Kertas Kerja Rajal Feb 20 THP 2 Di Cek Ulang

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no Tgl. Masuk Tgl. Pulang No. RM Nama Pasien No.

Klaim / SEP
1 24 Feb 2020 2/24/2020 00014982 NIMIN 0137R0770220V002279

2 11 Feb 2020 2/11/2020 00000555 ASTRY NINGSIH 0137R0770220V000961


3 15 Feb 2020 2/15/2020 00030494 YATMO 0137R0770220V001513
4 3 Feb 2020 2/3/2020 00025511 SAHERO 0137R0770220V000131

5 3 Feb 2020 2/3/2020 00028095 ASTUTI PRIMAR TANTI 0137R0770220V000151


6 3 Feb 2020 2/3/2020 00024206 ERLIDE L.GAOL 0137R0770220V000169
7 3 Feb 2020 2/3/2020 00030004 NURSANI BR SIHOMBING 0137R0770220V000192
8 6 Feb 2020 2/6/2020 00024206 ERLIDE L.GAOL 0137R0770220V000554
9 6 Feb 2020 2/6/2020 00011237 BERLIAN BR SIAHAAN 0137R0770220V000578
10 7 Feb 2020 2/7/2020 00029538 DIAH MARDIAH 0137R0770220V000699

11 8 Feb 2020 2/8/2020 00029101 JEBAG 0137R0770220V000739


12 10 Feb 2020 2/10/2020 00030087 MINTRA 0137R0770220V000886
13 10 Feb 2020 2/10/2020 00024206 ERLIDE L.GAOL 0137R0770220V000900
14 11 Feb 2020 2/11/2020 00030087 MINTRA 0137R0770220V000967
15 11 Feb 2020 2/11/2020 00011237 BERLIAN BR SIAHAAN 0137R0770220V000977
16 11 Feb 2020 2/11/2020 00028095 ASTUTI PRIMAR TANTI 0137R0770220V001007
17 12 Feb 2020 2/12/2020 00027725 BAMBANG KUSMANTO 0137R0770220V001139
18 12 Feb 2020 2/12/2020 00027370 SULAEMAN 0137R0770220V001147

19 12 Feb 2020 2/12/2020 00024206 ERLIDE L.GAOL 0137R0770220V001161


20 12 Feb 2020 2/12/2020 00028886 WASILAH 0137R0770220V001210

21 13 Feb 2020 2/13/2020 00011237 BERLIAN BR SIAHAAN 0137R0770220V001256


22 14 Feb 2020 2/14/2020 00030422 IMAM SUBHI 0137R0770220V001458

23 15 Feb 2020 2/15/2020 00030499 ZAKARIA 0137R0770220V001494

24 17 Feb 2020 2/17/2020 00025511 SAHERO 0137R0770220V001608


25 17 Feb 2020 2/17/2020 00029025 SRI ISNANIADI 0137R0770220V001675

26 18 Feb 2020 2/18/2020 00025754 SUPRIADI 0137R0770220V001729


27 18 Feb 2020 2/18/2020 00027370 SULAEMAN 0137R0770220V001760

28 18 Feb 2020 2/18/2020 00027725 BAMBANG KUSMANTO 0137R0770220V001763


29 19 Feb 2020 2/19/2020 00030087 MINTRA 0137R0770220V001911
30 20 Feb 2020 2/20/2020 00030670 WALIM 0137R0770220V001952
31 21 Feb 2020 2/21/2020 00029538 DIAH MARDIAH 0137R0770220V002114
32 24 Feb 2020 2/24/2020 00024206 ERLIDE L.GAOL 0137R0770220V002386
33 26 Feb 2020 2/26/2020 00024206 ERLIDE L.GAOL 0137R0770220V002553
34 26 Feb 2020 2/26/2020 00027634 AHMAD SYAFEI 0137R0770220V002566
35 27 Feb 2020 2/27/2020 00030781 UTAMI YULI ASTUTI 0137R0770220V002896

36 28 Feb 2020 2/28/2020 00025754 SUPRIADI 0137R0770220V002757


37 28 Feb 2020 2/28/2020 00030422 IMAM SUBHI 0137R0770220V002802

38 28 Feb 2020 2/28/2020 00028886 WASILAH 0137R0770220V002808

39 12 Feb 2020 12 Feb 2020 00026515 LUDWINA AGUSTINA SUPARMIRAH 0137R0770220V001214


INACBG Total Tarif Tarif RS hasil verifikasi ke 1
N-2-21-0 4,169,800 16,651,927 -

