Analisis Faktor Penghambat Pengajuan Klaim BPJS Kesehatan di Rumah sakit : Literature Review (Analysis Factor Barriers to Submission of BPJS Health Claims in Hospitals : Literature Review)

Puspita Melasari, Azizah (2021) Analisis Faktor Penghambat Pengajuan Klaim BPJS Kesehatan di Rumah sakit : Literature Review (Analysis Factor Barriers to Submission of BPJS Health Claims in Hospitals : Literature Review). Undergraduate thesis, POLITEKNIK NEGERI JEMBER.

[img] Text (Abstract)
Abstraks.pdf - Submitted Version
Available under License Creative Commons Attribution Share Alike.

Download (186kB)
[img] Text (Bab 1 Pendahuluan)
13. BAB 1.pdf - Submitted Version
Available under License Creative Commons Attribution Share Alike.

Download (663kB)
[img] Text (Daftar Pustaka)
18. DAFTAR PUSTAKA.pdf - Submitted Version
Available under License Creative Commons Attribution Share Alike.

Download (433kB)
[img] Text (Full text skripsi)
1622092698461_1622092687290_G41161013_Azizah Puspita Melasari Penelitian tahun 2021 program Studi D4 Rekam Medis 25052021.pdf - Submitted Version
Restricted to Repository staff only

Download (2MB) | Request a copy

Abstract

Researchers took 27 journals/articles/papers from various accredited official websites using interactive analytical research methods focused on selecting of Inhibiting Factors for Submitting Claims for BPJS Health at Hospitals : Literature Review in 2020 with analysis and observation of strategic synthetic data. The main objectives is as a literature review by analyzing and providing solutions to the findings of Inhibiting Factors. The results of the Literature Review study found that the main factor in the inadequacy of the claim files was by the BPJS Health Regulations Number 7 of 2018 and Permenkes No. 27&28 of 2014, even the latest and there is no clear SOP and Job Description in several hospitals regarding the process of submitting claims and coding diagnosis, completeness of medical resumes as a condition for submitting claim files through BPJS claim verifiers and good knowledge and communication between all service units involved in submitting BPJS Health claims. The RMIK system that has not been integrated with the WIFI network is slow and lacks motivation from the leadership as well the existence of a BPJS team in each unit accompanied by a supervisory team for the RMIK process. Researchers suggest improvements to all hospitals to evaluate staff performance improvements and all findings of inhibiting factors in the BPJS claim submission process and discipline in completing claim files submitted to the BPJS verifier, it is hoped that further researchers can examine the impact review literature verifier officer from BPJS and not yet received the liquid funds back from unclaims.

Item Type: Thesis (Undergraduate)
Contributors:
ContributionContributorsNIDN/NIDK
Thesis advisorErawantini, FebyNIDN0008019401
Uncontrolled Keywords: Analysis; Factor; Solution; Blocker; Lateness; Late; Submission; Claim; Inhibiting in Factors Barries; Departement Assurance of Health BPJS; Hospital at Indonesian. Analisis; Faktor; Solusi; Penghambat; Keterlambatan; Terlambat; Pengajuan; Klaim; Penyebab dari Faktor Penghambat; BPJS Kesehatan; Rumah sakit.
Subjects: 340 - Rumpun Ilmu Kesehatan > 350 - Ilmu Kesehatan Umum > 351 - Kesehatan Masyarakat
Divisions: Perpustakaan > Tugas Akhir > Undergraduate
Depositing User: AZIZAH PUSPITA MELASARI
Date Deposited: 27 May 2021 06:45
Last Modified: 27 May 2021 06:45
URI: https://sipora.polije.ac.id/id/eprint/3273

Actions (login required)

View Item View Item