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    The document is a report of post-claim verification for Mitra Sehat Hospital for September and October 2022. It includes 31 cases, with dates of service and admission/discharge, CBGS classification, audit results, and proposed fees. Most cases were classified as Q-5-19-0 with a proposed fee of 116,000. However, some notes indicate potential issues like screenings actually being done at a clinic instead of the hospital, and patients being seen in the emergency department instead of clinics.

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    The document is a report of post-claim verification for Mitra Sehat Hospital for September and October 2022. It includes 31 cases, with dates of service and admission/discharge, CBGS classification, audit results, and proposed fees. Most cases were classified as Q-5-19-0 with a proposed fee of 116,000. However, some notes indicate potential issues like screenings actually being done at a clinic instead of the hospital, and patients being seen in the emergency department instead of clinics.

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    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    9 views3 pages

    Untitled

    Uploaded by

    nisa paramita
    The document is a report of post-claim verification for Mitra Sehat Hospital for September and October 2022. It includes 31 cases, with dates of service and admission/discharge, CBGS classification, audit results, and proposed fees. Most cases were classified as Q-5-19-0 with a proposed fee of 116,000. However, some notes indicate potential issues like screenings actually being done at a clinic instead of the hospital, and patients being seen in the emergency department instead of clinics.

    Copyright:

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

    HASIL VERIFIKASI PASKA KLA

    BULAN PELAYANAN SEPTEMBER

    CBGS CBGS hasil Biaya


    No No SEP Tgl Masuk Tgl Keluar
    Diajukan audit diajukan
    1 0032R0560922V000004 September 1, 2022 September 1, 2022 Q-5-19-0 116,000
    2 0032R0560922V000017 September 2, 2022 September 2, 2022 Q-5-19-0 116,000
    3 0032R0560922V000025 September 3, 2022 September 3, 2022 Q-5-19-0 116,000
    4 0032R0560922V000060 September 6, 2022 September 6, 2022 Q-5-19-0 116,000
    5 0032R0560922V000159 September 15, 2022 September 15, 2022 Q-5-19-0 116,000
    6 0032R0560922V000098 September 10, 2022 September 10, 2022 Q-5-19-0 116,000
    7 0032R0560922V000127 September 12, 2022 September 12, 2022 Q-5-19-0 116,000
    8 0032R0560922V000128 September 12, 2022 September 12, 2022 Q-5-19-0 116,000
    9 0032R0560922V000140 September 13, 2022 September 13, 2022 Q-5-19-0 116,000
    10 0032R0560922V000141 September 13, 2022 September 13, 2022 Q-5-19-0 116,000
    11 0032R0560922V000176 September 16, 2022 September 16, 2022 Q-5-19-0 116,000
    12 0032R0560922V000235 September 22, 2022 September 22, 2022 Q-5-19-0 116,000
    13 0032R0560922V000246 September 23, 2022 September 23, 2022 Q-5-19-0 116,000
    14 0032R0560922V000273 September 26, 2022 September 26, 2022 Q-5-19-0 116,000
    15 0032R0560922V000201 September 19, 2022 September 19, 2022 Q-5-19-0 116,000
    16 0032R0560922V000294 September 28, 2022 September 28, 2022 Q-5-19-0 116,000
    17 0032R0561022V000016 October 3, 2022 October 3, 2022 Q-5-19-0 116,000
    18 0032R0561022V000030 October 4, 2022 October 4, 2022 Q-5-19-0 116,000
    19 0032R0561022V000049 October 6, 2022 October 6, 2022 Q-5-19-0 116,000
    20 0032R0561022V000142 October 15, 2022 October 15, 2022 Q-5-19-0 116,000
    21 0032R0561022V000144 October 15, 2022 October 15, 2022 Q-5-19-0 116,000
    22 0032R0561022V000196 October 21, 2022 October 21, 2022 Q-5-19-0 116,000
    23 0032R0561022V000240 October 25, 2022 October 25, 2022 Q-5-19-0 116,000
    24 0032R0561022V000270 October 28, 2022 October 28, 2022 Q-5-19-0 116,000
    25 0032R0561022V000277 October 28, 2022 October 28, 2022 Q-5-19-0 116,000
    26 0032R0561022V000052 October 7, 2022 October 7, 2022 J-3-13-0 311,200
    27 0032R0561022V000063 October 8, 2022 October 8, 2022 Q-5-44-0 187,300
    28 0032R0561022V000133 October 15, 2022 October 15, 2022 Q-5-44-0 187,300
    29 0032R0561022V000172 October 18, 2022 October 18, 2022 Q-5-44-0 187,300
    30 0032R0561022V000210 October 22, 2022 October 22, 2022 Q-5-44-0 187,300
    31 0032R0561022V000216 October 23, 2022 October 23, 2022 Q-5-44-0 187,300
    Total 4,147,700
    ASIL VERIFIKASI PASKA KLAIM RS MITRA SEHAT
    PELAYANAN SEPTEMBER 2022 DAN OKTOBER 2022