Q-5-44-0 192,400 326,432 rj-rj


K-5-18-0 270,400 100,000 rj-rj
N-2-21-0 4,169,800 4,522,193 eswl

Q-5-44-0 192,400 299,458 kunjungan berulang jantung


Q-5-44-0 192,400 110,246 kunjungan berulang poli pnyk dlm
K-5-18-0 270,400 557,000 kunjungan berulang
K-3-15-0 860,300 3,094,359 kunjungan berulang poli pnyk dlm
Q-5-44-0 192,400 156,966 kunjungan berulang
N-2-21-0 4,169,800 4,397,177 eswl

Q-5-44-0 192,400 693,630 kunjungan berulang pol tht


Q-5-44-0 192,400 519,533 kunjungan berulang urologi
Q-5-44-0 192,400 244,760 kunjungan berulang poli pnyk dlm
J-3-16-0 461,700 849,000 kunjungan berulang
Q-5-44-0 192,400 590,183 kunjungan berulang
Q-5-44-0 192,400 329,571 kunjungan berulang jantung
Q-5-44-0 192,400 130,396 kunjungan berulang urologi
N-2-21-0 4,169,800 5,076,084 eswl

Q-5-44-0 192,400 223,734 kunjungan berulang poli saraf


N-2-21-0 4,169,800 4,397,177 eswl

Z-3-24-0 742,400 1,521,000 kunjungan berulang


N-2-21-0 4,169,800 4,398,999 eswl

N-2-21-0 4,169,800 21,482,512 RJ

N-2-21-0 4,169,800 4,661,172 eswl


N-2-21-0 4,169,800 4,356,646 eswl

Q-5-44-0 192,400 247,151 kunjungan berulang poli saraf


N-2-21-0 4,169,800 4,499,327 eswl

Q-5-44-0 192,400 100,000 kunjungan berulang urologi


Q-5-44-0 192,400 118,369 kunjungan berulang urologi
Q-5-43-0 278,000 1,075,000 haSIL trreadmill
N-2-21-0 4,169,800 4,311,391 eswl
Q-5-44-0 192,400 183,698 kunjungan berulang poli pnyk dlm
Q-5-44-0 192,400 235,716 kunjungan berulang poli saraf
N-3-12-0 335,300 1,729,851 kunjungan berulang
J-3-15-0 404,900 4,010,358 dari ri ke rj

Q-5-44-0 192,400 217,494 kunjungan berulang poli saraf


N-2-21-0 4,169,800 4,356,392 hd slain poli hd

N-2-21-0 4,169,800 4,356,392 eswl

N-2-21-0 4,169,800 4,397,175 RJ


hasil verifikasi ke 2 konfirmasi RS
ri jadi rj, sep ri 0137R0770220V002280 --> RI di TL

Tidak layak kunjungan berulang


Tidak layak kunjungan berulang
usg & hasil konsultasi ada batu di ginjal kiri, tp yg di
eswl ginjal kanan?
Eswl berulang tgl 3 & 17 feb?

readmisi
readmisi
87.23 ganti foto thorax biasa (87.44)
readmisi
indikasi medis kunjungan berulang? Readmisi
eswl berulang 23 jan, 7 & 21 feb, ? Readmisi eswl
ginjal kanan dan ginjal kiri
readmisi
readmisi
readmisi
87.23 ganti foto thorax biasa (87.44)
indikasi medis kunjungan berulang? Readmisi
readmisi
readmisi
eswl berulang 21 jan & 12 - 18 feb ? Readmisi eswl
ginjal kanan dan ginjal kiri
readmisi
eswl berulang 13&29 jan, 12 & 28 feb ? Readmisi
eswl ginjal kanan dan ginjal kiri
indikasi medis kunjungan berulang? Readmisi
eswl berulang 14 & 28 feb ? Readmisi eswl ginjal
kanan dan ginjal kiri
RJ-RI tgl yg sama pengauan klaim ranap dgn eswl
(sep. 0137R0770220V001500)
Eswl berulang tgl 3 & 17 feb?
indikasi medis eswl?? Pasien tgl 7 feb ranap dan
dilakukan Transurethral removal of obstruction
from ureter and renal pelvis,

readmisi
eswl berulang 21 jan & 12 - 18 feb ? Readmisi eswl
ginjal kanan dan ginjal kiri
readmisi
readmisi
haSIL trreadmill
eswl berulang 23 jan, 7 & 21 feb, ? Readmisi eswl
ginjal kanan dan ginjal kiri
readmisi
readmisi
prosedur aff dj stent bukan cistoscopy
doubel RJ-RI dengan prosedur yg sama, yg RI di TL

