Tim Fraud
Tim Fraud
Tim Fraud
Bulan RS
Jumlah Kasus Ranap per Kelas
1 2 3
Jan-17 9 13 40
Feb-17 4 7 28
Mar-17 7 8 29
Apr-17 8 9 31
May-17 10 7 32
Jun-17 8 9 25
Rerata LOS Per Bulan
Bulan RS 1
Jumlah Cara Pulang
Sembuh Dirujuk Pulang Meninggal
Paksa
Jan-17 58 4 0 0
Feb-17 37 1 0 1
Mar-17 39 5 0 0
Apr-17 44 3 0 1
May-17 48 1 0 0
Jun-17 36 4 0 2
Jumlah Total Tarif Riil Rawat Inap (Ranap) RS Per Bulan
Bulan RS 1
Jumlah Kasus per Severity Level
1 2 3
Jan-17 56 4 2
Feb-17 34 5 0
Mar-17 41 2 1
Apr-17 43 5 0
May-17 44 4 1
Jun-17 34 5 3
Jumlah Kasus dengan ADL Per Bulan
Bulan
Jan-17
Feb-17
Mar-17
Apr-17
May-17
Jun-17
Bulan
Jan-17
Feb-17
Mar-17
Apr-17
May-17
Jun-17
Bulan
Jan-17
Feb-17
Mar-17
Apr-17
May-17
Jun-17
Bulan
Jan-17
Feb-17
Mar-17
Apr-17
May-17
Jun-17
Jumlah Kasus dengan Special Prothesis Per Bulan
Bulan
Jan-17
Feb-17
Mar-17
Apr-17
May-17
Jun-17
Bulan
1
Kode Deskripsi Jumlah
Jan-17 A91 DHF 9
Feb-17 A91 DHF 5
Mar-17 A91 DHF 6
Apr-17 R42 VERTIGO 5
May-17 A09.9 GASTROENTRITIS AND COLITIS OF UNSPECIFIED ORIGIN 8
Jun-17 A09.9 GASTROENTRITIS AND COLITIS OF UNSPECIFIED ORIGIN 6
2 3
Kode Deskripsi Jumlah Kode
J18.9 PNEUMONIA 3 A01.0
A09 DIARRHOEA AND GASTROENTRITIS OF PRESUMED IN FECTIOUS ORRGIO 2 L02.9
Z47.0 AFF PLATINA 4 A90
A91 DHF 4 I10
A01.0 TYPOID FEBRIS 5 J44.1
I64 STROKE 3 A91
3 4
Deskripsi Jumlah Kode
TYPOID FEBRIS 3 A09
CUTANEUS ABCESS 2 Z47.0
DENGEU FEVER 2 J45.9
HYPERTENSI 3 A09.9
PPOK 2 D21.2
DHF 2 I10
4
Deskripsi Jumlah
DIARRHOEA AND GASTROENTRITIS OF PRESUMED IN FECTIOUS ORRGIO 3
AFF PLATINA 2
ASTHMA 2
GASTROENTRITIS AND COLITIS OF UNSPECIFIED ORIGIN 3
BENIGN NEOPLASM , CONNECTIVE AND OTHER SOFT TISSUE OF LOWER LIMB, INC HIP 2
HYPERTENSI 2
10 Diagnosa Primer Rawat Inap Terbanyak Berdasarkan Kode ICD-10 per Bulan
5
Kode Deskripsi
A09.9 GASTROENTRITIS AND COLITIS OF UNSPECIFIED ORIGIN
H18.4 VERTIGO OF CENTRAL ORIGIN
Z03.8 OBSERVATION FOR ITHER SUSPECTED DISEASES AND CONDITION
J44.1 PPOK
K35.8 APPENDICCITIS ACUTE
D21.1 BENIGN NEOPLASM, CONNECTIVE AND OTHER SOFT TIS OF UPPER LIMB, INC SHOULDER
n Kode ICD-10 per Bulan
6
Jumlah Kode Deskripsi Jumlah Kode
3 Z47.0 AFF PLATINA 3 J44.1
1 A90 DENGEU FEVER 1 R42
2 A09.9 GASTROENTRITIS AND COLITIS OF UNSPECIFIED ORIGIN 2 S42.40
3 J45.9 ASTMA 2 A90
2 Z47.0 AFF PLATINA 2 S52.6
2 J44.1 PPOK 2 A90
7 8
Deskripsi Jumlah Kode
PPOK 2 S52.5
VERTIGO 7 S92.3
FRACTURE OF LOWER END HUMERUS , CLOSED 2 K92.1
DENGEU FEVER 2 O80.9
FRACTURE OF LOWER AND OF BOTH ULNA AND RADIUS 2 S52.5
DENGEU FEVER 2 L97
8 9
Deskripsi Jumlah Kode
FRACTUR OF LOWER END OF RADIUS 2 K35.2
FRACTURE OF METATARSAL BONE 1 I84.2
MELAENA 1 J18.9
SINGLE SPONTANEOUS DELIVERY, UNSPECIFIED 2 I25.1
FRACTUR OF LOWER END OF RADIUS 2 I64
ULCER OF LOWER LIMB, NOT ELSEWHERE CLASSIFIED 2 G43.9
9 10
Deskripsi Jumlah Kode
APPENDICITIS ACUTE 2 S92.9
INTERNAL HAEMORROIDS WITHOUT COMPLICATION 1 L04.2
PNEUMONIA 1 R10.0
CRONIC ISCHAEMIC HEART DISEASE 1 I50
STROKE 2 R07.4
