7/1/2019 E-Klaim INA-CBG

E-Klaim INA-CBG 5.3.1.201901040727 KLINIK UTAMA SEHAT SEJAHTERA

KELAS D SWASTA • REGIONAL 2 • K1610001
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20 BESAR PENYAKIT
Periode Pulang : 1 Jan 2018 s/d 31 Jan 2018 Ranap   Rajal Tampilkan

ICD-10 Jumlah Klaim Total Tarif Rumah Sakit Total Tarif INA-CBG Harian
Z09.8^I11.9 13.6% 596 Rp 99,458,568 Rp 118,507,500 Minggu
Senin
Z09.8^I10 7.7%
Selasa
Z09.8^I25.1 4.9%
Jenis Kelamin Umur Rabu

120 Kamis
Z09.8^E14.9 4.2%
110 Jumat
Z13.8 3.7% 100
90 Sabtu
80
Z09.8^E11.9 3.4% Laki 45.13% 0 50 100
70
Perempuan 54.87% 60
I11.9 3.2% 50 Cara Pulang
40
Z09.8^E11.4 2.9% 30 Atas Persetujuan Dokter
20
Z09.8^K21.9 2.0% 10 Dirujuk
0
Z09.8^K30 1.8% Atas Permintaan Sendiri
0 10 20 30 40 50 60 70 80 90 100
tahun Meninggal
Z09.8^J44.9 1.8%
Lain-lain
Z09.8^E05.9 1.7% Tarif Rumah Sakit 0 200 400
Z09.8^M19.99 1.5% Tindakan
Konsul/Visit
8M
Obat/Alkes Kelas Rawat
I10 1.5% Penunjang
Akomodasi Eksekutif
Z09.8^M17.9 1.5% 6M
Reguler
rupiah

M17.9 1.3%
4M 0 200 400
M19.99 1.3%
Komponen Tarif
Z09.8^E14.4 1.2% 2M
Tindakan
K21.9 1.2% Konsul/Visit
0
3 05 07 9 1 13 15 17 19 21 23 25 27 29 31
Obat/Alkes
K30 1.2% d0 Fri n e0 u1 t n d Fri n e u t n d
We Ja Tu Th Sa Mo We Ja Tu Th Sa Mo We Penunjang
Others 38.4% Akomodasi

0 50 100 150 200 n 07 n 14 n 21 n 28 0 20M 40M 60M 80M

Ja Ja Ja Ja

ICD-10
[ unduh ]
No Code Deskripsi Jumlah ALOS Subtotal RS Subtotal INA-CBG

Hypertensive heart disease without (congestive)

1 Z09.8^I11.9 81 - 12,246,996 15,474,400
heart failure

2 Z09.8^I10 Essential (primary) hypertension 46 - 6,800,803 8,588,200

3 Z09.8^I25.1 Atherosclerotic heart disease 29 - 4,272,400 5,414,300

Unspecified diabetes mellitus without

4 Z09.8^E14.9 25 - 4,193,898 4,667,500
complications

Special screening examination for other specified

5 Z13.8 22 - 3,244,216 2,966,000
diseases and disorders

Non-insulin-dependent diabetes mellitus without

6 Z09.8^E11.9 20 - 3,315,600 3,734,000
complications

Hypertensive heart disease without (congestive)

7 I11.9 19 - 4,628,200 3,547,300
heart failure

Non-insulin-dependent diabetes mellitus with

8 Z09.8^E11.4 17 - 3,148,600 3,173,900
neurological complications

Gastro-oesophageal reflux disease without

9 Z09.8^K21.9 12 - 1,954,600 2,240,400
oesophagitis

Chronic obstructive pulmonary disease,

10 Z09.8^J44.9 11 - 1,576,100 2,177,300
unspecified

11 Z09.8^K30 Dyspepsia 11 - 1,577,000 2,053,700

12 Z09.8^E05.9 Thyrotoxicosis, unspecified 10 - 1,364,900 1,867,000

13 I10 Essential (primary) hypertension 9 - 1,412,000 1,680,300

14 Z09.8^M17.9 Gonarthrosis, unspecified 9 - 1,399,800 1,680,300

15 Z09.8^M19.99 Arthrosis, unspecified, unspecified site 9 - 1,497,000 1,680,300

16 M17.9 Gonarthrosis, unspecified 8 - 1,545,899 1,493,600

17 M19.99 Arthrosis, unspecified, unspecified site 8 - 1,510,500 1,493,600

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7/1/2019 E-Klaim INA-CBG

No Code Deskripsi Jumlah ALOS Subtotal RS Subtotal INA-CBG

Gastro-oesophageal reflux disease without

18 K21.9 7 - 1,133,100 1,704,500
oesophagitis

19 K30 Dyspepsia 7 - 1,220,600 1,999,400

Tb lung without mention of bact or histological

20 Z09.8^A16.2 7 - 1,095,100 1,306,900
confirm

Dokter
[ unduh ]
No Nama Dokter Jumlah Subtotal RS Subtotal INA-CBG

1 RESTU IMAN,DR.SP.PD 593 99,013,568 117,947,400

2 PRIMA, DR 2 275,000 373,400

3 LIAN LANRIKA W. LUBIS, DR. SP.PD 1 170,000 186,700

Petugas Koder
[ unduh ]
No Nama Petugas Koder Jumlah Subtotal RS Subtotal INA-CBG

1 klinik 596 99,458,568 118,507,500

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