Faktor Penyebab Ketidaktepata N Kode Diagnosis Di Puskesmas Mojolaban Sukoharjo Jawa Tengah

Saputro, Niko Tesni; Nuryati,

doi:10.33560/.v3i1.71

Cited by 3 publications

(3 citation statements)

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“…Although ICD-10 includes a large number of codes, it does not mean coders have to memorize every applicable ICD-10 code. Coders must use reference books and coding manuals to find new codes (Bowman & Abdelhak, 2001;Eramo, 2012;Ernawati, 2013;Hasan;Ifalahma, 2013;Nuryati, 2015;O'Malley et al, 2005;Quan;Silfen;Surján;van Walraven & Demers, 2001).…”

Section: Introductionmentioning

confidence: 99%

Workshop of International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9cm) at RMC Pakandangan Clinic

Sayati Mandia

2023

ABDIMAS

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Completeness of BPJS claim documents at the hospital includes service recapitulation and patient support files consisting of a Participant Eligibility Letter (SEP), medical resume, diagnostic statement from the treating doctor, and other proof of service. The BPJS claim process already uses the INA-CBGs program. Payment patterns with INA-CBGs organized by BPJS in hospitals must go through the file verification stage so that BPJS Health verifiers verify service Administration and ensure the suitability of diagnoses and procedures on bills with ICD-10 and ICD-9 codes. In coding patient medical actions/procedures, coders use ICD-9 CM rules to assign medical action codes to the patient's resume sheet. Coding of medical procedures is carried out to provide classification and specific information regarding medical actions grouped based on ICD-9 CM. Based on these problems, the author is interested in holding ICD-9 CM coding training at the RMC Pakandangan Clinic. This community service is important because it will reduce pending claims from PBJS. Objective: This community service aims to provide training related to ICD-9 CM coding and increase knowledge of medical recorders. This community service method is carried out using 3 stages, namely preparation, implementation, and evaluation. This workshop is to provide material regarding the use of ICD-9 CM and provide direct practice in coding ICD-9 CM based on applicable regulations. Results: This Community Service Activity (PKM) was carried out on April 8 2023 at the RMC Pakandangan Clinic, Padang Pariaman. The Community Service activity was attended by 10 participants. From the results of the pre-test and post-test in the ICD-9 CM coding training, there was an increase in understanding of ICD-9CM coding. Conclusion: This Community Service has a positive impact on the understanding of ICD-9 CM coding training participants.

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Section: Introductionmentioning

confidence: 99%

Workshop of International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9cm) at RMC Pakandangan Clinic

Sayati Mandia

2023

ABDIMAS

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“…Several studies related to patient's disease diagnosis coding in hospital have been done previously Yuliani, 2010;Arifianto, 2011;Rohman, 2011;Ifalahma, 2013;Saputro & Nuryati, 2015. However, these studies are still limited to the determination of the accuracy of disease diagnosis coding, and not specifically examined the relationship of factors causing inaccuracy of disease diagnosis coding.…”

Section: Introductionmentioning

confidence: 99%

Factors Affecting the Innaccuracy of Outpatient Disease Diagnosis Coding in General Surgery and Neurosurgery Polyclinics, Hospital X, Badung Regency

