FACTORS RELATED TO THE INCOMPLETE OF CLAIM DOCUMENTS AT RSUD dr. RASIDIN PADANG

Abstract

Preliminary st`udies at RSUD Dr. Rasidin Padang found the problem of pending claims due to incomplete claim documents 30%. This study aims to determine the factors associated with incomplete claim documents. This research is a quantitative research type used is Analytical Observational with a cross sectional approach conducted at RSUD dr. Rasidin Padang in May 2024. The population in the study of all medical record unit officers amounted to 9 people. The sampling technique in this study was total sampling. Computerized data processing and univariate and bivariate data analysis using the chi-square test. The results of the study showed that 77.8% of officers did not attend JKN training, 55.6% of officers' attitudes were low, 36.9% of claim submissions were not in accordance with JKN claim SOPs, 28.5% of documents were pending. Statistical test results obtained, there is no relationship between officer knowledge and incomplete claim documents (p value = 0.505 (p>0.05). There is a relationship between officer attitudes and standard operating procedures with incomplete claim documents (P value = 0.000 (p <0.05). The conclusion of this study is that the incompleteness of claim documents is influenced by officer attitudes and compliance with existing standard operating procedures. We recommend that officers check the completeness of claim documents using a checklist so that there is no more pending due to incomplete claim documents and conduct monitoring and evaluation by the head of the unit on officer compliance with existing SOPs