Mayori, Elsa (2020) Upaya Perbaikan Keterlambatan Pengajuan Klaim Bpjs Kesehatan Pada Unit Rawat Inap Di Rsia Srikandi Ibi Jember Tahun 2019. Undergraduate thesis, Politeknik Negeri Jember.
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Abstract
Based on a preliminary study at RSIA Srikandi IBI Jember, there was a delay in submitting claim health BPJS to the inpatient unit in January 2019 for 28 days with 353 inpatient files, February 31 days with 249 inpatient files and March 29 days with 313 inpatient files. It would harm hospital finances because of delays in the payment of health BPJS funds. This research aimed to improve the delay claim of health BPJS in inpatient units at RSIA Srikandi IBI Jember. This research used a qualitative method with interviews, observation, and brainstorming to collect data methods. This research showed that the cause of delay in submitting claims health BPJS by material factor was incomplete inpatient claim such as medical resume, the result of examinations. The Plan made SOP submit requests claims BPJS to the inpatient unit, the checklist of BPJS document, and SOP to verify the completeness and accuracy to the inpatient claim. The Do stage accept the SOP to the hospital director. The Check stage showed a decrease in the number of delays in submitting claims health BPJS at the hospital in February-April 2020. Action steps were known that these efforts could help the BPJS health claims process. Keywords: Medical records, PDCA, Late claim, BPJS.
| Item Type: | Thesis (Undergraduate) | ||||||
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| Subjects: | 340 - Rumpun Ilmu Kesehatan > 350 - Ilmu Kesehatan Umum > 358 - Ilmu Asuransi Jiwa dan Kesehatan | ||||||
| Divisions: | Jurusan Kesehatan > Prodi D4 Manajemen Informasi Kesehatan > Tugas Akhir | ||||||
| Depositing User: | Abd. Rahman | ||||||
| Date Deposited: | 22 Dec 2021 07:48 | ||||||
| Last Modified: | 23 Dec 2021 06:52 | ||||||
| URI: | https://sipora.polije.ac.id/id/eprint/8534 |
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