TINJAUAN PENGODEAN KLINIS PASIEN BPJS GUNA MENDUKUNG KETEPATAN GRUPING INA-CBG’S DI RUMAH SAKIT CIMAHI

This research was motivated when the authors conducted a coding review of 30 medical record samples. The results were 33.33% incorrect in clinical coding. purpose this paper is to get an overview BPJS patients support accuracy grouping INA-CBG's system at Cimahi Hospital. type descriptive quantitative, with population 783 records 88 There 34,09% inaccuracy, based on ICD-10 rules set by reason wrong choice selection Main Diagnosis, and officers did not look back Minister Health Regulation 76/2016, as well Minutes Agreement. Another factor that affects inaccuracy coder does see contents whole (abstraction process), there no controlling activity or supervision specifically for patients. INA-CBGs grouper 25% different.
 Concluded had followed standard adjusted PMK 76/2016 Agreement because impact INA-CBGs. Suggested periodic audits should be carried out, holding regular meetings activities according government policy