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Tugas Akhir DIII

Analisis Keakuratan Kode Diagnosis Utama Pasien Rawat Inap Jaminan Kesehatan Nasional Terhadap Berkas Klaim yang Dikembalikan di RSUD Tugurejo Semarang Bulan April 2016

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RSUD Tugurejo Semarang is a type B Educational Hospital that has been using ICD-10 as a guideline in the coding of diagnosis. Based on primary observations, from the 988 cases of BPJS’s inpatients in January 2016 there were 98 claims files that are returned by the BPJS’s verifier related to revised diagnosis code accuracy. It causing the claim process become slowly. The aim of research to find out the results of the analysis of accuracy of the primary diagnosis code inpatients Jaminan Kesehatan Nasional is suitable from ICD-10 in RSUD Tugurejo Semarang.
This research uses descriptive quantitative research with cross sectional approach, the populations in the study was 282 inpatient medical record documents JKN the claim file that returned by BPJS’s verifier revised in April 2016, and obtained a sample of 74 medical record documents taken by using accidental sampling technique, the method of data collection in this using documentation study.
The results showed that the primary diagnosis code is accurate as much as 59.5% (44 documents) and the primary diagnosis code isn’t accurate as much as 40.5% (30 documents). Lack of rigor coder, unspecified written doctor's diagnosis, and the differences in educational background between the hospital coder and BPJS’s verifier becomes a factor inaccuracy of diagnosis code. Therefore, RSUD Tugurejo Semarang should start planning to conduct an audit of coding in order to improve the accuracy of the code used for filing claim.


Informasi Detail

Pernyataan Tanggungjawab
Sudiyono, Ahmad Danuri
Pengarang
Ferina Aurum Mahardika - Pengarang Tambahan
NIM
P17437113026
Bahasa
Indonesia
Deskripsi Fisik
xiv+57 page+28 cm
Dilihat sebanyak
590
Penerbit Prodi DIII Rekam Medis dan Informasi Kesehatan Semarang POLTEKKES KEMENKES SEMARANG : Semarang.,
Edisi
2016
Subjek
Klasifikasi
081

Lampiran Berkas

Citation
Ferina Aurum Mahardika. (2016).Analisis Keakuratan Kode Diagnosis Utama Pasien Rawat Inap Jaminan Kesehatan Nasional Terhadap Berkas Klaim yang Dikembalikan di RSUD Tugurejo Semarang Bulan April 2016(2016).Semarang:Prodi DIII Rekam Medis dan Informasi Kesehatan Semarang POLTEKKES KEMENKES SEMARANG

Ferina Aurum Mahardika.Analisis Keakuratan Kode Diagnosis Utama Pasien Rawat Inap Jaminan Kesehatan Nasional Terhadap Berkas Klaim yang Dikembalikan di RSUD Tugurejo Semarang Bulan April 2016(2016).Semarang:Prodi DIII Rekam Medis dan Informasi Kesehatan Semarang POLTEKKES KEMENKES SEMARANG,2016.Tugas Akhir DIII

Ferina Aurum Mahardika.Analisis Keakuratan Kode Diagnosis Utama Pasien Rawat Inap Jaminan Kesehatan Nasional Terhadap Berkas Klaim yang Dikembalikan di RSUD Tugurejo Semarang Bulan April 2016(2016).Semarang:Prodi DIII Rekam Medis dan Informasi Kesehatan Semarang POLTEKKES KEMENKES SEMARANG,2016.Tugas Akhir DIII

Ferina Aurum Mahardika.Analisis Keakuratan Kode Diagnosis Utama Pasien Rawat Inap Jaminan Kesehatan Nasional Terhadap Berkas Klaim yang Dikembalikan di RSUD Tugurejo Semarang Bulan April 2016(2016).Semarang:Prodi DIII Rekam Medis dan Informasi Kesehatan Semarang POLTEKKES KEMENKES SEMARANG,2016.Tugas Akhir DIII



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