Health services in Indonesia can not be separated from the government program of the National Health Insurance (JKN) and BPJS Health as the implementer of the program. The payment method using the INA-CBGs prospective system using claims that will be reimbursed by BPJS. The process of filing a claim from the Hospital to BPJS has a verification phase of file completion, membership administration, service administration, and verification of health services. The claims file that found incomplete in the verification process resulted in the return of the file by BPJS, in RSUD R.A Kartini Jepara still found the problem. The purpose of this research is to know the description of the cause of the return of inpatient claims file by BPJS in terms of filing claims.This research use descriptive survey research method with cross sectional approach. The sample uses an inpatient claims file that BPJS Health returned in March-April 2017 of 49 files. The research instrument uses checklists and interviews. Data analysis using univariate analysis.The result of this research shows that there are incomplete membership administration 35 files (71%), 30 files (61%) of membership administrative Incompatibility and 7 files (10%) incombility of service administration. Incomplete and incompatibility of membership administration indicates the lack of supporting files. The incompatibility of service administration indicates the diagnoses and the physicians in charge are not suitable. While on the claim submission flow does not have Standard Operating Procedures (SOP)

Medical Record is a very important part of a health service facility because medical records contain all information as long as patients are given care in health care facilities. Responsible for Medical Records (PJRM) are medical recorders who are placed in wards to work on medical record activities when patients are still being treated. The impact if the absence of medical recorders in the ward is to accumulate medical records in the medical record work unit, uncontrolled services, incomplete medical records. This study is a quantitative analysis, namely to determine the effectiveness of the person in charge of medical records in each ward on the management of medical records, meaning that each research subject is observed, the risk factors and impacts are measured according to circumstances or observations and how much potential losses or benefits to be received by the hospital. placed the

The time for providing outpatient medical record documents based on Permenkes No.129, 2008 is 10 minutes starting from the patient registering until the patient's medical record document is provided at the polyclinic. In a preliminary study conducted on 10 medical record documents, there were 7 (70%) whose time of provision of medical record documents was not following minimum service standards. If the time of provision of medical record documents is not improved, it will have an impact on the quality of service and patient satisfaction. The type of research used is descriptive quantitative research with a cross-sectional approach. The population is the number of outpatient visits totaling 85,727 from 13 existing polyclinics. Determination of the sample size using the Slovin formula obtained 100 medical record documents. Determination of samples from 13 polyclinics proportionally. Methods of data collection by observation and interviews. The results of the study showed that the average time for providing medical record documents was 19.94 minutes, not following the established minimum service standards and standard operating procedures. Factors affecting the delay in providing outpatient medical record documents from the 5M models were found to be 2M that had an effect, namely human factors and methods. Human resources in the filling department are only 4 officers (57.14%) of 7 officers who have a diploma education background of three medical records and only 2 officers (28.57%) who have received training in filling management. The method factor, standard operating procedures does not regulate and emphasizes ways, methods, or tools in providing medical record documents at the polyclinic on time according to minimum service standards. The implementation of the standard operating procedures has not yet been evaluated.Keywords: medical records, time providing, 5M AbstrakWaktu penyediaan dokumen rekam medis (DRM) pasien rawat jalan berdasarkan Permenkes No.129, 2008 adalah ≤10 menit dimulai dari pasien mendaftar sampai DRM pasien disediakan di poliklinik. Studi pendahuluan yang dilakukan dari 10 DRM terdapat 7 (70%) yang waktu penyediaan DRM tidak sesuai standar pelayanan minimum (SPM). Jika waktu penyediaan DRM sesuai data tersebut tidak dilakukan perbaikan, akan berdampak pada mutu pelayanan dan kepuasan pasien. Jenis penelitian yang digunakan adalah penelitian deskriptif kuantitatif dengan pendekatan cross sectional. Populasi adalah jumlah DRM kunjungan pasien rawat jalan berjumlah 85.727 dari 13 poliklinik yang ada. Penentuan besar sampel menggunakan rumus Slovin, didapatkan 100 DRM. Penentuan sampel dari 13 poliklinik secara proporsional. Metode pengumpulan data dengan observasi dan wawancara. Hasil penelitian rata-rata waktu penyediaan DRM adalah 19,94 menit, belum sesuai dengan SPM RS dan standar prosedur operasional (SPO) yang sudah ditetapkan. Faktor-faktor yang mempengaruhi keterlambatan penyediaan DRM rawat jalan dari 5M model ditemukan 2 M yang berpengaruh, yaitu faktor manusia dan metode. SDM di bagian filing baru 4 petugas (57,14%) dari 7 petugas yang mempunyai latar belakang pendidikan diploma tiga rekam medis dan hanya 2 petugas (28,57%) yang sudah mendapatkan pelatihan dalam pengelolaan filling. Faktor metode, SPO tidak mengatur dan menekankan cara, metode atau alat dalam menyediakan DRM di poliklinik dengan tepat waktu sesuai SPM. Pelaksanaan SPO juga belum dilakukan evaluasi.Kata Kunci: rekam medis, waktu penyediaan, 5M

of coder workload and diagnosis code of accuracy patient hospital in pekanbaru 2016.The kind of this research is quantitative descriptive research. The sample was 114 persons which is random by using univariat and bivariat analysis with Chi Square.There is different of result in this research. Where can be seen from the accurate diagnosis; 84(73,7%), while there was bad accuracy 30(26,3%). The high workload 26 (22,8%) and the low workload; 88(72,2%). There was relationship the workload and code accurate P

Hospital in order to organize good service then it takes a health worker that has the competence in the field of health so as to ensure the accountability, efficiency and quality of service. RSI Sultan Agung Semarang has 12 outpatient dan inpatient registration officer. The purpose of this research is to know the needs of outpatients and inpatient registration officers on WISN method in RSI Sultan Agung Semarang in 2016. This research is descriptive research with cross sectional time approaches. Sampling techniques are used accidental sampling techniques. A method of the data used in this research are observation and interview. Based on observation we can conclude that registration for new patient that outpatient needs 7 minutes, while registration for old patient that outpatient needs 3 minutes, registration for patient that use insurance needs 3 minutes, registration patient by phone needs 3 minutes, and admission patient needs 12 minutes. Based on the calculation with WISN formula, in order to make a better service we need to add one more registration officer.