGAN BESARAN TARIF INA-CBGS KASUS DIABETES MELITUS TIPE II DI RSUD ANUTAPURA PALU Yusnaeni, Yusnaeni; Muchlis, Husni Abdul; Hosizah, Hosizah; Qomarania, Witri Uama
JOURNAL OF SCIENCE AND SOCIAL RESEARCH Vol 8, No 1 (2025): February 2025
Publisher : Smart Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54314/jssr.v8i1.2827

Abstract

Abstract: The accuracy of the diagnosis and action codes is related to the amount of INA-CBG costs that will be claimed. Initial observation results showed that of the 31 claim files there were 17 (54.8%) with inaccurate codes. This study aims to determine the relationship between the accuracy of diagnosis codes and actions with the INA-CBGs rates for type II DM cases at Anutapura Regional Hospital, Palu, in January – August. This type of research is quantitative research with a cross sectional research design. The population size was 387 and the sample size was 79 claim files using a simple random sampling technique. Data collection was carried out through document review of inpatient claim files and INA-CBGs rates. Data analysis using the Chi-Square test. The research results from 79 claim files contained 25 (31.6%) inaccurate diagnosis with inaccurate INA-CBGs rates. The results of the Chi-Square test by looking at the Fisher's exact test value show that there is a relationship between the accuracy of the diagnosis code and the action and the INA CBG's rates for type II DM cases at Anutapura Regional Hospital with a p-value of 0.04 < 0.05 and an OR value = 3.811 This means that the accuracy of the diagnosis and action codes has a 3.811 chance of producing the correct INA-CBGS rate. It is hoped that coders will be more careful in assigning accurate codes according to ICD-10 and ICD-9 rules in order to produce the correct INA-CBGs rates. Keyword: Accuracy Of Diagnosis and Action Codes, ICD-10 and ICD-9 Coding, INA-CBGs Rates Abstrak: Keakuratan kode diagnosis dan tindakan berhubungan dengan besaran tarif biaya INA-CBGs yang akan diklaim. Hasil observasi awal menunjukkan dari 31 berkas klaim terdapat 17 (54.8%) dengan kode yang tidak akurat. Penelitian ini bertujuan untuk mengetahui hubungan keakuratan kode dengan besaran tarif INA-CBGs kasus DM tipe II di RSUD Anutapura Palu pada bulan Januari – Agustus. Jenis penelitian ini adalah penelitian kuantitatif dengan rancangan cross sectional. Besar populasi sebanyak 387 dan besar sampel sebanyak 79 berkas klaim dengan teknik simple random sampling. Pengumpulan data dilakukan melalui telaah dokumen terhadap berkas klaim rawat inap dan besaran tarif INA-CBGs. Analisis data dengan uji Chi-Square. Hasil penelitian dari 79 berkas klaim terdapat 25 (31.6%) kode diagnosis dan tindakan yang tidak akurat dengan tarif INA-CBGs yang tidak tepat. Hasil uji Chi-Square dengan melihat nilai fisher’s exact test menunjukkan ada hubungan antara keakuratan kode diagnosis dan tindakan dengan besaran tarif INA CBG’s kasus DM tipe II di RSUD Anutapura dengan nilai p-value sebesar 0,04 < 0,05 dan nilai OR=3,811 artinya keakuratan kode diagnosis dan tindakan mempunyai peluang 3,811 kali menghasilkan tarif INA-CBGS yang tepat. Diharapkan petugas koder lebih teliti dalam menetapkan kode yang akurat sesuai aturan ICD-10 dan ICD-9 agar dapat menghasilkan tarif INA-CBGs yang tepat. Kata kunci: Keakuratan Kode Diagnosis dan Tindakan, Pengkodean ICD-10 dan ICD-9, Tarif INA-CBGs
Model Sukses Implementasi Rekam Medis Elektronik di Puskesmas DKI Jakarta Muchlis, Husni Abdul
Indonesian of Health Information Management Journal (INOHIM) Vol 12, No 1 (2024): INOHIM
Publisher : Lembaga Penerbitan Universitas Esa Unggul

