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Ketidaksesuaian Kode Diagnosis ICD-10 Pada Pending Klaim Bpjs Rawat Jalan Di Rsud Krt. Setjonegoro Wonosobo Nurul Afifah; Nadi, Danu Tirta; Sari, Arum Astika
Jurnal Manajemen Informasi Kesehatan Indonesia (JMIKI) Vol 12 No 2 (2024)
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.v12i2.626

Abstract

Klaim BPJS Kesehatan adalah pengajuan biaya perawatan pasien peserta BPJS oleh pihak rumah sakit kepada pihak BPJS Kesehatan yang dilakukan setiap bulannya. Setelah itu BPJS Kesehatan akan melakukan persetujuan klaim dan melakukan pembayaran untuk berkas yang layak, namun untuk berkas yang mengalami pending klaim harus dikembalikan ke rumah sakit untuk diperiksa kembali. Pending klaim pada rawat jalan di RSUD KRT. Setjonegoro Wonosobo terjadi karena berbagai faktor, salah satunya karena adanya perbedaan kode diagnosis ICD-10 antara rumah sakit dengan verifikator BPJS berkas pending klaim memerlukan koreksi kembali terutama pada kode diagnosis. Penelitian ini bertujuan mendeskripsikan permasalahan pending klaim karena ketidaksesuaian kode diagnosis pada ICD-10.Penelitian ini menggunakan pendekatan deskriptif kualitatif dengan lokasi penelitian di RSUD KRT. Sejonegoro Wonosobo pada bulan Juni. Hasilnya adalah adanya perbedaan konsep penentuan diagnosis antara petugas koder dengan verifikator BPJS, kode diagnosis yang dibuat koder belum sesuai dengan keputusan diagnosis verifikator BPJS. Adanya perbedaan persepsi antara koder dan verifikator BPJS terkait penegakan diagnosis koder harus selalu mengacu pada Peraturan Menteri Kesehatan Nomor 76 Tahun 2016 tentang Pedoman Indonesian Case Base Groups (INA-CBG).
Visualisasi Spasial Kunjungan Pasien Rumah Sakit Menggunakan Sistem Informasi Geografis Rindiyani, Fadillah Dea; Fauzi, Harry; Nadi, Danu Tirta; Hakim, Agya Osadawedya; Aeni, Yomi Nur
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 6 No 3 (2025): June
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v6i3.5866

Abstract

Patient visit data at Bandung Paru Hospital is still managed conventionally, without integration with Geographic Information System (GIS) technology. This study aimed to develop and utilize GIS to visualize patient visits, supporting spatial data-based decision-making. A descriptive method was used, with the research population consisting of all patient visits to paru Hospital in 2024. The sample included outpatient and emergency patients selected through purposive sampling. Secondary data were taken from outpatient and emergency visit records, processed, and displayed in thematic maps using color gradients from green to red to indicate visit intensity, from low to high. The results showed that GIS can provide a spatial overview of patient visit distribution, helped identify visit patterns, and supported strategic planning such as improving facilities and services. Paru Hospital is encouraged to adopt GIS for spatial-based visualization of patient visit data, as it allows the data to be presented in interactive maps, offering clearer insights into the geographic distribution of patients.
EDUKASI PERAN PEMERIKSAAN RADIOGRAFI THORAKS SEBAGAI UPAYA SKRINING KESEHATAN MASYARAKAT DESA BANTERAN Susanto, Fani; Basuki, Samudra Prihatin Hendra; Badharudin, Abid Yanuar; Nadi, Danu Tirta; Ammar, Hanif Dwi; Muaziz, Agil Abdul
Jurnal Edukasi Pengabdian Masyarakat Vol 4 No 3 (2025): JULI 2025
Publisher : FIP UNIRA MALANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36636/eduabdimas.v4i3.7022

Abstract

Five major lung diseases are the leading causes of morbidity and mortality worldwide, lung and respiratory diseases are a serious global health problem. Global public health targets should prioritize lung health through health screening, which is an essential component in building a healthy society. Chest radiography is a medical screening procedure and assists in clinical diagnosis. The dominant community in Banteran Village, in particular, includes active smokers, mostly men and also have little understanding of the importance of health screening. The purpose of this activity is to educate about the importance of chest radiography in health screening procedures. The activity was carried out by assessing the level of community knowledge about health screening and the success of activities in the leadership cadres of the Muhammadiyah branch Banteran through counseling and lectures on the definition and role of chest radiography as a health screening effort. The results of this activity showed that everyone became more aware of the importance of chest radiography in health screening. With this activity, the community better understands the function of chest radiography as a health screening method and becomes more concerned about preventing disease by implementing a clean and healthy lifestyle.