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  • Ergonomi Kel 6

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    imas hartini
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    This document outlines additional top-up payments (Top Up) that can be made within the INA-CBG system for certain special cases. These include special procedures, special drugs, special investigations, special prostheses, subacute cases, and chronic cases. It provides lists of specific clinical conditions and corresponding INA-CBG codes that are eligible for top-up payments, along with the coefficient used to determine the value of the top-up payment for each condition. Payment rules are also described for subacute and chronic phases of treatment beyond the initial acute phase covered by the standard INA-CBG payment.

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    Ergonomi rekam medis

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    Ppt Ergonomi Kel 6

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    This document outlines additional top-up payments (Top Up) that can be made within the INA-CBG system for certain special cases. These include special procedures, special drugs, special investigations, special prostheses, subacute cases, and chronic cases. It provides lists of specific clinical conditions and corresponding INA-CBG codes that are eligible for top-up payments, along with the coefficient used to determine the value of the top-up payment for each condition. Payment rules are also described for subacute and chronic phases of treatment beyond the initial acute phase covered by the standard INA-CBG payment.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    35 views6 pages

    Ergonomi Kel 6

    Uploaded by

    imas hartini
    This document outlines additional top-up payments (Top Up) that can be made within the INA-CBG system for certain special cases. These include special procedures, special drugs, special investigations, special prostheses, subacute cases, and chronic cases. It provides lists of specific clinical conditions and corresponding INA-CBG codes that are eligible for top-up payments, along with the coefficient used to determine the value of the top-up payment for each condition. Payment rules are also described for subacute and chronic phases of treatment beyond the initial acute phase covered by the standard INA-CBG payment.

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    of 6

    PMK 76

    TAHUN 2016
    PEMBAYARAN TAMBAHAN
    TOP UP
    TOP UP
    Terdapat pembayaran tambahan (Top Up) dalam
    sistem INA-CBG
    untuk kasus–kasus tertentu yang masuk dalam
    Special CMG,
    meliputi :
     a. Special Procedure
     b. Special Drugs
     c. Special Investigation
     d. Special Prosthesis
     e. Subacute cases
     f. Chronic cases
    Special
    Drugs

    Kode
    Tipe koefisie
    List Item Special INA-CBG
    Specia n utk
    CMG dasar
    l CMG top up
    Streptokinase Special Drug 0,25 I-4-10-I
    Deferiprone Special Drug 0,5 D-4-13-I
    Deferoksamin Special Drug 0,5 D-4-13-I
    Deferasirox Special Drug 0,5 D-4-13-I
    Human Albumin Special Drug 0,5 A-4-10-I
    Special
    Procedure
    koefisie Kode
    List Item Special CMG Tipe Special
    n INA-CBG dasar
    CMG
    utk top
    up
    Tumor pineal – Endoskopy Special 0,5 E-1-01-I
    Procedure
    Hip Replacement / knee Special 0,5 M-1-04-I
    replacement Procedure
    PCI Special 1 I-1-40-I
    Procedure
    Keratoplasty Special 1 H-1-30-I
    Procedure
    Pancreatectomy Special 1 B-1-10-I
    Procedure
    Repair of septal defect of heart with
    Special 1 I-1-06-I
    prosthesis
    Procedure
    Renal Transplantation Special 1 N-1-01-I
    Procedure
    Stereotactic Surgery & Special 1 C-4-12-I
    Radiotheraphy Procedure
    Torakotomi Special 1 J-1-30-I
    Procedure
    Special
    Investigasi
    Kode
    koefisie
    List Item Special Tipe Special CMG INA-CBG
    n utk
    CMG dasar
    top up
    Other CT Scan Special 1,5 Z-3-19-0
    Investigation
    Nuclear Medicine Special 1,5 Z-3-17-0
    Investigation
    MRI Special 1,5 Z-3-16-0
    Investigation
    Diagnostic and Imaging Special 1,5 H-3-13-0
    Procedure of Eye Investigation
    Sub Chronic
    Acute
    • Khusus untuk CMG F dan
    Tase Akut
    F : Hari 1 s/d 42
    Fase Sub : Hari 43 s/d 103
    Akut Fase : Hari 104 s/d
    Kronik 180
    • Tarif
    Fase Akut : Paket INA CBG’s
    Fase Sub : UC X 0,375 X RIW X
    Akut Fase LOS
    Kronik : UC X 0,25 X RIW X LOS

    RIW = Resource Intensity Weight


    Besaran RIW berbanding lurus dng tingkat disabilitas pasien
    Pengukuran tingkat Disabilitas dng menggunakan WHO Disability
    Assessment Schedule (DAS) 2.0

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