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47007/inohim.v12i1.561

Abstract

AbstractThe implementation of Electronic Medical Records (EMR) in Jakarta's Community Health Centers (Puskesmas) faces various challenges, including limited resources and varying levels of staff acceptance. This study aims to identify the factors influencing the successful implementation of EMR, as well as the factors that most contribute to increasing the adoption and benefits of EMR use. A quantitative cross-sectional approach was used to identify these factors, with multistage random sampling conducted on 125 active healthcare workers using EMR in Jakarta's Puskesmas. Using Structural Equation Modeling (SEM), we analyzed data from various health centers, revealing that training, information quality, system quality, and ongoing support significantly enhance the utilization of EMR. These findings provide practical insights for policymakers and health administrators to improve the adoption of EMR and maximize its benefits.Keyword: electronic medical record, MMUST, public health center AbstrakImplementasi Rekam Medis Elektronik (RME) di Puskesmas di Jakarta menghadapi berbagai tantangan, termasuk keterbatasan sumber daya dan tingkat penerimaan staf yang bervariasi. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang mempengaruhi keberhasilan implementasi RME, serta faktor-faktor yang paling berkontribusi dalam meningkatkan adopsi dan kebermanfaatan penggunaan RME. Penelitian ini menggunakan pendekatan kuantitatif cross-sectional untuk mengidentifikasi faktor-faktor yang berkontribusi terhadap keberhasilan implementasi RME. Pengambilan sampling dilakukan secara multistage random sampling terhadap 125 tenaga kesehatan aktif menggunakan RME di Puskesmas Jakarta. Dengan menggunakan Structural Equation Model (SEM), kami menganalisis data dari berbagai puskesmas, yang menunjukkan bahwa pelatihan, kualitas informasi, kualitas sistem dan dukungan berkelanjutan secara signifikan meningkatkan pemanfaatan RME. Temuan ini memberikan wawasan praktis bagi pembuat kebijakan dan administrator kesehatan untuk meningkatkan adopsi RME.Kata Kunci: rekam medis elektronik, MMUST, puskesmas.
Length of Stay Patterns and Their Relation to Coding Accuracy: Polanya Lama Tinggal Pasien dan Hubungannya dengan Akurasi Koding Muchlis, Husni Abdul; Qomarania, Witri Zuama; Nurmalasari, Mieke; Kurniawati, Anastasia Cyntia Dewi; Lestari, Betri Widya
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

Hospitals face efficiency and quality challenges within the Case-Based Groups (CBG's) financing system, where a patient’s Length of Stay (LOS) is critical. Accurate LOS data is crucial for strategic decisions, cost management, and quality care. A study at a Type B Hospital in Bekasi City found significant variation and outliers in LOS, indicating a non-normal distribution. This observational analytic study, involving 3,151 inpatient claims from January 2024, analyzed LOS data and its impact on clinical documentation and coding quality. The analysis compared the Arithmetic Mean Length of Stay (AMLOS) and the Geometric Mean Length of Stay (GMLOS) to identify outliers, followed by a Wilcoxon test. Results showed LOS varied from 1 to 48 days, with an AMLOS of 7.13 and a GMLOS of 6.76 days, indicating positive skewness from outliers. AMLOS was consistently higher than GMLOS in the top 10 CBG's, especially for moderate and severe cases. The Wilcoxon test (p<0.05) confirmed a significant statistical difference, showing GMLOS more accurately represents the appropriate LOS. The presence of outliers (e.g., >30 or 44 days) suggests potential issues with documentation or coding. Therefore, using the more robust GMLOS is crucial for hospitals to optimize management, improve care, and maintain the quality of clinical documentation and coding.
Pengaruh Kepuasan Kerja terhadap Disiplin Kerja Perekam Medis Informasi Kesehatan (PMIK) di Wilayah DPD PORMIKI DKI Jakarta Nanda Dina Cahya; Husni Abdul Muchlis; Hosizah Hosizah; Nauri Anggita Temesvari
Jurnal Akuntansi, Ekonomi dan Manajemen Bisnis Vol. 5 No. 3 (2025): November : Jurnal Akuntansi, Ekonomi dan Manajemen Bisnis
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jaemb.v5i3.7149

