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BIAYA JKN
SELISIH KODING INACBGS: TARIF RS
• SELISIH KODING: 55%
• BIAYA TERTINGGI TINDAKAN OBGYN:
• SC RATA- RATA: Rp 16.269.190,43 (Tertinggi), Rp 12.150.544,00
(Terendah)
• PERSALINAN SPONTAN RATA- RATA: Rp 6.841.656,50 (TERTINGGI), Rp
4.747.334,50 (TERENDAH)
• KURET RATA-RATA: Rp 11.961.303,75 (TERTINGGI), Rp 5.134.355,00
(TERENDAH)
STANDAR KENDALI BIAYA
• OBAT : <30% DARI KODING
• LAB : <15% DARI KODING
• Hd : <20% DARI KODING
• SELISIH TINGGI BIAYA (SC RINGAN):
- LAB: 16%
- HD: 45%
PARTUS SPONTAN
HD: 30%
LAB: 36%
Biaya Partus Spontan
Row Labels Count of DESKRIPSI_INACBG
Average of TARIF_RS Average of TARIF_INACBG Average of TENAGA_AHLI %HD Average of LABORATORIUM %LAB Average of OBAT %OBAT
DR. NURUL ISLAMY,SP.OG 2 4.747.334,50
Rp 1.605.500
Rp 401.375
Rp 25% 384.000
Rp 24% 455786,5 28%
PERSALINAN VAGINAL (RINGAN) 2 4.747.334,50
Rp 1.605.500
Rp 401.375
Rp 25% 384.000
Rp 24% 455786,5 28%
DR. TAUFIQURRAHMAN R, SP. OG 4 5.734.385,75
Rp 1.846.375
Rp 481.663
Rp 26% 308.000
Rp 17% 340022,75 18%
PERSALINAN VAGINAL (RINGAN) 4 5.734.385,75
Rp 1.846.375
Rp 481.663
Rp 26% 308.000
Rp 17% 340022,75 18%
DR. BIMA ANANTA, SP.OG 5 6.542.475,60
Rp 1.990.900
Rp 497.725
Rp 25% 725.400
Rp 36% 566138,2 28%
PERSALINAN VAGINAL (RINGAN) 5 6.542.475,60
Rp 1.990.900
Rp 497.725
Rp 25% 725.400
Rp 36% 566138,2 28%
DR. M. ZULKARNAIN H, SP. OG 7 6.699.266,29
Rp 2.064.300
Rp 613.543
Rp 30% 467.286
Rp 23% 297282,1429 14%
PERSALINAN VAGINAL (RINGAN) 7 6.699.266,29
Rp 2.064.300
Rp 613.543
Rp 30% 467.286
Rp 23% 297282,1429 14%
DR. SARLITA, SP.OG 12 6.759.784,83
Rp 2.060.475
Rp 560.818
Rp 27% 535.833
Rp 26% 360094,6667 17%
PERSALINAN VAGINAL (RINGAN) 12 6.759.784,83
Rp 2.060.475
Rp 560.818
Rp 27% 535.833
Rp 26% 360094,6667 17%
DR. ZULFADLI , SP.OG 5 6.796.836,60
Rp 1.990.920
Rp 554.270
Rp 28% 612.200
Rp 31% 472185 24%
PERSALINAN VAGINAL (RINGAN) 5 6.796.836,60
Rp 1.990.920
Rp 554.270
Rp 28% 612.200
Rp 31% 472185 24%
DR. RODIANI, SP. OG 8 6.841.656,50
Rp 2.087.250
Rp 574.495
Rp 28% 623.250
Rp 30% 272726,25 13%
PERSALINAN VAGINAL (RINGAN) 8 6.841.656,50
Rp 2.087.250
Rp 574.495
Rp 28% 623.250
Rp 30% 272726,25 13%
Biaya KURET
Row Labels Countof DESKRIPSI_INACBG
Average of TARIF_RS
Average of TARIF_INACBG Average of TENAGA_AHLI %HD Average of LABORATORIUM %LAB Average of OBAT %OBAT
DR. DINO R,SP. OG(ONK)K 4 8.935.591
Rp 2.411.100
Rp 574.358
Rp 24% 738.750
Rp 31% 521.811
Rp 22%
PROSEDUR DILATASI,KURET,INTRAUTERIN &SERVIK(RINGAN) 4 8.935.591
Rp 2.411.100
Rp 574.358
Rp 24% 738.750
Rp 31% 521.811
Rp 22%
DR. RODIANI,SP. OG 1 5.134.355
Rp 2.651.300
Rp 662.825
Rp 25% 411.000
Rp 16% 330.538
Rp 12%
PERSALINAN VAGINAL DENGAN STERILISASI &/ DILATASI &KURET (RINGAN) 1 5.134.355
