<![CDATA[ABSTRAKWithin disparity use of real and Indonesia Case Based Groups (INA-CBG) fare, often triggeringan assumption lead to prejudice of billing fact-manipulation which conducted by hospitalmanagement. The action is often causing financial deprivation over patient or the service payer(JAMKESMAS). Real fare is carry out by hospital based on fee for service proposal appointed bylocal government. INA-CBG is package of billing system based on service group category.The aim of the research is analyzing the disparity of use between real and INA-CBG fare uponhospitalized care service toward JAMKESMAS claim-payment at Sukoharjo District GeneralHospital.The research is analytic-observational type using retrospective design. Qualitative andquantitative data analysis is use, involving document study and in-depth interview as datagathering technique. Hypothesis verification acquired with the use of Wilcoxon test.The result exhibit a significant different between real and INA-CBG fare with value of p = 0.001.The disparity arise as the result of variety of health service tariff standard, length of stay, sofwareutilization, accuracy of diagnose and service procedure coding, and deficiency of clinical pathwayin Sukoharjo District General Hospital.Key words: claim, Jamkesmas, real fare, INA-CBG]]>
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