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All Journal J-Kesmas: Jurnal Kesehatan Masyarakat (Indonesian Journal of Public Health) Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI) Jurnal Kesehatan Tambusai PELS (Procedia of Engineering and Life Science) Indonesian Journal of Electronics, Electromedical Engineering, and Medical Informatics
Indira, Zahrasita Nur
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Computer Science & IT Control & Systems Engineering Decision Sciences, Operations Research & Management Dentistry Electrical & Electronics Engineering Engineering Health Professions Materials Science & Nanotechnology Medicine & Pharmacology Nursing Public Health

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Journal : PELS (Procedia of Engineering and Life Science)

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Analysis of the Release of Medical Record Information as a Guarantee of Legal Aspects of Patient Data Confidentiality: Analisis Pelepasan Informasi Rekam Medis sebagai Penjamin Aspek Hukum Kerahasiaan Data Pasien Setyaningsih, Fahmi; Meylia, Nadira Zalfa; Mayasari, Winda Nur; Parmesti, Khoirunnisa Riski; Wahyudi, Rusli Diki; Indira, Zahrasita Nur; Siregar, Rahmadhani
Procedia of Engineering and Life Science Vol. 7 (2025): Prosiding Seminar Nasional dan Rakernas PORMIKI X
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/pels.v7i0.2092

Abstract

Medical records are certainly very close to maintaining the security and confidentiality of patient data in the means of releasing information by ensuring the legal aspects of the security and confidentiality of patient data. Maintaining the security and confidentiality of patient data during the process of releasing medical record file information is very important in order to facilitate access to information on lawsuits by health services and health practitioners, as well as authorized third parties. This study aims to provide an overview of the release of medical record information in the legal aspect of confidentiality. The things that were studied were the procedures for releasing medical record information, the requirements for releasing medical information, the parties involved in releasing medical information, information on the use of releasing medical information and looking at the security aspects of the process of releasing medical record information, as well as facilities and infrastructure in the information release room. The data collection methods used in this study were interviews and observations. The results of the research on the process of releasing medical information show that two patients are in accordance and two patients are not in accordance with the SOP (Standard Operating Procedure) that applies at JIH Purwokerto Hospital, the human resources involved in the process of releasing information are Medical Recorder and Health Information (PMIK) officers and non PMIK, and inadequate facilities and infrastructure available in the information release room.
Analysis Of Pending Claims For Inpatients Social Security Organizing Body (Bpjs) Health Hospital Mitra Siaga Tegal: Analisis Pending Klaim Pasien Rawat Inap Badan Penyelenggara Jaminan Sosial (Bpjs) Kesehatan Rumah Sakit Mitra Siaga Tegal Indira, Zahrasita Nur; Yustafia, Atiqah Filda; Wijayanti, Wahyu Nur; Bella, Cindy Rozza; Mulyani, Agustina Dwi; Wibowo, Dimas Ari
Procedia of Engineering and Life Science Vol. 7 (2025): Prosiding Seminar Nasional dan Rakernas PORMIKI X
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/pels.v7i0.2237

Abstract

The Hospital understands and realizes the importance of the claim process as a reimbursement for insurance patients who have been treated. pending claims, namely the return of claims where there is no agreement between BpJS Health and FKRTL regarding coding and medical rules (dispute claims), but settlements are carried out in accordance with statutory provisions. Mitra Siaga Tegal Hospital in September 2022 obtained data that there were 94 pending BPJS claim files for inpatients out of 1427 files that had been submitted for claims to BPJS. This is due to coding errors, incorrect data entry, incomplete supporting examinations such as the absence of therapy and laboratory results. The method used in this research is qualitative with in-depth interviews with the Assistant Manager of Insurance Control and the officer in charge of Inpatient Claims at Mitra Siaga Tegal Hospital. The purpose of this study was to find out the causes of pending claims for hospitalization in September 2022 at Tegal Mitra Siaga Hospital. The results of the study show that pending cases of inpatient BPJS claims at Mitra Siaga Hospital in Tegal can occur due to several factors, which consist of administrative, medical, and coder aspects. The most common factor causing pending hospitalization claims was the coder aspect in 76 cases
Co-Authors Afgani, Abu Sofyan Al Anggraeni, Okti Aris Puji Widodo Bella, Cindy Rozza Budiyanti, Shifa Amanda Cahyani, Lintang Dwi Damayanti, Rifka Oktavia Dion Romodon Farid Agushybana Febriana, Dina Hakim, Agya Osadawedya Marini, Budiana Mayasari, Winda Nur Meylia, Nadira Zalfa Mulyani, Agustina Dwi Nadi, Danu Tirta Parmesti, Khoirunnisa Riski Permatasari, Merdiana Ika Praptanti, Agustina Fitri Setyaningsih, Fahmi Siregar, Rahmadhani Taharah, Dena Wahyudi, Rusli Diki Wibowo, Dimas Ari Wijayanti, Wahyu Nur Yustafia, Atiqah Filda