Page 31 - Modul Sistem Casemix dan Remunerasi

Ketuban Pecah Dini (O42.9)

Seharusnya
Persalinan dengan SC (O82.9)

Ketuban Pecah Dini (O42.9)

• Diagnosis Utama tidak signifikan dbandingkan diagnosis sekundernya
Contoh :

Diagnosis utama : D69.6 Thrombocytopenia
Diagnosis sekunder : A91 Dengue Hemorrhagic Fever (DHF)

Seharusnya

Diagnosis Utama : A91 Dengue Hemorrhagic Fever (DHF)
Diagnosis sekunder : D69.6 Thrombocytopenia

• Tindakan/Prosedur seharusnya relevan dengan diagnosis utama

Contoh :
Diagnosis utama : K30 Dyspepsia

Diagnosis sekunder : I25.1 Atherocsclerotic heart disease (CAD)
• Tindakan : 36.06 Percutaneous transluminal coronary angioplasty

(PTCA)
Seharusnya

Diagnosis Utama : I25.1 Atherosclerotic heart disease (CAD)

Diagnosis sekunder : K30 Dyspepsia
Tindakan : 36.06 Percutaneous transluminal coronary angioplasty

(PTCA

b. Underprovide services >> discharge admissions prematurely/pasien
kers sebelum waktunya.

c. Increase both admission and unnecessary readmissions/pemalsuan
billing.

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