2023
DOI: 10.35568/abdimas.v6i4.4049
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Workshop of International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9cm) at RMC Pakandangan Clinic

Sayati Mandia

Abstract: 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 diagn… Show more

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