Analisi Faktor Ketidaktepatan Kode Diagnosis Penyakit Diabetes Mellitus: Literatuew Review

NH, Nurhidayah (2022) Analisi Faktor Ketidaktepatan Kode Diagnosis Penyakit Diabetes Mellitus: Literatuew Review. Undergraduate thesis, POLITEKNIK NEGERI JEMBER.

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Abstract

The accuracy of coding diagnosis is the process of managing medical records that are correct, complete, and in accordance with applicable regulations. The accuracy of the code is very necessary so that the morbidity/mortality information is relevant and can be accounted for in describing the quality of what has happened. The code must be precise because the accuracy of diagnostic data is very crucial in the field of clinical data management, cost collection, and other matters relating to health care and services. The purpose of this study was to analyze the factors causing the inaccurate diagnosis of Diabetes Mellitus 5m, namely man, method, materials, machine and money. The research method used is the literature review method. There were 12 articles that met the inclusion and exclusion criteria as a reference for this studyThe results showed that the factors causing the inaccuracy of the DM diagnosis code were the man code factor carried out by other professions, the code officer was less thorough and the workload given was more than 1 job description, the SOP method factor was still not maximized because the SOP had not been set by the hospital, the the doctor's writing material is not clearly legible, and the completeness of the filling is still lacking, the machine factor is the old revised ICD, the simpus is still incomplete, and the money factor, namely the additional code, is still considered unimportant because it does not affect the nominal claim even though in the case of Diabetes Mellitus it can cause a difference in rates which is quite significant for the Hospital. Efforts that can be made to overcome this problem are that health service agencies should evaluate related to SOPs and provide training on coding so that coding officers can increase and improve the knowledge of officers and train skills in coding

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