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    Lampiran 1

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    The document is a table containing 33 entries listing patient information from RS CITAMA hospital including the patient's name, discharge date, medical record number, department treated in, type of treatment, billing codes, and total costs. For each entry the billing codes were inconsistent resulting in no difference between the verified and final costs.

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    Lampiran 1

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    The document is a table containing 33 entries listing patient information from RS CITAMA hospital including the patient's name, discharge date, medical record number, department treated in, type of treatment, billing codes, and total costs. For each entry the billing codes were inconsistent resulting in no difference between the verified and final costs.

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    Lampiran 1 (4)

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    The document is a table containing 33 entries listing patient information from RS CITAMA hospital including the patient's name, discharge date, medical record number, department treated in, type of treatment, billing codes, and total costs. For each entry the billing codes were inconsistent resulting in no difference between the verified and final costs.

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    © All Rights Reserved
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    3 views1 page

    Lampiran 1

    Uploaded by

    haha
    The document is a table containing 33 entries listing patient information from RS CITAMA hospital including the patient's name, discharge date, medical record number, department treated in, type of treatment, billing codes, and total costs. For each entry the billing codes were inconsistent resulting in no difference between the verified and final costs.

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    Lampiran 1

    No Nama FKRTL Tgl Pulang No SEP Poli Jenis Pelayanan InaCBGs Biaya Verifikasi InaCBGs Tarif Akhir Selisih Konfirmasi
    1 RS CITAMA 15/01/2018 0117R0090118V006741 UGD RJTL K-5-18-0 254.200 K-5-18-0 0 254.200 Inkonsistensi RJTL-RITL
    2 RS CITAMA 28/01/2018 0117R0090118V012565 UGD RJTL K-5-18-0 254.200 K-5-18-0 0 254.200 Inkonsistensi RJTL-RITL
    3 RS CITAMA 30/01/2018 0117R0090118V013263 INT RJTL Q-5-44-0 190.400 Q-5-44-0 0 190.400 Inkonsistensi RJTL-RITL
    4 RS CITAMA 31/01/2018 0117R0090118V013807 ANA RJTL Q-5-44-0 190.400 Q-5-44-0 0 190.400 Inkonsistensi RJTL-RITL
    5 RS CITAMA 31/01/2018 0117R0090118V013941 OBG RJTL Z-3-25-0 311.300 Z-3-25-0 0 311.300 Inkonsistensi RJTL-RITL
    6 RS CITAMA 19/02/2018 0117R0090218V008544 IGD RJTL Q-5-21-0 189.400 Q-5-21-0 0 189.400 Inkonsistensi RJTL-RITL
    7 RS CITAMA 28/02/2018 0117R0090218V012518 IGD RJTL J-3-13-0 323.900 J-3-13-0 0 323.900 Inkonsistensi RJTL-RITL
