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All Journal PROSIDING SEMINAR NASIONAL Disease Prevention and Public Health Journal JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Journal of Business Management Education (JBME) E-Dimas: Jurnal Pengabdian kepada Masyarakat AKSIOLOGIYA : Jurnal Pengabdian Kepada Masyarakat Jurnal Penelitian Pendidikan IPA (JPPIPA) Jurnal Kesehatan Vokasional SELAPARANG: Jurnal Pengabdian Masyarakat Berkemajuan Abdimas Umtas : Jurnal Pengabdian kepada Masyarakat Unnes Journal of Public Health Health Sciences and Pharmacy Journal Jurnal Admmirasi Jurnal Aisyah : Jurnal Ilmu Kesehatan Budapest International Research and Critics Institute-Journal (BIRCI-Journal): Humanities and Social Sciences KESANS : International Journal of Health and Science Prosiding Seminar Nasional Program Pengabdian Masyarakat Journal of Global Pharma Technology Jurnal Pengabdian dan Pemberdayaan Masyarakat Indonesia JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Engagement: Jurnal Pengabdian Kepada Masyarakat Journal of Community Services and Engagement: Voice of Community (VOC) Media Penelitian dan Pengembangan Kesehatan Indonesian Journal of Electronics, Electromedical Engineering, and Medical Informatics
Kusumo, Mahendro Prasetyo
Masters Of Hospital Administration Program, Universitas Muhammadiyah Yogyakarta, Bantul, Indonesia
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Journal : PROSIDING SEMINAR NASIONAL

 1 
THE QUALITY CONTROL OF INA-CBG’S CODING AS A CAUSE OF NEGATIVE CLAIM AT BAGAS WARAS KLATEN HOSPITAL Veronica Retno Setyaningsih; Mahendro Prasetyo Kusumo; Arlina Dewi
PROSIDING SEMINAR NASIONAL & INTERNASIONAL 2017: Proceeding International Seminar of Occupational Health and Medical Sciences (I-SOCMED) 2017 “
Publisher : Universitas Muhammadiyah Semarang

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Abstract

The pattern of payment that is applied by Jaminan Kesehatan Nasional (JKN) in advanced health facilities (hospitals) is a prospective payment pattern. Prospective Payment pattern known as casemix is a grouping diagnoses and procedures with reference to clinical characteristics which is similar and resource used or maintenance cost is similar. The grouping is done by software groupers. Bagas Waras hospital in making diagnosis grouping sometimes experiences the negative difference (loss) between the real cost of hospital fees in accordance with the Indonesia Case Based Group (INA CBGs) cost package approved by Badan Penyelenggara Jaminan Sosial (BPJS).This study is to determine the cause of the change file BPJS claims that the negative consequences of coding problems after qualitycontrol of INA-CBGs coding in Bagas Waras hospital Klaten. This study was a qualitative research design action (Action Research). This study used a model of action research (Action Research) of S Kemmis and R McTaggart which is designed through two cycles of the procedure: (1) planning , (2) action (3) observation, (4) reflection  in each cycle. The research instrument used a questionnaire. Analysis of the data used qualitative analysis and quantitative analysis.The results showed that the frequency of claims BPJS start of the cycle I, II and III, there was a decreasing in the proportion of the, it is due to an error coding, Leght OfStay (LOS) extends, the cost of medical action that is excessive, and Excess Cost investigations. In improving the ability of diagnosis coding, Bagas Waras hospitalcontinuously strives to improve their ability to apply the Hospital Information System (SIRS).The cause of negative claim in a file BPJS after INA-CBGs control coding in Bagas Waras hospital  is the employees do not understand the overall coding system, and  do not run the monitoring and evaluation system of coding.  Keyword : Negative Claim of BPJS, Coding INA CBG's
DOCTOR BEHAVIOR IN FILLING THE MEDICAL RESUME SHEET IN BAGAS WARAS HOSPITAL, KLATEN Anggit Budiarto; Mahendro Prasetyo Kusumo; Winy Setyo Nugroho
PROSIDING SEMINAR NASIONAL & INTERNASIONAL 2017: Proceeding International Seminar of Occupational Health and Medical Sciences (I-SOCMED) 2017 “
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (245.478 KB)

Abstract

The hospital as one of the health service facilities, is part of the health resources that were needed in supporting the implementation of health efforts. The writing of patient diagnosis is the responsibility of the treating physician and should not be represented. The phenomenon found in the initial survey of Regional General Hospital Bagas Waras Klaten obtained many incomplete resume forms. The purpose of this research is to know the doctor's behavior on the filling of the in-patient resume sheet data at  BagasWaras HospitalKlaten. This research was a qualitative research with case study approach. Respondents in this study were DPJP Specialist Doctor, Medical Record Officer and Hospital Director. The data obtained from interviews, FGDs, observations and documentation and collected and grouped based on existing indicators, as well as based on existing facts and also on critical thoughts to obtain a weighted result. Based on the results of the doctor's observation through the medical resume sheet for 3consecutive months which had been submitted to the medical record, it appeared that medical resume filled by the doctor after the patient finished treatment was still low, from 217 files, which was incomplete as much as 125 with a percentage of 41%. It was due to lack of cooperation between doctors and nurses in filling medical resume. In addition, the incomplete medical resume was due to the nonoperation of the Standard Operational Procedure (SOP) which regulated the filling of medical resumes, the absence of regulations, sanctions for doctors who did not fill the medical resume so the doctors lazily fill medical resume. The doctor's behavior in completing the medical resume sheet is still low.  Keywords: Medical Resume, Behavior Physician
Co-Authors Ahdiana Yuni Lestari Anggit Budiarto Anggraini, Panji Tutut Anwar Kholid Arlina Dewi Arsy, Mecca Lestina Danang Wahyu Muhammad Diana Dewi Hestia Ferly Junita Lahay Ikhlas Muhammad Jenie Iman Permana Kusbaryanto Lubis, Debi Christian Maunah, Ning Muhammad Eko Atmojo, Muhammad Eko Nabila Ardia Pramono Najib Budhi Wardoyo Ni Putu Susari Widianingsih Nur Hidayah Nuryakin, Nuryakin Panji Tutut Anggraeni Primanda, Yanuar Primanda Rosadi, Moch Zuhrul Balad Sakir Sakir Saputro, Ivan Dwi Setyani, Seswiyati Asri Sudarmanto, Alfan Al Ghifari Susila, M. Endriyo Titiek Suhardi Haripurnomo Kushadiwijaya Hidayati Veronica Retno Setyaningsih Winy Setyo Nugroho Wisnu Murti Yani Wiwik Kusumawati, Wiwik Yanuar Primanda Primanda Zulkhah Noor