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All Journal Dinamika Pendidikan Jurnal Manajemen Dayasaing Jurnal Ilmiah Pangabdhi Benefit: Jurnal Manajemen dan Bisnis MANAJERIAL Jurnal Litbang Sukowati : Media Penelitian dan Pengembangan JURNAL LENTERA BISNIS Community Development Journal: Jurnal Pengabdian Masyarakat Jurnal Pengabdian Masyarakat Abdimas Madani Ulil Albab Universitas Muhammadiyah Yogyakarta Undergraduate Conference Proceeding ULIL ALBAB Jurnal Ekonomi, Manajemen, Akuntansi
Teti Anggita Safitri, Teti Anggita
Universitas Aisyiyah Yogyakarta
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Journal : Jurnal Ekonomi, Manajemen, Akuntansi

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Analisis Perbandingan Tarif Rumah Sakit dan Tarif INA CBG Pada Pelayanan Rawat Inap di RS PKU Muhammadiyah Yogyakarta Rigel Nurul Fathah; Teti Anggita Safitri
EKOMA : Jurnal Ekonomi, Manajemen, Akuntansi Vol. 3 No. 3: Maret 2024
Publisher : CV. Ulil Albab Corp

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56799/ekoma.v3i3.3126

Abstract

This study aims to analyze the difference in the actual cost or tariff of the hospital with the Indonesian Case-Based Group (INA-CBG) tariff on the payment claims of inpatients participating in the National Health Insurance (JKN) and the factors causing the difference and the difference in rates. The research was conducted at PKU Muhammadiyah Hospital Yogyakarta.This study uses descriptive methods to collect primary and secondary data in the form of observations, interviews, and the collection of hospital financial data. The data analysis technique in this research is descriptive and oriented to the actual cost of BPJS claims for JKN participants in class 3 health services at PKU Muhammadiyah Hospital Yogyakarta. From the results of the study, hospital rates showed a difference from INA CBG rates. Of the 372 diseases, there was a positive difference between surgeons, neurologists, obstetricians, and pediatricians, while for internal medicine specialists, the hospital experienced a negative difference (loss). The factors causing the difference in real hospital rates and INA CBG package rates in class 3 inpatient services at PKU Muhammadiyah Yogyakarta Hospital are 1. Determination of real tariff standards with INA CBG package rates by the hospital (2) Accuracy in coding diagnosis This study aims to analyze the difference in the actual cost or tariff of the hospital with the Indonesian Case-Based Group (INA-CBG) tariff on the payment claims of inpatients participating in the National Health Insurance (JKN) and the factors causing the difference and the difference in rates. The research was conducted at PKU Muhammadiyah Hospital Yogyakarta. This study uses descriptive methods to collect primary and secondary data in the form of observations, interviews, and the collection of hospital financial data. The data analysis technique in this research is descriptive and oriented to the actual cost of BPJS claims for JKN participants in class 3 health services at PKU Muhammadiyah Hospital Yogyakarta. From the results of the study, hospital rates showed a difference from INA CBG rates. Of the 372 diseases, there was a positive difference between surgeons, neurologists, obstetricians, and pediatricians, while for internal medicine specialists, the hospital experienced a negative difference (loss). The factors causing the difference in real hospital rates and INA CBG package rates in class 3 inpatient services at PKU Muhammadiyah Yogyakarta Hospital are 1. Determination of real tariff standards with INA CBG package rates by the hospital (2) Accuracy in coding diagnosis
Co-Authors Al Idrus, Syarifa Mawaddah Dittasari Putriana Dittasari Putriana Esitra Herfanda Fathah, Rigel Nurul Fayakun Nur Rohmah Fitri Fitri Fitri Maulidah Rahmawati Ika Afifah Nugraheni Musoli Noviani, Nor Eka Noviani, Nor Eka Rigel Nurul Fathah Suhermini Suhermini, Suhermini Suhermini, Suhermini Sumaya Fatma Syagata, Anindhita Syahbi