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All Journal Jurnal Rekam Medis dan Informasi Kesehatan International Journal of Engineering, Science and Information Technology

Oktamianiza Oktamianiza

STIKES Dharma Landbouw

Author-ID : 2616646

Astronomy Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Civil Engineering, Building, Construction & Architecture Computer Science & IT Control & Systems Engineering Decision Sciences, Operations Research & Management Earth & Planetary Sciences Education Electrical & Electronics Engineering Energy Engineering Health Professions Industrial & Manufacturing Engineering Library & Information Science Materials Science & Nanotechnology Mathematics Mechanical Engineering Physics Social Sciences Transportation

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Articles

Analysis of Differences in Tariff for Health Service Based on Sustability of Diagnosis on Admision and Summary Discharge Form with INA-CBGs Verification Oktamianiza Oktamianiza; Deni Maisa Putra; Yulfa Yulia; Agni Fahira; Afridon Afridon
International Journal of Engineering, Science and Information Technology Vol 1, No 3 (2021)
Publisher : Master Program of Information Technology, Universitas Malikussaleh, Aceh Utara, Indonesia

The implementation of the National Health Insurance starting in January 2014 made a change in the payment system from the Retrospective Paymant System to the Prospective Payment System with INA-CBG's rates. The difference in INA-CBG's rates and hospital rates is a fundamental problem so that hospitals must make efforts to achieve quality and cost control. the purpose of this research was to determine the Analysis of Differences in Tariff for Health Service Based on sustability of Diagnosis on the admision and discharge summary form (RM1) with INA-CBGs Verification at Hospital Dr. Reksodiwiryo Padang. The results of the study found that the accuracy of disease diagnosis and patient medical treatment was on the RM1 form (21.7%), on the INA-CBGs verification (56.5%). Differences in disease diagnosis and patient medical treatment on RM1 form with INA-CBGs verification (63.0%), and differences in health service fees based on accuracy of patient diagnosis and medical treatment on RM1 form with INA-CBGs verification (63.0%) . There is a significant relationship between the difference in the Tariff of health services with the accuracy of diagnosis on the RM1 form and the INA-CBGs verification which is quite large, due to the discrepancy in writing the diagnosis on RM1 with the INA-CBGs verification.

Study Literature Review On Returning Medical Record Documents Using HOT-FIT Method Deni Maisa Putra; Oktamianiza Oktamianiza; Mega Yuniar; Washi Fadhila
International Journal of Engineering, Science and Information Technology Vol 1, No 1 (2021)
Publisher : Master Program of Information Technology, Universitas Malikussaleh, Aceh Utara, Indonesia

The return of medical record files is a system that is quite important in medical records, because the return of medical records starts from the file in the inpatient room until it returns to the medical record section in accordance with the return policy, which is 2x24 hours. The method used is a literature study with descriptive analysis which is done by describing the facts that exist then being analyzed, described, looking for similarities, views, and summaries of several studies. The results of the literature study show that humans are not responsible for returning medical record files, the organization lacks supervision from the management of returning files, technology (technology) with technology can assist in returning medical record files. So it is necessary to pay attention to the 3 components, so that it can produce a benefit (Net Benefit) from returning the medical record document. Based on the results of the study, it can be concluded that the factors that influence the return of medical record documents are in terms of the HOT-FIT method, (human) where the officers lack a sense of responsibility for medical record documents, and doctors and nurses do not pay attention to the form of filling out record documents medical records, so that it becomes an obstacle in returning medical record documents. It's good to have good supervision from the management.

Tinjauan Ketepatan Kode dengan Pending Klaim Pasien Rawat Inap BPJS Kesehatan di RSUD dr. Adnaan Wd Payakumbuh Tahun 2021 Oktamianiza Oktamianiza; Isya Apda Reza; Dian Novita
Jurnal Rekam Medis dan Informasi Kesehatan Vol 5, No 1 (2022): Maret 2022
Publisher : Poltekkes Kemenkes Semarang

The accuracy of the coding of a diagnosis is influenced by the clarity of writing and the completeness of the diagnosis. The right diagnosis will produce the right code data as well. If there is an error in coding, this will have an impact on claims for health care costs. This research was conducted at the Regional General Hospital dr. Adnaan WD Payakumbuh. This type of research is descriptive qualitative with in-depth interviews with the head of the medical record installation, inpatient coder, and case mix officers. The results showed that there were 3 human resources related to coding with educational qualifications of D3 Medical Record, coding SOPs and case mix SOPs already existed and had been implemented, the implementation of coding training was carried out, the implementation of the disease diagnosis code was still constrained because the resume did not match the status. , insufficient supporting data, and incorrect placement of primary and secondary diagnoses, it takes several days for the revision of pending claims to be carried out to the doctor in charge of the patient (DPJP). In addition, the coder still has difficulty in reading the doctor's diagnosis, thus affecting the quality of the code and having an impact on pending claims.

Tinjauan Ketepatan Kode Cedera Multiple Pada Kasus External Cause di RSUP Dr. M. Djamil Padang Oktamianiza Oktamianiza; Diah Salsa Billa; Kalasta Ayunda Putri; Yulfa Yulia; Afridon Afridon
Jurnal Rekam Medis dan Informasi Kesehatan Vol 6, No 1 (2023): MARET 2023
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jrmik.v6i1.9187

The accuracy of the code is very necessary so that the information generated from the diagnosis and medical treatment is accurate. However, researchers found in Dr. M. Djamil Padang there are still 29 incorrect codes (76.3%). This is because the determination of multiple injury codes is written separately and fracture diagnosis is not equipped with a fifth character code. The purpose of this study was to determine the accuracy of multiple injury codes in external cause cases at RSUP Dr. M. Djamil Padang. This research was conducted from May to June 2022. The type of research conducted was quantitative with a descriptive approach. The number of samples was 38 using the purposive sampling method, the data collection instrument used a checklist table with univariate analysis. The results of the research that has been carried out found that the frequency of diagnostic accuracy is 27 (71.1%) incorrect diagnoses, the frequency of conformity of primary and secondary diagnoses is 19 (50.0%) incorrect diagnoses, and the frequency of accuracy of diagnostic codes is 29 (76, 3%) code is not correct. So it can be concluded that there are still causes of inaccuracy in coding, which can be seen from the 3 components of the analysis carried out that affects the accuracy of the code. Therefore, researchers suggest that coders should pay attention to the rules and procedures for coding diagnoses based on ICD-10.

Co-Authors Afridon Afridon Afridon Afridon Agni Fahira Deni Maisa Putra Diah Salsa Billa Dian Novita Isya Apda Reza Kalasta Ayunda Putri Mega Yuniar Washi Fadhila Yulfa Yulia Yulfa Yulia

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