Abstract

Problems related to work discipline among Medical and Health Information Recorders (PMIK) observed during fieldwork practice in hospitals include non-compliance with punctuality, delays in completing tasks, and ineffective use of break time. These conditions indicate that the level of work discipline among PMIK personnel is suboptimal, which may affect productivity and service quality. Job satisfaction is one of the factors presumed to influence work discipline. This study aimed to examine the effect of job satisfaction on work discipline among PMIK members within the DPD PORMIKI DKI Jakarta area. A quantitative approach with a cross-sectional design was employed. Using a quota sampling technique, 94 respondents were selected from a total population of 1,490. The results showed that job satisfaction had a positive and significant effect on work discipline (p-value = 0.000). The regression equation obtained was Y = 5.288 + 0.606X. Job satisfaction accounted for 75.1% of the variance in work discipline, while the remaining 24.9% was influenced by other factors not examined in this study. Therefore, efforts to enhance job satisfaction are essential to improve work discipline among PMIK professionals.
Hubungan Ketepatan Penulisan Diagnosis Dengan Keakuratan Kode Diagnosis Obstetri Di RSIJ Sukapura Menna, Yasinta Rosalia; Muchlis, Husni Abdul; Hosizah, Hosizah; Yulia, Noor
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 7 No 2 (2026): March (Issue in Progress)
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v7i2.5435

Abstract

Accurate documentation of diagnoses in medical records is essential, as inaccurate diagnostic statements may lead to incorrect diagnostic coding. Preliminary observations indicated that among 18 medical records, 61% of diagnoses were written accurately, while 78% of diagnostic codes were accurate. This study aimed to examine the relationship between the accuracy of diagnostic documentation and the accuracy of obstetric diagnostic coding at RSIJ Sukapura Hospital. This quantitative study employed a cross-sectional design and utilized the Chi-square test, with Fisher’s exact test applied as appropriate. Based on the analysis of 92 medical records, 77.2% of diagnoses were documented accurately and 88.0% of diagnostic codes were accurate. The results revealed a statistically significant association between the accuracy of diagnostic documentation and the accuracy of obstetric diagnostic coding (p = 0.002 < 0.05; OR = 8.375). This indicates that accurate diagnostic documentation increases the likelihood of producing accurate obstetric diagnostic codes by 8.375 times. Physicians in charge are therefore expected to pay closer attention to appropriate medical terminology when documenting diagnoses to ensure greater accuracy.
Peningkatan Kapasitas PMIK Dalam Mengolah dan Menganalisis Data Klaim INA-CBG’s untuk Meningkatkan Akurasi Kodefikasi & Dokumentasi di RSIJ Pondok Kopi Muchlis, Husni Abdul; Nurmalasari, Mieke; Qomarania, Witri Zuama; Kurniawati, Anastasia Cyntia Dewi; Iqbal, Muhammad Fuad; Maryati, Yati
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 9, No 2 (2026): Volume 9 Nomor 2 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v9i2.23624