Rp 2.651.300
Rp 662.825
Rp 25% 411.000
Rp 16% 330.538
Rp 12%
DR. SARLITA,SP.OG 4 11.961.304
Rp 2.990.326
Rp 2.535.476
Rp 85% 1.183.750
Rp 40% 761.243
Rp 25%
PROSEDUR DILATASI,KURET,INTRAUTERIN &SERVIK(RINGAN) 4 11.961.304
Rp 2.990.326
Rp 2.535.476
Rp 85% 1.183.750
Rp 40% 761.243
Rp 25%
DR. TAUFIQURRAHMAN R,SP. OG 3 8.309.890
Rp 2.296.267
Rp 642.955
Rp 28% 672.667
Rp 29% 429.598
Rp 19%
PROSEDUR DILATASI,KURET,INTRAUTERIN &SERVIK(RINGAN) 3 8.309.890
Rp 2.296.267
Rp 642.955
Rp 28% 672.667
Rp 29% 429.598
Rp 19%
BIAYA SC
Row Labels Count of DESKRIPSI_INACBG Average of TARIF_RS Average of TARIF_INACBG Average of TENAGA_AHLI% HD Average of LABORATORIUM % LAB Average of PELAYANAN_DARAH%PMI Average of OBAT %OBAT
DR. RATNA DPS, SP. OG 2 Rp 12.094.683,00 6023900 1987887 33% 908500 15% 0 0% 1099955 18%
OPERASI PEMBEDAHAN CAESAR
(RINGAN) 2 Rp 12.094.683,00 6023900 1987887 33% 908500 15% 0 0% 1099955 18%
DR. RODIANI, SP. OG 8 Rp 12.809.518,88 6149400 2250590,125 37% 694000 11% 136000 2% 1245735,375 20%
OPERASI PEMBEDAHAN CAESAR
(RINGAN) 8 Rp 12.809.518,88 6149400 2250590,125 37% 694000 11% 136000 2% 1245735,375 20%
DR. BIMA ANANTA, SP.OG 22 Rp 12.888.255,14 6206445,455 2265323,636 36% 593109,0909 10% 74181,81818 1% 1345927,727 22%
OPERASI PEMBEDAHAN CAESAR
(RINGAN) 22 Rp 12.888.255,14 6206445,455 2265323,636 36% 593109,0909 10% 74181,81818 1% 1345927,727 22%
DR. NURUL ISLAMY,SP.OG 7 Rp 13.539.359,00 6023900 2082549,857 35% 949714,2857 16% 310857,1429 5% 1218999,429 20%
OPERASI PEMBEDAHAN CAESAR
(RINGAN) 7 Rp 13.539.359,00 6023900 2082549,857 35% 949714,2857 16% 310857,1429 5% 1218999,429 20%
DR. ZULFADLI , SP.OG 32 Rp 13.889.602,22 6306275 2255141 36% 348656,25 6% 204000 3% 1188325,469 19%
OPERASI PEMBEDAHAN CAESAR
(RINGAN) 32 Rp 13.889.602,22 6306275 2255141 36% 348656,25 6% 204000 3% 1188325,469 19%
DR. M. ZULKARNAIN H, SP. OG 16 Rp 13.976.888,00 6463150 2306860,75 36% 505375 8% 102000 2% 1283746,875 20%
OPERASI PEMBEDAHAN CAESAR
(RINGAN) 16 Rp 13.976.888,00 6463150 2306860,75 36% 505375 8% 102000 2% 1283746,875 20%
DR. SARLITA, SP.OG 29 Rp 14.467.810,97 6439348,276 2658902,966 41% 359737,931 6% 93793,10345 1% 1401137,379 22%
OPERASI PEMBEDAHAN CAESAR
(RINGAN) 29 Rp 14.467.810,97 6439348,276 2658902,966 41% 359737,931 6% 93793,10345 1% 1401137,379 22%
DR. TAUFIQURRAHMAN R, SP. OG 7 Rp 16.269.190,43 6884471,429 2930103,571 43% 893714,2857 13% 310857,1429 5% 999190,1429 15%
OPERASI PEMBEDAHAN CAESAR
(RINGAN) 7 Rp 16.269.190,43 6884471,429 2930103,571 43% 893714,2857 13% 310857,1429 5% 999190,1429 15%
DR. RATNA DEWI, SPOG 2 Rp 16.692.887,50 7027900 3188909,5 45% 226900 3% 0 0% 1528620 22%
OPERASI PEMBEDAHAN CAESAR
(RINGAN) 2 Rp 16.692.887,50 7027900 3188909,5 45% 226900 3% 0 0% 1528620 22%

