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Peran IT dalam JKN

Peran IT dalam JKN. Agus Mutamakin Lokakarya Monitoring & Evaluasi JKN 16 April 2014. Alur Pelayanan & Klaim JKN. Standar. Software INA-CBG 4. Software INA-CBG 4. Software Verifikasi Klaim. Alur Pelayanan & Klaim JKN. Modifikasi RSCM. Standar. Software EHR. Bridging.

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Peran IT dalam JKN

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  1. Peran IT dalam JKN Agus Mutamakin Lokakarya Monitoring & Evaluasi JKN 16 April 2014

  2. Alur Pelayanan & Klaim JKN Standar Software INA-CBG 4 Software INA-CBG 4 Software Verifikasi Klaim

  3. Alur Pelayanan & Klaim JKN Modifikasi RSCM Standar Software EHR Bridging Software INA-CBG 4 Software INA-CBG 4 Software INA-CBG 4 Software INA-CBG 4 Software Verifikasi Klaim Software Verifikasi Klaim

  4. Software INA-CBG 4

  5. Software INA-CBG 4

  6. Variabel data klaim INA-CBG 4 • No RM • Nama lengkap • Jenis kelamin • Tgl lahir • Model pembayaran • Nomor peserta • No SEP • Jenis perawatan • Kelas perawatan • LOS • Tgl masuk • Tgl keluar • Cara pulang • DPJP • Berat lahir • Tarif RS • Surat rujukan • Pengesahan severity level • ADL • Special CMG • Procedure • Drug • Investigation • Prosthesis • Kode Diagnosa • Kode Prosedur

  7. Software EHR, Modul koneksi INA-CBG

  8. Rencana T2 (April – Juni 2014) • Bridging Software EHR – SEP • Bridging Software EHR – Verifikasi klaim 3. Modul analisa & utilization review

  9. Terima kasih

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