Klaim Rumah Sakit Kepada BPJS Kesehatan Berkaitan Dengan Rawat Inap Dengan Sistem INA– CBGs

*Suhartoyo Suhartoyo  -  Fakultas Hukum, Universitas Diponegoro, Indonesia
Received: 3 Aug 2018; Published: 8 Aug 2018.
Open Access

Citation Format:
Abstract

This study aims to find out the hospital problem for the body organizing the health service (BPJS) with INA-GBGs system. The research method used in this research is normative law research, using a written approach (legal approach), and conceptual approach (conceptual approach), then after that analysis using site analysis. The database analysis base uses primary data and secondary data that allows the author of the data needed directly through the literature and the literature. The results showed that the compilation of the Ministerial Regulation no. 27 of 2014 concerning the basics of the Indonesian case base system and Permenkes No. 28 of 2014 concerning Guidelines for the Implementation of the National Health Insurance Program. This is due to the availability of equipment for the payment of Hospital to BPJS which berorintasi on the frequency of health professions in the Hospital, through the sorting and classification of the hospital.

Keywords: hospital claims, BPJS, inpatient With INA-GBGs system

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  1. Busro, Achmad, 2012,Hukum Perikatan Berdasar Buku III KUH Perdata, Yogyakarta, Pohon Cahaya
  2. Hartono, Sri Rejeki, 1997, Hukum Asuransi dan Perusahaan Asuransi, Jakarta, Sinar Grafika Offset
  3. Junaedy, A. Ganie, 2011, Hukum Asuransi Indonesia, Jakarta, Sinar Grafika
  4. Mulyadi, Kartini dan Gunawan Wijaya, 2002, Perikatan Yang Lahir Dari Perjanjian, PT. Raja Grafindo Persada
  5. Notoadmodjo, Soekidjo, 2010, Etika & Hukum Kesehatan, Jakarta, Rineka Cipta
  6. Nasution, S, 2013, Metode Penelitian Naturalistik Kualitatif, Bandung, Tarsito
  7. Salim, A.Abbas,1993, Dasar – Dasar Asuransi, Jakarta, PT. Raja Grafindo Persada
  8. S, Kertonegoro, 1999, Hukum Asuransi Indonesia, PT. Citra Aditya Bakti., Bandung
  9. Subekti, 2004, Hukum Perjanjian, Jakarta, PT Intermasa
  10. Thabrany, Hasbullah, 2004, Hukum Perjanjian, Jakarta, PT Intermasa
  11. Yustina, Endang Wahyati, Mengenal Hukum Rumah Sakit, Bandung : CV Keni Media
  12. Undang – Undang Nomor 40 Tahun 2004 Tentang Sistem Jaminan Sosial Nasional
  13. Undang – Undang Nomor 24 Tahun 2011 Tentang Badan Penyelenggara Jaminan Sosial
  14. Peraturan Menteri Kesehatan Nomor 69 Tahun 2013 Tentang Standart Tarif Pelayanan Kesehatan Pada Fasilitas Kesehatan Tingkat Pertama dan Fasilitas Kesehatan Tingkat Lanjut dalam penyelenggaraan Jaminan kesehatan
  15. Peraturan Menteri Kesehatan Nomor 27 Tahun 2014 Tentang Petunjuk Teknis Sistem Indonesian Case Base Groups ( INA – CBGs )
  16. Peraturan Menteri Kesehatan Nomor 28 Tahun 2014 Tentang Pedoman Pelaksanaan Program Jaminan Kesehatan Nasional

Last update: 2021-04-18 04:12:49

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Last update: 2021-04-18 04:12:50

No citation recorded.