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BIAYA JKN.pptx

  • 2. SELISIH KODING INACBGS: TARIF RS • SELISIH KODING: 55% • BIAYA TERTINGGI TINDAKAN OBGYN: • SC RATA- RATA: Rp 16.269.190,43 (Tertinggi), Rp 12.150.544,00 (Terendah) • PERSALINAN SPONTAN RATA- RATA: Rp 6.841.656,50 (TERTINGGI), Rp 4.747.334,50 (TERENDAH) • KURET RATA-RATA: Rp 11.961.303,75 (TERTINGGI), Rp 5.134.355,00 (TERENDAH)
  • 3. STANDAR KENDALI BIAYA • OBAT : <30% DARI KODING • LAB : <15% DARI KODING • Hd : <20% DARI KODING • SELISIH TINGGI BIAYA (SC RINGAN): - LAB: 16% - HD: 45%
  • 5. Biaya Partus Spontan Row Labels Count of DESKRIPSI_INACBG Average of TARIF_RS Average of TARIF_INACBG Average of TENAGA_AHLI %HD Average of LABORATORIUM %LAB Average of OBAT %OBAT DR. NURUL ISLAMY,SP.OG 2 4.747.334,50 Rp 1.605.500 Rp 401.375 Rp 25% 384.000 Rp 24% 455786,5 28% PERSALINAN VAGINAL (RINGAN) 2 4.747.334,50 Rp 1.605.500 Rp 401.375 Rp 25% 384.000 Rp 24% 455786,5 28% DR. TAUFIQURRAHMAN R, SP. OG 4 5.734.385,75 Rp 1.846.375 Rp 481.663 Rp 26% 308.000 Rp 17% 340022,75 18% PERSALINAN VAGINAL (RINGAN) 4 5.734.385,75 Rp 1.846.375 Rp 481.663 Rp 26% 308.000 Rp 17% 340022,75 18% DR. BIMA ANANTA, SP.OG 5 6.542.475,60 Rp 1.990.900 Rp 497.725 Rp 25% 725.400 Rp 36% 566138,2 28% PERSALINAN VAGINAL (RINGAN) 5 6.542.475,60 Rp 1.990.900 Rp 497.725 Rp 25% 725.400 Rp 36% 566138,2 28% DR. M. ZULKARNAIN H, SP. OG 7 6.699.266,29 Rp 2.064.300 Rp 613.543 Rp 30% 467.286 Rp 23% 297282,1429 14% PERSALINAN VAGINAL (RINGAN) 7 6.699.266,29 Rp 2.064.300 Rp 613.543 Rp 30% 467.286 Rp 23% 297282,1429 14% DR. SARLITA, SP.OG 12 6.759.784,83 Rp 2.060.475 Rp 560.818 Rp 27% 535.833 Rp 26% 360094,6667 17% PERSALINAN VAGINAL (RINGAN) 12 6.759.784,83 Rp 2.060.475 Rp 560.818 Rp 27% 535.833 Rp 26% 360094,6667 17% DR. ZULFADLI , SP.OG 5 6.796.836,60 Rp 1.990.920 Rp 554.270 Rp 28% 612.200 Rp 31% 472185 24% PERSALINAN VAGINAL (RINGAN) 5 6.796.836,60 Rp 1.990.920 Rp 554.270 Rp 28% 612.200 Rp 31% 472185 24% DR. RODIANI, SP. OG 8 6.841.656,50 Rp 2.087.250 Rp 574.495 Rp 28% 623.250 Rp 30% 272726,25 13% PERSALINAN VAGINAL (RINGAN) 8 6.841.656,50 Rp 2.087.250 Rp 574.495 Rp 28% 623.250 Rp 30% 272726,25 13%
  • 6. Biaya KURET Row Labels Countof DESKRIPSI_INACBG Average of TARIF_RS Average of TARIF_INACBG Average of TENAGA_AHLI %HD Average of LABORATORIUM %LAB Average of OBAT %OBAT DR. DINO R,SP. OG(ONK)K 4 8.935.591 Rp 2.411.100 Rp 574.358 Rp 24% 738.750 Rp 31% 521.811 Rp 22% PROSEDUR DILATASI,KURET,INTRAUTERIN &SERVIK(RINGAN) 4 8.935.591 Rp 2.411.100 Rp 574.358 Rp 24% 738.750 Rp 31% 521.811 Rp 22% DR. RODIANI,SP. OG 1 5.134.355 Rp 2.651.300 Rp 662.825 Rp 25% 411.000 Rp 16% 330.538 Rp 12% PERSALINAN VAGINAL DENGAN STERILISASI &/ DILATASI &KURET (RINGAN) 1 5.134.355 