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 Des 2018 Ranap   Rajal Tampilkan

ICD-10 Jumlah Klaim Total Tarif Rumah Sakit Total Tarif INA-CBG Harian
Z09.8^I11.9 17.0% 9,325 Rp 1,584,938,341 Rp 1,857,504,000 Minggu
Senin
Z09.8^I10 8.9%
Selasa
Z09.8^I25.1 8.3%
Jenis Kelamin Umur Rabu

1800 Kamis
Z09.8^E11.9 4.1%
1600 Jumat
Z09.8^E14.9 4.0% 1400 Sabtu

Z09.8^M19.99 2.8% Laki 41.22% 1200

0 500 1,000 1,500 2,000
1000
Perempuan 58.78%
Z09.8^K21.9 2.8% 800
Cara Pulang
600
Z09.8^M17.9 2.6% Atas Persetujuan Dokter
400
Z09.8^K30 2.1% 200 Dirujuk
0
Z13.8 2.0% Atas Permintaan Sendiri
0 10 20 30 40 50 60 70 80 90 100
tahun Meninggal
Z09.8^E05.9 1.9%
Lain-lain
Z09.8^J44.9 1.9% Tarif Rumah Sakit 0 2,000 4,000 6,000 8,000
Z09.8^E11.4 1.6% 14M Tindakan
Konsul/Visit
Obat/Alkes Kelas Rawat
Z09.8^E14.4 1.5% 12M
Penunjang
Akomodasi
I10 1.5% 10M Eksekutif
Reguler
rupiah

8M
Z09.8^B90.9 1.4%
0 2,000 4,000 6,000 8,000
6M
I11.9 1.4%
4M Komponen Tarif
Z09.8^M19.95 1.2%
2M Tindakan
Z09.8^J45.9 1.2% Konsul/Visit
0
ry h ril y ne ly t er er er er Obat/Alkes
K30 1.0% a rc Ap Ma Ju Ju g us b b b b
bru Ma Au tem cto v em cem
Fe Se
p O
No De Penunjang
Others 30.7% Akomodasi

0 500 1K 1.5K 2K 2.5K n 07 b0

4
r 04 r 01 r 29 y 27 n 24 l2
2
g 19 p 16 t 14 v 11 c 09 0 500M 1B 1.5B
Ja Fe Ma Ap Ap Ma Ju Ju Au Se Oc No De

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

Hypertensive heart disease without (congestive)

1 Z09.8^I11.9 1,589 - 257,690,220 298,333,500
heart failure

2 Z09.8^I10 Essential (primary) hypertension 833 - 135,190,315 155,872,800

3 Z09.8^I25.1 Atherosclerotic heart disease 774 - 130,281,192 145,866,100

Non-insulin-dependent diabetes mellitus without

4 Z09.8^E11.9 384 - 68,666,350 71,933,600
complications

Unspecified diabetes mellitus without

5 Z09.8^E14.9 371 - 63,729,698 69,265,700
complications

6 Z09.8^M19.99 Arthrosis, unspecified, unspecified site 263 - 41,295,699 49,805,500

Gastro-oesophageal reflux disease without

7 Z09.8^K21.9 257 - 41,853,458 53,239,400
oesophagitis

8 Z09.8^M17.9 Gonarthrosis, unspecified 244 - 41,739,300 45,554,800

9 Z09.8^K30 Dyspepsia 195 - 31,636,074 40,275,200

Special screening examination for other specified

10 Z13.8 191 - 30,596,116 24,093,400
diseases and disorders

11 Z09.8^E05.9 Thyrotoxicosis, unspecified 179 - 27,705,750 33,771,000

Chronic obstructive pulmonary disease,

12 Z09.8^J44.9 178 - 28,655,300 35,828,200
unspecified

Non-insulin-dependent diabetes mellitus with

13 Z09.8^E11.4 146 - 26,740,100 27,258,200
neurological complications

Unspecified diabetes mellitus with neurological

14 Z09.8^E14.4 143 - 24,256,000 26,698,100
complications

15 I10 Essential (primary) hypertension 140 - 22,757,800 26,138,000

Sequelae of respiratory and unspecified

16 Z09.8^B90.9 135 - 21,448,900 25,946,100
tuberculosis

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No Code Deskripsi Jumlah ALOS Subtotal RS Subtotal INA-CBG

Hypertensive heart disease without (congestive)

17 I11.9 128 - 23,386,700 24,021,200
heart failure

18 Z09.8^M19.95 Arthrosis, unspecified, pelvic and thigh 110 - 21,641,700 22,277,500

19 Z09.8^J45.9 Asthma, unspecified 109 - 17,826,150 23,316,700

20 K30 Dyspepsia 95 - 15,030,400 25,491,700

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

1 RESTU IMAN,DR.SP.PD 8,741 1,486,334,741 1,731,114,700

2 LIAN LANRIKA W. LUBIS, DR. SP.PD 216 38,053,950 46,247,300

3 REYSGINAWATHIE, DR. SP.PD 183 31,619,350 36,815,000

4 MEYLA ROSALITA, DR. 89 12,059,000 19,149,600

5 DIAN MAYA SARI, SP.A 31 4,199,600 6,567,200

6 WAHYUDI, DR. SP.OG 30 7,463,400 9,527,400

7 MEYLA, DR 17 2,572,200 3,968,700

8 TRI APRIYANI, DR. SP.THT,LK 3 416,000 560,100

9 PRIMA, DR 2 275,000 373,400

10 ROZAK, DR. 2 329,600 629,200

11 DIAN MAYA SARI, Sp.A 1 160,000 186,700

12 DR NURUL 1 120,000 186,700

13 MEYLA ROSALITA, dr. 1 114,000 186,700

14 R. REZA FAISAL, DR. 1 104,500 243,500

15 R. REZA FAISAL, dr. 1 74,000 186,700

16 REYSGINAWATHIE, dr. Sp.PD 1 161,500 291,200

17 ROZAK, dr. 1 155,500 243,500

18 TRI APRIYANI, dr. Sp.THT,LK 1 156,000 183,800

19 VERA, DR 1 155,000 115,600

20 WAHYUDI, dr. Sp.OG 1 195,000 538,400

21 1 220,000 188,600

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

1 klinik 9,324 1,584,713,341 1,857,317,300

2 INACBG 1 225,000 186,700

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