Suspension Claim BPJS Hospitalized Due To Incomplete Medical Record (Case Study at Sari Asih Hospital Karawaci Tangerang)

Suspension Claim BPJS Hospitalized Due To Incomplete Medical Record (Case Study at Sari Asih Hospital Karawaci Tangerang)

 

Suspension Claim BPJS Hospitalized Due To Incomplete Medical Record (Case Study at Sari Asih Hospital Karawaci Tangerang)

Description:

Social Security Administering Agency (BPJS) is a government program to make the people of Indonesia able to live healthy, productive, and prosperous. RS has an important role in achieving that goal. Data Sari Asih Hospital Karawaci Tangerang the higher the number of patients with incomplete medical record data other than that the number of BPJS claims cases that pending increased in the last three years This study aims to determine the Influence of Medical Record Completeness (Data Identity, Improved Drug Security and Certainty Procedure) Against BPJS Claim Submission at RS. Sari Asih Karawaci Tangerang This type of research includes an analytic survey with a causality approach. With this research object data submission claims BPJS patients inpatient in 2017 as many as 9413 people who subsequently sampled as many as 98 patients. Sources of data in the form of secondary data based on RS medical records report of 2017 which is analyzed using Binary Logistic Regression The results obtained that the identity of the data significantly influence the submission of claims BPJS. Furthermore, the increase in drug safety significantly affects BPJS claim submission and lastly the certainty of the procedure significantly affects BPJS claim filing. The findings of researchers of the delay BPJS most claims are due to incomplete medical records, especially data support, filling odontogram identity data, doctor diagnosis and errors enter the code. Implications for RS Management in order to socialize SOP (standard operational procedure) on completeness of filling of medical record to all providers of good care Doctor, nurse, midwife, nutrition, physiotherapy, Pharmacy, in accordance with the Minister of Health number 269 / Menkes / per / III /2008 about the completeness of medical record and its usefulnes.

Author:

  1. Agus Sarjono
  2. Endang Ruswanti

Source:

International Conference on Recent Innovation 2018

Tinggalkan Balasan

Alamat email Anda tidak akan dipublikasikan. Ruas yang wajib ditandai *