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All Journal MEDICORDHIF Jurnal Rekam Medis Jurnal Abdimas Jatibara
MAULANA, AGUNG FIRMAN
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Education Health Professions Medicine & Pharmacology Nursing Public Health Other

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FAKTOR PENYEBAB PENDING KLAIM BPJS KESEHATAN PASIEN RAWAT INAP DI RUMAH SAKIT Ibrahim, Mochammad Malik; MAULANA, AGUNG FIRMAN; ANWAR, HIDAYATUS SYARIFAH; BILQIS, IFTITA; NURJAYANTI, TITIK PUTRI; MUNAWAROH, WASILAH; MILADIYAH, ZUHROTUL
MEDICORDHIF Jurnal Rekam Medis Vol 11 No 2 (2024): MEDICORDHIF Jurnal Rekam Medis
Publisher : APIKES Bhumi Husada Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59300/mjrm.v11i2.124

Abstract

Penelitian ini menyajikan temuan dari beberapa dokumen yang menganalisis faktor-faktor yang berkontribusi terhadap peningkatan kasus BPJS Kesehatan di berbagai rumah sakit di Indonesia. Analisis kualitatif dan kuantitatif menunjukkan bahwa permohonan yang tidak lengkap, resume yang tidak lengkap, dan permohonan pinjaman yang tidak lengkap berdampak pada status tunggakan klaim BPJS rawat inap. Faktor tambahan seperti rendahnya sosialisasi, pengetahuan baru, dan perubahan peraturan terkait kode etik BPJS juga berperan dalam permasalahan ini. Rekomendasi studi tersebut antara lain membatasi pelatihan tentang pemotongan kode, berinteraksi dengan DPJP dalam penulisan resume medis, pelaporan internal mengenai klaim BPJS yang belum dibayar, berkolaborasi dengan IT, serta melacak dan menilai klaim yang diajukan ke BPJS. Penerapan rekomendasi ini diharapkan dapat membantu mengurangi jumlah klaim yang belum terselesaikan dan meningkatkan efektivitas proses klaim kesehatan nasional di Indonesia.
Penyampaian Alur Informasi Rawat Jalan Kepada Petugas Unit Rekam Medis Puskesmas Gempol Maulana, Agung Firman; Rakhmawati, Fitria; Sari, Ika Puspita; Yusmanisari, Eka
Jurnal Abdimas Jatibara Vol 1, No 2 (2023): Jatibara Vol.1 No.2 Februari 2023
Publisher : STIKES Yayasan RS.Dr.Soetomo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29241/jaj.v2i1.1167

Abstract

This community service activity has the aim of providing direction to patients who register as patients so they do the registration requirements of outpatients at the Gempol consultation room. There are still outpatients who don't recognize the wants to register. this could produce obstacles for alternative outpatients. to beat these problems, socialization and education were disbursed for officers and patients by creating brochures. The results achieved in community service activities at Gempol Health Center are the delivery of outpatient data flow to officers within the case history unit running smoothly. All officers understand all the requirements for patient data flow so officers will offer information to patients who are in accordance with the flow requirements. solely a number of outpatients don't recognize the wants on the grounds that they are doing not know and typically patients only bring a few requirements. when distributing brochures, and being given direct information regarding the outpatient information flow by the community service team, patients are expected to fulfill the requirements once they come back to outpatient registration.
Co-Authors ANWAR, HIDAYATUS SYARIFAH BILQIS, IFTITA Ibrahim, Mochammad Malik Ika Puspita Sari MILADIYAH, ZUHROTUL MUNAWAROH, WASILAH NURJAYANTI, TITIK PUTRI Rakhmawati, Fitria Yusmanisari, Eka