UTILIZATION REVIEW

RS ADVENT MEDAN
21 MARET 2019
TREND KASUS TERBANYAK
R. INAP
JAN-DEC 2018

NO TREND JUMLAH KETERANGAN

KASUS
1 A 01.0 991 TYPHOID
2 J 40 307 BRONCHITIS
3 A 91 278 DHF
4 J 18.0 245 BP
5 I 63.9 185 STROKE
TOTAL 2.006
TREND KASUS TERBANYAK
R. JALAN
JAN-DEC 2018

NO TREND KASUS JUMLAH

1 Z 51.8 (KONTROL ULANG) 12.802
2 Z 09.8^I 50.0 (KONTROL PENY. JANTUNG)) 2.194
3 Z 86.5 (KONTROL PSIKIATRI) 2.146
4 Z 86.3 (KONTROL DM) 1.875
5 Z 09.8^M 54.59 (KONTROL LBP) 1.552
TOTAL 20.569
REALISASI BIAYA R. INAP
JAN-DEC 2018
BUPEL JUMLAH TOTAL TARIF TOTAL TARIF
KLAIM RS INACBG
JAN 619 Rp 2.223.514.257 Rp 2.035.609.100
FEB 499 Rp 1.801.718.796 Rp 1.713.255.000
MAR 536 Rp 2.000.765.658 Rp 1.909.066.200
APR 465 Rp 1.669.394.890 Rp 1.749.982.400
MAY 493 Rp 1.627.983.703 Rp 1.821.690.900
JUN 548 Rp 1.749.228.026 Rp 1.845.582.600
JULY 538 Rp 1.812.700.966 Rp 1.888.944.900
AGS 593 Rp 1.922.929.596 Rp 1.990.666.000
SEPT 567 Rp 1.851.386.615 Rp 1.963.466.300
OCT 531 Rp 1.913.967.758 Rp 1.825.951.800
NOV 570 Rp 2.086.545.316 Rp 2.011.558.300
DEC 626 Rp 2.133.381.567 Rp 2.120.142.400
TOTAL 6.585 Rp 22.793.517.148 Rp 22.875.915.900
REALISASI BIAYA R. JALAN
JAN-DEC 2018
BUPEL JUMLAH TOTAL TARIF TOTAL TARIF
KLAIM RS INACBG
JAN 2.496 Rp 405.141.349 Rp 490.987.700
FEB 2.406 Rp 382.665.558 Rp 472.258.800
MAR 2.537 Rp 385.624.586 Rp 496.430.500
APR 2.455 Rp 386.376.469 Rp 482.017.300
MAY 2.515 Rp 396.228.146 Rp 489.101.600
JUN 2.030 Rp 324.535.709 Rp 396.198.000
JULY 2.704 Rp 439.425.506 Rp 540.910.000
AGS 2.646 Rp 420.578.573 Rp 536.496.500
SEPT 2.684 Rp 439.394.950 Rp 552.682.000
OCT 3.648 Rp 645.728.472 Rp 760.703.000
NOV 3.807 Rp 682.905.299 Rp 775.188.600
DEC 3.674 Rp 622.873.035 Rp 738.235.500
TOTAL 33.602 Rp 5.531.477.652 Rp 6.731.209.500
JUMLAH KASUS JAN-DEC 2018
BUPEL RI RJ
JAN 619 2.496
FEB 499 2.406
MAR 536 2.537
APR 465 2.455
MAY 493 2.515
JUNE 548 2.030
JULY 538 2.704
AGS 593 2.646
SEPT 567 2.684
OCT 531 3.648
NOV 570 3.807
DEC 626 3.674
TOTAL 6.585 33.602
 RI
700

600

500

400
RI

300

200

100

0
JAN FEB MAR APR MAY JUN JULY AGS SEPT OCT NOV DEC
 RJ
4000

3500

3000

2500

RJ
2000

1500

1000

500

0
JAN FEB MAR APR MAY JUN JULY AGS SEPT OCT NOV DEC
PROSEDUR R. INAP
JAN-DEC 2018
NO PROSEDUR / JUMLAH KETERANGAN
TINDAKAN
1 90.59 2.377 LAB
2 87.49 1.991 RO THORAX
3 87.03 321 CT-SCAN
4 88.76 309 USG
5 74.99 260 SC
PROSEDUR R. JALAN
JAN-DEC 2018
NO PROSEDUR / JUMLAH KETERANGAN
TINDAKAN
1 90.59 3.158 LAB
2 87.49 1.082 RO THORAX
3 88.78 843 USG OBGYN
4 87.24 208 RO LUMBAL
5 88.72 142 ECHOCARDIOGRAPHY
KLAIM OBAT KRONIS JAN – DEC 2018
DIAJUKAN
NO
BULAN JUMLAH PESERTA BIAYA

1 Jan 2018 263 Rp 31.031.248

2 Feb 2018 251 Rp 28.248.232
3 Mar 2018 300 Rp 29.286.400
4 Apr 2018
5 May 2018
6 Jun 2018
7 July 2018
8 Ags 2018
9 Sept 2018 379 Rp 44.266.783
10 Oct 2018 376 Rp 50.622.603
11 Nov 2018 535 Rp 68.537.550
12 Dec 2018 724 Rp 96.421.504
TOTAL 2.828 Rp 348.414.320
 PRB JAN-DEC 2018
BUPEL JUMLAH PESERTA PRB
JAN -
FEB 8
MAR 57
APR 26
MAY 12
JUN 8
JULY 29
AGS 12
SEPT 3
OCT 8
NOV 8
DEC 5
TOTAL 176
 PRB
60

50

40

PRB
30

20

10

0
JAN FEB MAR APR MAY JUN JULY AGS SEPT OCT NOV DEC
 BIAYA KLAIM PENDING JAN-DEC 2018
BIAYA KLAIM PENDING
BUPEL
R. I
R. J R. I
(KLAIM PENDING JR)
JAN Rp 2.370.700 Rp 242.918.900 -

FEB Rp 3.816.200 Rp 277.960.300 -

MAR Rp 578.100 Rp 456.426.700 -

APR Rp 2.023.600 Rp 285.891.100 -

MAY Rp 1.730.500 Rp 187.871.600 -

JUN Rp 3.271.100 Rp 400.564.300 -

JULY Rp 612.100 Rp 244.112.200 Rp 2.284.800

AGS Rp 2.097.000 Rp 378.732.100 Rp 4.314.200

SEPT Rp 507.700 Rp 328.593.600 Rp 18.936.100

OCT Rp 1.031.500 Rp 315.999.100 Rp 6.511.100

NOV Rp 3.076.000 Rp 451.378.100

DEC Rp 3.268.300 Rp 321.588.900 Rp 8.847.100

TOTAL Rp 24.382.800 Rp 3.892.036.900 Rp 40.893.300

KASUS KLAIM PENDING JAN-DEC
2018
RI
BUPEL RJ RI
(KLAIM PENDING JR)
JAN 4 62 -
FEB 19 72 -

MAR 3 113 -

APR 8 71 -
MAY 12 40 -
JUNE 20 115 -
JULY 4 80 1
AGS 15 111 1
SEPT 2 86 4
OCT 7 78 1
NOV 13 115 -
DEC 23 101 2
TOTAL 130 1.044 9
TERIMAKASIH

DISKUSI