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All Journal MULTIPLE: Journal of Global and Multidisciplinary
Nur Fadila Bahmid
Universitas Bina Taruna Gorontalo, Indonesia
Religion Humanities Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Languange, Linguistic, Communication & Media Social Sciences Other

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Factors Inhibiting the Collection of BPJS Receivables in Improving Financial Performance (Case Study at Multazam Hospital, Gorontalo): Faktor-Faktor Penghambat Pencairan Piutang BPJS Dalam Meningkatkan Kinerja Keuangan (Studi Kasus Di Rs. Multazam Gorontalo) Nur Fadila Bahmid; Lisda Van Gobel; Yahya Antu
MULTIPLE: Journal of Global and Multidisciplinary Vol. 1 No. 2 (2023): August
Publisher : Institute of Educational, Research, and Community Service

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Abstract

This study aims to determine the inhibiting factors in the disbursement of BPJS receivables in improving financial performance at hospitals. Multazam Gorontalo. This type of research is descriptive qualitative approach. The results showed that the inhibiting factor for the disbursement of BPJS receivables in improving financial performance at Multazam Hospital from the HR aspect was that the number of coding officers was only 1 person to verify BPJS patient files and had not recruited due to limited human resources who were experts in coding. The aspect of file completeness, the rate of return of files by BPJS is 5-10% of the total files submitted. Claims that have been revised will be included in new claims submitted to BPJS Health before the 10th. The budget availability aspect for BPJS Health is experiencing a budget deficit caused by participants who are in arrears or do not pay monthly premium contributions. With the disbursement of delayed BPJS patient claim funds, since 2020 the Multazam Hospital has used the SCF program to improve cash flow. It is suggested that the Multazam Hospital needs to recruit coding staff, conduct training related to verification of BPJS patient files (coding system), minimize the return of claim files and complete them in a timely manner, use the integrated BPJS patient claim file application, utilize the supply chain financing (SCF) program from the government effectively and efficiently as possible to maintain cash flow and hospital operations
Factors Inhibiting BPJS Receivables Disbursement in Improving Financial Performance (Case Study at Multazam Hospital in Gorontalo): Faktor-Faktor Penghambat Pencairan Piutang Bpjs Dalam Meningkatkan Kinerja Keuangan (Studi Kasus Di Rs. Multazam Gorontalo) Nur Fadila Bahmid; Lisda Van Gobel; Yahya Antu
MULTIPLE: Journal of Global and Multidisciplinary Vol. 1 No. 3 (2023)
Publisher : Institute of Educational, Research, and Community Service

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Abstract

This study aims to understand the factors hindering the settlement of BPJS receivables and their impact on the financial performance of RS Multazam Gorontalo. This research adopts a qualitative descriptive approach. The findings reveal several inhibiting factors, such as a shortage of skilled coding personnel, a low rate of document returns by BPJS, a budget deficit in BPJS Health due to unpaid premium contributions, and delayed disbursement of BPJS patient claim funds. RS Multazam has utilized the SCF program to address cash flow issues. Recommendations include recruiting more coding personnel, providing training for BPJS patient document verification, minimizing document return issues, utilizing integrated applications, and efficiently utilizing government SCF programs. All of these actions are aimed at improving cash flow and hospital operations
Co-Authors Lisda Van Gobel Yahya Antu