Review of BPJS claim requirements for service efficiency in RS X

Yoki Muchsam; Rinaldi Tanjung; Muhamad Rihan Hidayat; Muhammad Zakaria Kautsar; Irgi Fauzan; Shandi Handrian Juhaeri; Angga Cahya Lesmana

doi:10.53730/ijhs.v6n3.13130

Authors

Yoki Muchsam
Yoki.Muchsam@poltekkesyba.ac.id
Politeknik Kesehatan YBA Bandung, Indonesia
Rinaldi Tanjung Politeknik Kesehatan YBA Bandung, Indonesia
Muhamad Rihan Hidayat Politeknik Kesehatan YBA Bandung, Indonesia
Muhammad Zakaria Kautsar Politeknik Kesehatan YBA Bandung, Indonesia
Irgi Fauzan Politeknik Kesehatan YBA Bandung, Indonesia
Shandi Handrian Juhaeri Politeknik Kesehatan YBA Bandung, Indonesia
Angga Cahya Lesmana Politeknik Kesehatan YBA Bandung, Indonesia

Keywords:

claim requirement, health, review of BPJS, service efficiency

Abstract

The purpose of this study is to analyze the information system as one of the factors supporting the health services provided. Provide computerized services that are used to collect patient information in medical records for making treatment decisions for patients. The research method with a quantitative approach, in the form of informant interviews, surveys and literature study. The research time was from January - March 2020. The completeness of the medical record files was 66.4% and 33.6% incomplete, while the BPJS claim approval was 60.8% and 39.2%.2% were not approved. The conclusion is that there is a relationship between the completeness of medical records and the approval of BPJS claims. It is highly recommended that there is a high awareness for medical record officers, nurses, and doctors to complete medical record files properly, assisted by computerized records that are easy to understand and operate.

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