Abstract

ABSTRAK Keberhasilan klaim JKN-BPJS sangat bergantung pada akurasi dokumentasi klinis dan kodefikasi diagnosis serta prosedur. RSIJ Pondok Kopi masih menghadapi kendala dalam pemanfaatan data klaim untuk evaluasi mutu dan optimalisasi nilai klaim. Kegiatan ini bertujuan meningkatkan kemampuan PMIK dalam mengolah dan menganalisis data klaim INA-CBG’s untuk mendukung akurasi kodefikasi dan dokumentasi. Program dilaksanakan melalui sosialisasi, pelatihan teknis Excel PivotTable, dan pendampingan penyusunan dashboard analisis klaim. Evaluasi menggunakan pre-test dan post-test serta observasi produk analisis. Pelatihan meningkatkan skor pengetahuan tim sebesar 22 poin, terutama pada materi MCC/CC. Tim berhasil menghasilkan dua laporan dashboard internal terkait capture rate MCC/CC dan distribusi LOS (AMLOS/GMLOS). Peningkatan kompetensi PMIK dalam analisis data klaim mampu memperbaiki akurasi kodefikasi dan mendorong pemanfaatan data klaim sebagai alat manajemen mutu dan optimalisasi nilai klaim rumah sakit. Kata Kunci: Data Klaim, Dokumentasi Klinis, INA-CBG’s, Klaim BPJS, Kodefikasi.  ABSTRACT The success of JKN–BPJS claims strongly depends on the accuracy of clinical documentation and clinical coding of diagnoses and procedures. RSIJ Pondok Kopi still faces challenges in utilizing claim data to evaluate service quality and optimize reimbursement values. This community service activity aims to improve the capacity of Health Information Management professionals (PMIK) in processing and analyzing INA-CBG’s claim data to support accurate coding and clinical documentation. The program was carried out through socialization, technical training using Excel PivotTable, and mentoring in developing analytical dashboards. Evaluation was conducted using pre-test and post-test assessments, as well as observation of the analytical products. The training improved staff knowledge by 22 points, with the highest increase in MCC/CC competence. The team successfully produced two internal dashboard reports related to MCC/CC capture rate and LOS distribution (AMLOS/GMLOS). Improving PMIK competency in claim data analysis enhances the accuracy of clinical coding and encourages the use of claim data as a tool for quality management and reimbursement optimization in hospitals. Keywords: Claim Data, Clinical Coding, Clinical Documentation, INA-CBG’s, BPJS Claim.
Perancangan Buku Saku Elektronik Penggunaan Kode Diagnosis JKN Rumah Sakit Soeharto Heerdjan Purba, Andrea Krisler; Muchlis, Husni Abdul; Hosizah, Hosizah; Ambarwati, Ambarwati; Muzdalifah, Ifah
Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI) Vol. 11 No. 1 (2026): Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Edisi Februari
Publisher : Akademi Perekam dan Informasi Kesehatan Imelda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jipiki.v11i1.2072

Abstract

Hospitals frequently encounter challenges in the BPJS Kesehatan claims process, such as diagnostic coding errors, data discrepancies, and incomplete medical record documentation. These issues result in claims delays, financial disruptions, and a decline in service quality. This study aims to design an electronic pocketbook of National Health Insurance (JKN) diagnosis codes as a guide for healthcare workers to expedite and simplify the claims process. The study was conducted at Soeharto Heerdjan Hospital from October to December 2024 using the Research and Development (R&D) method with the ADDIE model in three stages: analysis, design, and development. Six informants from the analysis and coding unit and the patient verification and assurance unit were involved as data sources. Data collection techniques included in-depth interviews, questionnaires, and document reviews, followed by descriptive analysis. The results showed that the 34-page electronic pocketbook, designed in PDF format, contains diagnoses, ICD-10 codes, severity levels, and management procedures, with hyperlinks for easy information retrieval. The feasibility test showed a validity level of 95.8% for content and 91.6% for media. Therefore, this pocketbook is highly valid and suitable for use as a guide in the BPJS claims process, and can support work efficiency and improve the quality of hospital services.
Co-Authors Ambarwati Dyah Kurniawati Herwanto, Agus Hosizah Hosizah Iqbal, Muhammad Fuad Kurniawati, Anastasia Cyntia Dewi Lestari, Betri Widya Lestari, Jayanti Menna, Yasinta Rosalia Muzdalifah, Ifah Nanda Dina Cahya Nurmalasari, Mieke Oktavianti, Putri Purba, Andrea Krisler Qomarania, Witri Uama Temesvari, Nauri Anggita Tria Saras Pertiwi Wahyu Sulistiadi Witri Zuama Qomarania Yati Maryati Yulia, Noor Yusnaeni Yusnaeni, Yusnaeni