Scribd Logo
Upload

Welcome to Scribd!

  • Book 3

    Uploaded by

    Hasnan Amd Kep
    3 views2 pages
    1. This document summarizes reimbursement payments from BPJS, Indonesia's national health insurance, to the Bina Kasih Pekanbaru hospital from July to November 2014. 2. It shows the number of cases submitted for reimbursement each month, the results of verification by BPJS, the realized payments, and differences between files submitted and verified. 3. Notes indicate some cases were still undergoing the verification process by BPJS and some were undergoing revision of the casemix classification system.

    Original Description:

    we

    Original Title

    Book3

    Copyright

    © © All Rights Reserved

    Available Formats

    XLSX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    1. This document summarizes reimbursement payments from BPJS, Indonesia's national health insurance, to the Bina Kasih Pekanbaru hospital from July to November 2014. 2. It shows the number of cases submitted for reimbursement each month, the results of verification by BPJS, the realized payments, and differences between files submitted and verified. 3. Notes indicate some cases were still undergoing the verification process by BPJS and some were undergoing revision of the casemix classification system.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    3 views2 pages

    Book 3

    Uploaded by

    Hasnan Amd Kep
    1. This document summarizes reimbursement payments from BPJS, Indonesia's national health insurance, to the Bina Kasih Pekanbaru hospital from July to November 2014. 2. It shows the number of cases submitted for reimbursement each month, the results of verification by BPJS, the realized payments, and differences between files submitted and verified. 3. Notes indicate some cases were still undergoing the verification process by BPJS and some were undergoing revision of the casemix classification system.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    REKAP PEMBAYARAN BIAYA PELKES DARI BPJS KE RS BINA KASIH PKEKANBARU

    PENGAJUAN RS HASIL VERIFIKASI REALISASI SELISIH BERKAS KETERANGAN


    BUPEL NO SURAT/TGL
    RJTL RITL RJTL RITL RJTL RITL RJTL RITL RJTL RITL
    JULI
    TAHAP I 112/RSBK/XI/2014 Rp 9,747,174
    - 4 (21 November 2014) - 3 - - - - -
    TAHAP II 147/RSBK/XII/2014 - 1 - Rp 2,524,924
    - - (17 - - - -
    Desember 2014)
    REKAP TOTAL - 4 Rp 12,272,098 - 4 Rp - Rp 12,272,098 - - - -

    AGUSTUS
    TAHAP I 101/RSBK/XI/2014 - 10 - Rp 35,104,259
    - 11 (11 November 2014) - - - -

    REKAP TOTAL Rp 35,104,259 - 10 Rp - Rp 35,104,259 Ÿ 1 kasus proses verifikasi


    - 11 - - - BPJS

    SEPTEMBER
    TAHAP I 19 57 Rp 9,548,100 Rp 202,157,883
    109/RSBK/XI/2014 - - - -
    (19 November 2014)
    TAHAP II

    - - 116/RSBK/XI/14 (RITL) - - - -
    dan 115/RSBK/XI/14
    (RJTL)
    (25 November 2014) 17 14 Rp 8,866,900 Rp 70,900,900
    REKAP TOTAL 36 71 Rp 18,415,000 Rp 273,058,783 Ÿ 2 kasus proses Ÿ 6 kasus proses verifikasi
    verifikasi BPJS BPJS
    - - Ÿ 26 proses revisi tim
    casemix

    OKTOBER
    TAHAP I 121/RSBK/XII/2014 47 21 Rp 31,977,200 Rp 81,989,600
    (RITL) dan
    122/RSBK/XII/2014
    (RJTL) - - - -
    (01 Desember 2014)
    TAHAP II 136/RSBK/XII/2014 17 20 Rp 13,885,700 Rp 77,848,400
    (RITL) dan
    138/RSBK/XII/2014
    - - (RJTL) - - - -
    15 Desember 2014

    REKAP TOTAL 64 41 Rp 45,862,900 Rp 159,838,000 Ÿ 14 proses verifikasi Ÿ 6 proses verifikasi BPJS


    BPJS Ÿ proses revisi tim
    - - Ÿ proses revisi tim casemix
    casemix

    NOVEMBER
    TAHAP I 141/RSBK/XII/2014 46 13 Rp 41,464,400 Rp 58,444,200
    (RITL) DAN
    143/RSBK/XII/2014
    (RJTL)
    16 Desember 2014

    REKAP TOTAL 46 13 Rp 41,464,400 Rp 58,444,200 Ÿ 12 proses verifikasi Ÿ 17 proses verifikasi BPJS


    BPJS Ÿ proses revisi tim
    - - Ÿ proses revisi tim casemix
    casemix

    #REF! Rp 105,742,300 Rp 538,717,340

    Rp 644,459,640
    #REF!

    You might also like