Rp 2.651.300 Rp 662.825 Rp 25% 411.000 Rp 16% 330.538 Rp 12% DR. SARLITA,SP.OG 4 11.961.304 Rp 2.990.326 Rp 2.535.476 Rp 85% 1.183.750 Rp 40% 761.243 Rp 25% PROSEDUR DILATASI,KURET,INTRAUTERIN &SERVIK(RINGAN) 4 11.961.304 Rp 2.990.326 Rp 2.535.476 Rp 85% 1.183.750 Rp 40% 761.243 Rp 25% DR. TAUFIQURRAHMAN R,SP. OG 3 8.309.890 Rp 2.296.267 Rp 642.955 Rp 28% 672.667 Rp 29% 429.598 Rp 19% PROSEDUR DILATASI,KURET,INTRAUTERIN &SERVIK(RINGAN) 3 8.309.890 Rp 2.296.267 Rp 642.955 Rp 28% 672.667 Rp 29% 429.598 Rp 19%
  • 7. BIAYA SC Row Labels Count of DESKRIPSI_INACBG Average of TARIF_RS Average of TARIF_INACBG Average of TENAGA_AHLI% HD Average of LABORATORIUM % LAB Average of PELAYANAN_DARAH%PMI Average of OBAT %OBAT DR. RATNA DPS, SP. OG 2 Rp 12.094.683,00 6023900 1987887 33% 908500 15% 0 0% 1099955 18% OPERASI PEMBEDAHAN CAESAR (RINGAN) 2 Rp 12.094.683,00 6023900 1987887 33% 908500 15% 0 0% 1099955 18% DR. RODIANI, SP. OG 8 Rp 12.809.518,88 6149400 2250590,125 37% 694000 11% 136000 2% 1245735,375 20% OPERASI PEMBEDAHAN CAESAR (RINGAN) 8 Rp 12.809.518,88 6149400 2250590,125 37% 694000 11% 136000 2% 1245735,375 20% DR. BIMA ANANTA, SP.OG 22 Rp 12.888.255,14 6206445,455 2265323,636 36% 593109,0909 10% 74181,81818 1% 1345927,727 22% OPERASI PEMBEDAHAN CAESAR (RINGAN) 22 Rp 12.888.255,14 6206445,455 2265323,636 36% 593109,0909 10% 74181,81818 1% 1345927,727 22% DR. NURUL ISLAMY,SP.OG 7 Rp 13.539.359,00 6023900 2082549,857 35% 949714,2857 16% 310857,1429 5% 1218999,429 20% OPERASI PEMBEDAHAN CAESAR (RINGAN) 7 Rp 13.539.359,00 6023900 2082549,857 35% 949714,2857 16% 310857,1429 5% 1218999,429 20% DR. ZULFADLI , SP.OG 32 Rp 13.889.602,22 6306275 2255141 36% 348656,25 6% 204000 3% 1188325,469 19% OPERASI PEMBEDAHAN CAESAR (RINGAN) 32 Rp 13.889.602,22 6306275 2255141 36% 348656,25 6% 204000 3% 1188325,469 19% DR. M. ZULKARNAIN H, SP. OG 16 Rp 13.976.888,00 6463150 2306860,75 36% 505375 8% 102000 2% 1283746,875 20% OPERASI PEMBEDAHAN CAESAR (RINGAN) 16 Rp 13.976.888,00 6463150 2306860,75 36% 505375 8% 102000 2% 1283746,875 20% DR. SARLITA, SP.OG 29 Rp 14.467.810,97 6439348,276 2658902,966 41% 359737,931 6% 93793,10345 1% 1401137,379 22% OPERASI PEMBEDAHAN CAESAR (RINGAN) 29 Rp 14.467.810,97 6439348,276 2658902,966 41% 359737,931 6% 93793,10345 1% 1401137,379 22% DR. TAUFIQURRAHMAN R, SP. OG 7 Rp 16.269.190,43 6884471,429 2930103,571 43% 893714,2857 13% 310857,1429 5% 999190,1429 15% OPERASI PEMBEDAHAN CAESAR (RINGAN) 7 Rp 16.269.190,43 6884471,429 2930103,571 43% 893714,2857 13% 310857,1429 5% 999190,1429 15% DR. RATNA DEWI, SPOG 2 Rp 16.692.887,50 7027900 3188909,5 45% 226900 3% 0 0% 1528620 22% OPERASI PEMBEDAHAN CAESAR (RINGAN) 2 Rp 16.692.887,50 7027900 3188909,5 45% 226900 3% 0 0% 1528620 22%