readmisi
eswl berulang 14 & 28 feb ? Readmisi eswl ginjal
kanan dan ginjal kiri
eswl berulang 13&29 jan, 12 & 28 feb ? Readmisi
eswl ginjal kanan dan ginjal kiri
Eswl berulang tgl 10 &29 jan, 12feb? readmisi/
unbundling eswl??
no Kelas Tgl. Masuk Tgl. Pulang No. RM Nama Pasien No. Klaim / SEP
1 2 31 Jan 2020 3-Feb-20 00003889 SANAH 0137R0770120V003235

2 1 5 Feb 2020 6-Feb-20 00029146 GANDES WIYATI 0137R0770220V000464


3 2 6 Feb 2020 7-Feb-20 00030113 ERLI RASITI 0137R0770220V000485
4 1 11 Feb 2020 13-Feb-20 00030340 HETTY PURNAMASARI 0137R0770220V001027
5 1 22 Jan 2020 16-Feb-20 00029506 ANDREAS SUWAHNO 0137R0770120V002227

6 3 16 Feb 2020 17-Feb-20 00030525 ALMEERA ASHADIYA KHIRAN0137R0770220V001562


7 1 12 Feb 2020 19-Feb-20 00030413 SULARTO HS 0137R0770220V001205

8 1 1 Feb 2020 21-Feb-20 00029926 SAHIDIN S PD 0137R0770220V000050


9 3 21 Feb 2020 21-Feb-20 00030719 SUMINAH 0137R0770220V002397

10 1 19 Feb 2020 22-Feb-20 00015679 YUDHI S TUMENGKOL 0137R0770220V002000


11 2 21 Feb 2020 25-Feb-20 00030745 SUPARNI 0137R0770220V002145
12 1 19 Feb 2020 29-Feb-20 00030636 IGNATIUS LINCOLEN YULIAN 0137R0770220V001888

13 1 22 Feb 2020 29-Feb-20 00030796 BY NY SITI FAUZIAH 0137R0770220V002488


INACBG Top Up Total Tarif Tarif RS Jenis
J-1-20-III 34,963,000 20,890,668 RI

W-4-13-I 1,741,300 3,560,460 RI


J-1-20-I 17,976,600 15,393,161 RI
N-4-12-I 3,349,800 4,687,557 RI
J-1-02-III 92,864,200 106,607,279 RI

J-1-20-III 29,135,800 8,552,346 RI


G-4-24-I 4,260,400 17,276,874 RI

J-1-02-III 92,864,200 94,967,655 RI


I-4-10-I 4,043,000 5,927,538 RI

E-4-10-I 4,903,800 6,050,708 RI


L-4-12-III 9,198,300 4,770,980 RI
K-1-20-II 23,807,200 60,024,618 RI

P-8-05-II 42,114,700 12,936,799 RI


hasil verifikasi ke 2 KONFIRMASI RS
i639 ganti recurent stroke/Sequele (2 thn yg ll stroke/
riw)
data penunjang dan asuhan khusus i472?

sudah terjadi abortus? Konfirmasi kode O054


data pendukung, brp lama dan mode untuk 96.71?
kinis dan keluhana isk? Usul A049
pasien riwayat serangan stroke tahun 2016, masuk
dengan recurent stroke, , I63.9 ganti
data pendukung, brp lama dan mode untuk 96.71?
1. Pada billing dan penunjang yg dilampirkan tidak ada
ctscan, tapi di resume medis tertulis Ctscan ICH,
penegak diagnosa S06.51? open wound??
2. Prosedur 87.03 ganti ro/ cervical dan ro/ thorax
3. pasien jatuh saat ngecat atau perbaiki atap rumah??
Tidak sinkron

ventilator brp lama? Mode y?


1. lampirkan surat kematian
2. lampirkan lebar observasi ugd
DU/ A049, DS/ e119 , i10
klinis, keluhan dan asuhan khusus pneumonia (-)
PROSEDUR LAPARATOMI EKSPLORASI , ADHESIOLISIS
DAN HEMICOLECTOMI ADALAH BAGIAN DARI
PROSEDUR LAPARATOMI (INCIDENTIL)
K562 UNDERLYING DISEASES DARI D12.6

lampirkan gds awal dan koreksi untuk P70.4

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