影响“达摩”肿瘤医院BPJS索赔临床肿瘤病例编码质量的因素

S. Rohani, W. Qomarania, Mieke Nurmalasari
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引用次数: 0

摘要

诊断代码对卫生保健提供者具有非常重要的作用,它是进行统计以发现疾病趋势的基础,也是确定卫生服务费用的基础。准确的诊断代码非常重要,因为诊断代码中的不准确会减慢声称JKN或BPJS的过程,因为它们必须首先进行修改。2018年,在“Dharmais”医院,待处理的门诊文件为2782份(2%),而待处理的住院文件多达58份(1.5%)。本研究的目的是分析知识、态度和临床编码员培训对肿瘤病例BPJS索赔临床编码质量的影响。使用的研究设计是横断面的,有14名受访者(总人口)。经多元线性回归分析,临床编码人员的知识和态度对临床编码质量有影响(p值= 0.013)。形成的回归方程为临床编码质量= -94,664 + 8,360(知识)+ 4,490(态度)。知识是影响临床编码质量的最大因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Factors That Affect Coding Quality Clinical Neoplasm Case for BPJS Claims at "Dharmais" Cancer Hospital
: The diagnosis code has a very important role for health care providers as a basis for making statisticsto find out trends in disease and is the basis for determining the cost of health services. Accurate diagnosis codes are very important because inaccuracies in the diagnosis code can slow the process of claiming JKN or BPJS because they have to be revised first. In 2018 at “Dharmais” Hospital the pending outpatient file is 2782 (2%), while the pending file is hospitalized as many as 58 files (1.5%). The purpose of this study was to analyze the influence of knowledge, attitudes and clinical coder training with the quality of clinical coding of the Neoplasm Case for BPJS claims. The study design used is cross-sectional with 14 respondents (total population). The results with multiple linear regression analysis, there was an influence between the knowledge and attitudes of clinical coders on the quality of clinical coding (p-value = 0.013). The regression equation formed is Clinical Coding Quality = -94,664 + 8,360 (Knowledge) + 4,490 (Attitude). Knowledge is the biggest influence on the quality ofclinicalcoding.
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