Rekam Medic Analysis Of The Relationship Of Completeness Of Secondary Diagnosis With The Increase Of INA-CBG'S Rates In RSUD Pandan Arang Boyolali

Abstract

Background. Pandan Arang Boyolali Regional General Hospital is a type B referral hospital with an average
Completeness in providing a diagnosis is something that must be considered by medical record personnel,
completeness of diagnosis is very important in the field of clinical data management, billing of fees, along with
other matters related to health care and services. INA-CBG's is an extension of the Indonesia Case base Group
which is an application used by hospitals in submitting claims with a package system based on the disease
suffered, and then the hospital will receive payment according to the average cost spent by the diagnosis group.
Knowing the relationship between completeness of secondary diagnosis and the increase in INA-CBG's rates at
RSUD Pandan Arang Boyolali.
The design of this study was observational with a cross sectional approach. The population in this study were all
JKN patient medical record documents in the case of inpatients who were treated by more than one specialist
doctor at Pandan Arang Boyolali Hospital for the period January to March 2022 as many as 293 patients. The
Indonesian Journal of Health Information Management (IJHIM) Vol. x No. x (xxxx)| 2
sampling technique is simple random sampling. Checklist instrument and documentation study. Data analysis
using chi square.
The completeness of the secondary diagnosis in the medical records of inpatients at Pandan Arang Boyolali
Hospital is complete for 53 patients (70.7%) The increase in rates for the medical records of inpatients at Pandan
Arang Boyolali Hospital is for as many as 54 patients (72%) There are 12 record documents medical staff who
experienced an increase after being completed and showed a positive difference of 78,557,700
There is a relationship between the completeness of the secondary diagnosis and the increase in INA-CBG's rates
at RSUD Pandan Arang Boyolali