Workshop on s-claim application system for BPJS claim officers at Grandmed Lubuk Pakam Hospital
DOI:
https://doi.org/10.35451/jpk.v4i1.2180Keywords:
: BPJS E-Clain, Health officersAbstract
BPJS Health is a public legal entity that is directly responsible to the President and functions to organize health insurance programs for all Indonesian residents, including foreigners who work for a minimum of six months in Indonesia. The BPJS Health claim procedure can be quite complicated and requires a lot of supporting documents. Unclearness in the guidance or instructions provided can make participants confused and not prepare the complete documents required, one of which is incomplete data files. This is a problem that slows down the claim process. This activity aims to provide health education on the application of the S-National Health Insurance (JKN) system, namely health protection program in Indonesia designed to provide basic health care and protection benefits for all Indonesian citizens. The main goal of JKN is to ensure that everyone in Indonesia has access to adequate basic health services, either through contributions paid by participants themselves or contributions paid by the government for certain groups. With the existence of JKN, it is hoped that the entire population of Indonesia can feel the benefits of equitable and quality health services, thereby improving the health status of the community as a whole. Claims to BPJS officers. The method of implementing activities is using observation sheets and questionnaires regarding the application of the S-Claim system to BPJS officers. Through this activity, it is hoped that the knowledge of BPJS claims officers can increase and change attitudes so that they can apply the BPJS E-Claim system correctly. Socialization to BPJS claims officers can be concluded that the knowledge of BPJS claims officers at Grandmed Lubuk Pakam Hospital has increased by 60% after conducting socialization using discussion, lecture and question and answer methods as well as holding quizzes or tests to evaluate participants' understanding of the S application.
References
Aditya Pradani, E., Lelonowati, D., & Sujianto, S. (2017). Keterlambatan Pengumpulan Berkas Verifikasi Klaim BPJS di RS X: Apa Akar Masalah dan Solusinya? Jurnal Medicoeticolegal Dan Manajemen Rumah Sakit, 6(2), 107–114.
BPJS Kesehatan, 2014 Available From Verivikasi Klaim: https://bpjs-kesehatan.go.id/bpjs/dmdocuments/Petunjuk%20Teknis%20Verifikasi%20Klaim_REV.pdf
BPJS Kesehatan. Panduan Layanan Bagi Peserta Jaminan Kesehatan Nasional Kartu Indonesia Sehat (JKN-KIS). BPJS Kesehatan, 2018
Erlindai, Sitorus, M. S., Christy, J., & Khairani. (2023). Persyaratan Pengajuan Klaim BPJS di RSU Imelda Pekerja Indonesia Medan Tahun 2022. Jurnal Ilmiah Pengabdian Kepada Masyarakat (Ji-SOMBA), 2(2), 63–72
Faida, E. W. & M. (2019). Dasar organisasi dan manajemen unit kerja rekam medis. Indomedia Pustaka.
Lestari, R. T. (2021). Faktor-Faktor yang Menyebabkan Dispute Claim dalam Proses Pengklaiman BPJS
Maulida, E. S., & Djunawan, A. (2022). Analisis Penyebab Pending Claim Berkas BPJS Kesehatan Pelayanan Rawat Inap Rumah Sakit Universitas Airlangga. Media Kesehatan Masyarakat Indonesia, 21(6), 374–379.
Megawati, L., & Pratiwi, R. D. (2016). Faktor-Faktor Penyebab Pengembalian Berkas Persyaratan Klaim BPJS Pasien Rawat Inap di RS PKU Muhammadiyah Yogyakarta. Jurnal Kesehatan Vokasional, 1(1), 36.
Retnosari, N., & Wahyuningsih, S. (2019). Prosedur Klaim Asuransi Jaminan Kesehatan Nasional Pasien Rawat Inap Rsud Kabupaten Sukoharjo. Rekam Medis, 141–150.
Yulianti, E., Fitriyah, N., Suryantara, A. B., Akuntansi, J., Ekonomi, F., & Bisnis, D. (2022). Persepsi User Terhadap Sistem Klaim Bpjs Kesehatan Dalam Kerangka Technology Acceptance Model (TAM) Pada Rumah Sakit. JIMAT (Jurnal Ilmiah Mahasiswa Akuntansi) Undiksha, 13(03), 948–959
Downloads
Published
Issue
Section
License
Copyright (c) 2024 Okto Hebron Purba, Ratna Yuanita
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright in each article is the property of the Author.