    Kelebihan
    Biaya audit
    Bayar
    116,000
    116,000
    116,000
    116,000
    116,000
    116,000
    116,000
    116,000
    116,000
    116,000
    116,000
    116,000
    116,000
    116,000
    116,000
    116,000
    116,000
    116,000
    116,000
    116,000
    116,000
    116,000
    116,000
    116,000
    116,000
    311,200
    187,300
    187,300
    187,300
    187,300
    187,300
    - 4,147,700
    M RS MITRA SEHAT
    022 DAN OKTOBER 2022

    Keterangan

    skrining di fktp bukan di rs.fktp nya klinik mitra sehat. Potensi fraud fragmentasi rajal di dua faskes
    skrining di fktp bukan di rs.fktp nya klinik mitra sehat. Potensi fraud fragmentasi rajal di dua faskes
    skrining di fktp bukan di rs.fktp nya klinik mitra sehat. Potensi fraud fragmentasi rajal di dua faskes
    skrining di fktp bukan di rs.fktp nya klinik mitra sehat. Potensi fraud fragmentasi rajal di dua faskes
    skrining di fktp bukan di rs.fktp nya klinik mitra sehat. Potensi fraud fragmentasi rajal di dua faskes
    skrining di fktp bukan di rs.fktp nya klinik mitra sehat. Potensi fraud fragmentasi rajal di dua faskes
    skrining di fktp bukan di rs.fktp nya klinik mitra sehat. Potensi fraud fragmentasi rajal di dua faskes
    skrining di fktp bukan di rs.fktp nya klinik mitra sehat. Potensi fraud fragmentasi rajal di dua faskes
    skrining di fktp bukan di rs.fktp nya klinik mitra sehat. Potensi fraud fragmentasi rajal di dua faskes
    skrining di fktp bukan di rs.fktp nya klinik mitra sehat. Potensi fraud fragmentasi rajal di dua faskes
    skrining di fktp bukan di rs.fktp nya klinik mitra sehat. Potensi fraud fragmentasi rajal di dua faskes
    skrining di fktp bukan di rs.fktp nya klinik mitra sehat. Potensi fraud fragmentasi rajal di dua faskes
    skrining di fktp bukan di rs.fktp nya klinik mitra sehat. Potensi fraud fragmentasi rajal di dua faskes
    skrining di fktp bukan di rs.fktp nya klinik mitra sehat. Potensi fraud fragmentasi rajal di dua faskes
    skrining di fktp bukan di rs.fktp nya klinik mitra sehat. Potensi fraud fragmentasi rajal di dua faskes
    skrining di fktp bukan di rs.fktp nya klinik mitra sehat. Potensi fraud fragmentasi rajal di dua faskes
    skrining di fktp bukan di rs.fktp nya klinik mitra sehat. Potensi fraud fragmentasi rajal di dua faskes
    skrining di fktp bukan di rs.fktp nya klinik mitra sehat. Potensi fraud fragmentasi rajal di dua faskes
    skrining di fktp bukan di rs.fktp nya klinik mitra sehat. Potensi fraud fragmentasi rajal di dua faskes
    skrining di fktp bukan di rs.fktp nya klinik mitra sehat. Potensi fraud fragmentasi rajal di dua faskes
    skrining di fktp bukan di rs.fktp nya klinik mitra sehat. Potensi fraud fragmentasi rajal di dua faskes
    skrining di fktp bukan di rs.fktp nya klinik mitra sehat. Potensi fraud fragmentasi rajal di dua faskes
    skrining di fktp bukan di rs.fktp nya klinik mitra sehat. Potensi fraud fragmentasi rajal di dua faskes
    skrining di fktp bukan di rs.fktp nya klinik mitra sehat. Potensi fraud fragmentasi rajal di dua faskes
    skrining di fktp bukan di rs.fktp nya klinik mitra sehat. Potensi fraud fragmentasi rajal di dua faskes
    pasien kontrol di igd? Harusnya di poli
    pasien kontrol di igd? Harusnya di poli
    pasien kontrol di igd? Harusnya di poli
    pasien kontrol di igd? Harusnya di poli
    pasien kontrol di igd? Harusnya di poli
    pasien kontrol di igd? Harusnya di poli

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