TEPATAN DAN KESESUAIAN ANALISIS KE PENULISAN KODE DIAGNOSIS DAN TINDAKAN KASUS OBSTETRI PASIEN SJSN DI RSUP DR.SARDJITO YOGYAKARTA
Background: Coding is very important in financial terms even more so for the social security payment systems that use claims. Errors in coding can lead to financial losses for hospitals. On January 1, 2014, Indonesia began to implement a new health social insurance system which is managed by BPJS (S...
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| Main Authors: | , |
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| Format: | Theses and Dissertations NonPeerReviewed |
| Published: |
[Yogyakarta] : Universitas Gadjah Mada
2014
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| Subjects: | |
| Online Access: | https://repository.ugm.ac.id/131475/ http://etd.ugm.ac.id/index.php?mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=71971 |
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| Institution: | Universitas Gadjah Mada |
| Summary: | Background: Coding is very important in financial terms even more so for the
social security payment systems that use claims. Errors in coding can lead to
financial losses for hospitals. On January 1, 2014, Indonesia began to implement
a new health social insurance system which is managed by BPJS (Social
Security Agency Business). RSUP Dr. Sardjito, Yogyakarta is one of the bigest
referral hostpital that cause many guarantee�s patient. The accurancy and
suitability diagnostic and procedure code very important to specify how much
financial terms and to take any decision for hospital manajement. In RSUP Dr.
Sardjito, Yogyakarta one of the manies case that claim give back to hospital is
obstetry�s case.
Objective: To know about the implementation of charging, percentage accurancy
of code, suitability percentage of code in the medical record file and sheet claims
and medical record staffs attempt to accurancy filling diagnosis and procedure
codes of obstetric patients SJSN action cases in RSUP Dr. Sardjito, Yogyakarta.
Methods: This type of research was a descriptive study used a qualitative
approach and the case study design. The objek was medical record file and
sheet claims in Januari 2014. The subjek was three people who coding
hospitalization of guarantee�s patient and one head of guarantee instalation as
triangulation The technique of collecting data used interviews, observation and
documentation studies.
Results: Implementation of coding diagnoses and acts on exit and entry
summary sheet INA-CBG's claim inpatients 9 officers conducted by coding.
Encoding patient diagnosis based on ICD-10 version of 2005 and actions based
on ICD-9-CM 2007 version . The coding diagnoses and inpatient action at INA
CBG's claim sheet together with the implementation of diagnosis coding and
entry summary action on exit. Percentage accuracy of diagnosis codes in the
summary entry exit criteria are as much as 72.77% A |
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