Suriawan¹,

Kartiko²,

Adhiwirawan³

2017

JMMR

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The purpose of this research was to investigate the correlation of coder's comprehension, audit implementation, medical record the completeness, SOP implementation, as well as facilities and infrastructure completeness with the innaccuracy of outpatient diagnosis coding in General Surgery and Neurosurgery Polyclinics, Hospital X, Badung Regency. This research was quantitative analytic research with cross sectional study design. A total of 8 coders were sampled and as many as 200 medical records were selected for the determination of coding innaccuracy. The results showed that most medical records are inaccurately coded. The bivariate test using spearman's rho indicated that there was a correlation between the coder's comprehension (sig. = 0.000), audit implementation (sig. = 0.003), medical record completeness (sig. = 0.000), SOP implementation (sig. = 0.004), as well as facilities and infrastructure completeness (sig. = 0.000) with the innaccuracy of outpatient disease diagnosis coding. Tujuan penelitian ini adalah untuk mengetahui hubungan pemahaman koder, pelaksanaan audit, kelengkapan rekam medis, pelaksanaan SOP, dan kelengkapan sarana dan prasarana dengan ketidakakuratan pengkodean diagnosis penyakit pasien rawat jalan di Poli Bedah Umum & PoliBedah Saraf, Rumah Sakit X, Kabupaten Badung. Penelitian ini merupakan penelitian analitik kuantitatif dengan rancangan penelitian cross sectional. Sebanyak 8 orang koder dijadikan sebagai sampel dan sebanyak 200 rekam medis dipilih untuk penentuan ketidakakuratan pengkodean diagnosis penyakit. Hasil penelitian menunjukkan bahwa sebagian besar rekam medis terkode secara tidak akurat. Uji bivariat menggunakan spearman's rho menunjukkan bahwa terdapat hubungan antara pemahaman koder (nilai sig. = 0,000), pelaksanaan audit (nilai sig. = 0,003), kelengkapan rekam medis (nilai sig. = 0,000), pelaksanaan SOP (nilai sig. = 0,004), dan kelengkapan sarana dan prasarana (nilai sig. = 0,000) dengan ketidakakuratan pengkodean diagnosis penyakit pasien.

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“…Beberapa penelitian menunjukkan bahwa pengodean diagnosis penyakit yang tidak mengacu pada standar klasifikasi kodifikasi ICD-10 menunjukkan tingkat akurasi koding yang rendah. Penelitian yang dilakukan oleh Saputro NT pada tahun 2015 di Puskesmas Mojolaban Sukoharjo Jawa Tengah menjelaskan bahwa salah satu faktor penyebab ketidaktepatan kode diagnosis yaitu penggunaan panduan daftar tabulasi kode diagnosis yang sering muncul di Puskesmas Mojolaban [5].…”

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Evaluasi Keakuratan Kodifikasi Diagnosis Penyakit Mata Menggunakan Aplikasi Kodifikasi Diagnosis Penyakit Mata Berbasis Dekstop Di Klinik Malang Eye Center

Suryandari

Alintia

Sangkot³

et al. 2022

rmik

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An accuration code of diagnosis disease should match ICD-10 classification. The accuration of diagnosis code of eye diseases at Malang Eye Center Clinic by using code list in excel program was 30%. The purpose of this study was to determine the level of accuracy of the coding of eye diseases before and after using the application of Desktop-based Eye Disease Codes, at Malang Eye Center Clinic. The research design used the Research and Development (R&D) method with the One Group Pretest Posttest approach. This research used 200 outpatient medical record documents (MRD) of eye disease (100 MRD for pretest and 100 MRD for posttest), that were taken using simple random sampling method. The percentage result of the accuracy of the codification of eye disease diagnosis using a desktop-based application is 96%. The results showed that there was a difference in the accuration of diagnosis code of eye diseases before and after using the application of Desktop-based Eye Disease Codes (the Z calculated value was -4.76). This application can be used as a tool for coding officers to code eye diseases at the Malang Eye Center Clinic

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Faktor Penyebab Ketidaktepata N Kode Diagnosis Di Puskesmas Mojolaban Sukoharjo Jawa Tengah

Cited by 3 publications

References 0 publications

Workshop of International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9cm) at RMC Pakandangan Clinic

Workshop of International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9cm) at RMC Pakandangan Clinic

Factors Affecting the Innaccuracy of Outpatient Disease Diagnosis Coding in General Surgery and Neurosurgery Polyclinics, Hospital X, Badung Regency

Evaluasi Keakuratan Kodifikasi Diagnosis Penyakit Mata Menggunakan Aplikasi Kodifikasi Diagnosis Penyakit Mata Berbasis Dekstop Di Klinik Malang Eye Center

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