    8 RS CITAMA 27/03/2018 0117R0090318V012654 INT RJTL Q-5-44-0 190.400 Q-5-44-0 0 190.400 Inkonsistensi RJTL-RITL
    9 RS CITAMA 29/03/2018 0117R0090318V013827 IGD RJTL Q-5-42-0 191.800 Q-5-42-0 0 191.800 Inkonsistensi RJTL-RITL
    10 RS CITAMA 30/03/2018 0117R0090318V014210 UGD RJTL Q-5-42-0 191.800 Q-5-42-0 0 191.800 Inkonsistensi RJTL-RITL
    11 RS CITAMA 03/04/2018 0117R0090418V001290 IGD RJTL J-3-13-0 323.900 J-3-13-0 0 323.900 Inkonsistensi RJTL-RITL
    12 RS CITAMA 02/05/2018 0117R0090518V000465 OBG RJTL Z-3-25-0 311.300 Z-3-25-0 0 311.300 Inkonsistensi RJTL-RITL
    13 RS CITAMA 03/05/2018 0117R0090518V000844 UGD RJTL Q-5-42-0 191.800 Q-5-42-0 0 191.800 Inkonsistensi RJTL-RITL
    14 RS CITAMA 03/05/2018 0117R0090518V001369 UGD RJTL Q-5-23-0 133.500 Q-5-23-0 0 133.500 Inkonsistensi RJTL-RITL
    15 RS CITAMA 07/05/2018 0117R0090518V002629 OBG RJTL Q-5-19-0 123.900 Q-5-19-0 0 123.900 Inkonsistensi RJTL-RITL
    16 RS CITAMA 09/05/2018 0117R0090518V003440 IGD RJTL K-5-18-0 254.200 K-5-18-0 0 254.200 Inkonsistensi RJTL-RITL
    17 RS CITAMA 09/05/2018 0117R0090518V003731 INT RJTL Q-5-42-0 191.800 Q-5-42-0 0 191.800 Inkonsistensi RJTL-RITL
    18 RS CITAMA 11/05/2018 0117R0090518V004311 OBG RJTL Z-3-25-0 311.300 Z-3-25-0 0 311.300 Inkonsistensi RJTL-RITL
    19 RS CITAMA 13/05/2018 0117R0090518V005147 UGD RJTL K-5-18-0 254.200 K-5-18-0 0 254.200 Inkonsistensi RJTL-RITL
    20 RS CITAMA 15/05/2018 0117R0090518V006023 UGD RJTL Q-5-23-0 133.500 Q-5-23-0 0 133.500 Inkonsistensi RJTL-RITL
    21 RS CITAMA 15/05/2018 0117R0090518V006239 OBG RJTL Z-3-23-0 576.900 Z-3-23-0 0 576.900 Inkonsistensi RJTL-RITL
    22 RS CITAMA 17/05/2018 0117R0090518V006917 UGD RJTL Q-5-25-0 142.400 Q-5-25-0 0 142.400 Inkonsistensi RJTL-RITL
    23 RS CITAMA 19/05/2018 0117R0090518V007910 UGD RJTL Z-3-27-0 193.100 Z-3-27-0 0 193.100 Inkonsistensi RJTL-RITL
    24 RS CITAMA 27/05/2018 0117R0090518V011068 IGD RJTL Q-5-42-0 191.800 Q-5-42-0 0 191.800 Inkonsistensi RJTL-RITL
    25 RS CITAMA 30/05/2018 0117R0090518V011863 IGD RJTL Q-5-42-0 191.800 Q-5-42-0 0 191.800 Inkonsistensi RJTL-RITL
    26 RS CITAMA 30/05/2018 0117R0090518V012463 UGD RJTL Q-5-43-0 275.100 Q-5-43-0 0 275.100 Inkonsistensi RJTL-RITL
    27 RS CITAMA 31/05/2018 0117R0090518V012765 UGD RJTL J-3-13-0 323.900 J-3-13-0 0 323.900 Inkonsistensi RJTL-RITL
    28 RS CITAMA 31/05/2018 0117R0090518V012931 ANA RJTL Q-5-44-0 190.400 Q-5-44-0 0 190.400 Inkonsistensi RJTL-RITL
    29 RS CITAMA 01/06/2018 0117R0090618V000067 UGD RJTL Q-5-42-0 191.800 Q-5-42-0 0 191.800 Inkonsistensi RJTL-RITL
    30 RS CITAMA 02/06/2018 0117R0090618V000423 UGD RJTL Q-5-44-0 190.400 Q-5-44-0 0 190.400 Inkonsistensi RJTL-RITL
    31 RS CITAMA 03/06/2018 0117R0090618V000540 UGD RJTL Q-5-42-0 191.800 Q-5-42-0 0 191.800 Inkonsistensi RJTL-RITL
    32 RS CITAMA 03/06/2018 0117R0090618V000561 IGD RJTL Q-5-44-0 190.400 Q-5-44-0 0 190.400 Inkonsistensi RJTL-RITL
    33 RS CITAMA 06/06/2018 0117R0090618V002175 OBG RJTL Z-3-25-0 311.300 Z-3-25-0 0 311.300 Inkonsistensi RJTL-RITL

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