MIGRAINE 1 R57.0
10
Deskripsi Jumlah
FRACTURE OF FOOT 1
ACUTE LYMPADENITIS OF UPPER LIMB 1
ACUTE ABDOMEN 1
CONGHESTIVE HEART FAILURE 1
CHEST PAIN 1
CARDIOGENIC SHOCK 1
RS 1
Bulan
1 2
Kode Deskripsi Jumlah Kode
Jan-17 I10 HYPERTENSI 4 I50.0
Feb-17 A09 DIARRHOEA AND GASTROENTRITIS OF P 4 N39.0
Mar-17 I10 HYPERTENSI 3 J45.9
Apr-17 I10 HYPERTENSI 5 R42
May-17 I10 HYPERTENSI 4 E11.9
Jun-17 E11.9 DM NON INSULIN 3 J40
2 3
Deskripsi Jumlah Kode Deskripsi Jumlah Kode
CONGHESIVE HEART FAILURE 3 I64 STROKE 2 N39.0
URINARY TRACT INFECTION 2 E78.5 HYPERLIPIDAEMEA 2 I10
ASTMA 1 K92.1 MELAENA 1 J18.9
VERTIGO 4 I48 ATRIAL FIBRILATION AND FLUTTER 2 Z37.9
DM NON INSULIN 4 I50.0 CONGHESIVE HEART FAILURE 2 J44.1
BRONCHITIS 2 R51 HEADACHE 2 J06.9
10 Diagnosa Sekunder Rawat Inap Terbanyak Berdasarka
4 5
Deskripsi Jumlah Kode Deskripsi Jumlah
URINARY TRACT INFECTION 2 E11.9 DM NON INSULIN 2
HYPERTENSI 1 O63.1 PROLONGED SECOND STAGE OF LABOUR 1
PNEUMONIA 1 G82.2 PARAPLEGIA 1
OUTCOME OF DELIVERY 2 O80.9 SINGLE SPONTANEUS DELIVERY 2
PPOK 1 N39.0 URINARY TRACT INFECTION 1
ISPA 1 R57.0 CARDIOGENIC SHOCK 1
wat Inap Terbanyak Berdasarkan Kode ICD-10 per Bulan
6 7
Kode Deskripsi Jumlah Kode Deskripsi
J18.9 PNEUMONIA 1 R18 ASCITES
Z37.9 OUTCOME OF DELIVERY 1 D62 ACUTE POST HAEMORRHAGIC ANAEMIA
K30 DYSPEPSIA 1 N20.9 URINARY CALCULUS
K30 DYSPEPSIA 2 I25.9 CRONIC ISCHAEMIC HEART DESEASE
B76.0 ANCYLOSTOMIASIS 1 E11.0 DM MILLITUS WITH COMA
H40.9 GLAUCOMA 1 N39.0 URINARY TRACT INFECTION
8 9
Jumlah Kode Deskripsi Jumlah Kode
1 A27 LEPTOSPIROSIS 1 K71.9
1 E14.9 DM 1 R63.0
1 Z37.9 OUTCOME OF DELIVERY 1 O80.9
1 I50 CONGHESIVE HEART FAILURE 1 R11
1 J45.9 ASTMA 1 O63.1
0 R11 VOMITING 1 E78.5
9 10
Deskripsi Jumlah Kode Deskripsi
TOXIC LIVER DISEASES 1 T14.1 OPEN WOUND OF UNSPECIFIED ORIGIN
ANOREXIA 1 R63.5 ABNORMAL WEIGHT GAIN
SINGLE SPONTANIUS DELIVERY 1 E78.5 HYPERLIPIDEMIA
VOMITING 1 J98.1 PULMUNORY COLLAPS
PROLONGED SECOND STAGE OF LABOUR 1 I27.9 PULMUNORY HEART DISEASE
HYPERLIPIDEMIA 1 M54.5 LOW BACK PAIN
Jumlah
1
1
1
1
1
1
RS 1
Bulan
1 2 3
Kode Deskripsi Jumlah Kode Deskripsi Jumlah Kode Deskripsi
Jan-17
Feb-17
Mar-17
Apr-17
May-17
Jun-17
10 Tindakan Primer Rawat Inap Terbanyak Berdasarkan Kode ICD-9 per Bulan
3 4 5 6
Jumlah Kode Deskripsi Jumlah Kode Deskripsi Jumlah Kode Deskripsi Jumlah
de ICD-9 per Bulan
7 8 9 10
Kode Deskripsi Jumlah Kode Deskripsi Jumlah Kode Deskripsi Jumlah Kode
10
Deskripsi Jumlah
RS 1
Bulan
1 2 3
Kode Deskripsi Jumlah Kode Deskripsi Jumlah Kode Deskripsi
Jan-17
Feb-17
Mar-17
Apr-17
May-17
Jun-17
10 Tindakan Sekunder Rawat Inap Terbanyak Berdasarkan Kode ICD-9 per Bulan
3 4 5 6
Jumlah Kode Deskripsi Jumlah Kode Deskripsi Jumlah Kode Deskripsi Jumlah
ode ICD-9 per Bulan
7 8 9 10
Kode Deskripsi Jumlah Kode Deskripsi Jumlah Kode Deskripsi Jumlah Kode
10
Deskripsi Jumlah
RS 1
Bulan
1
Kode Deskripsi Jumlah
Jan-17 A91 DHF 1
Feb-17 S06.2 DIFFUSY BRAIN INJURY 1
Mar-17 Z03.8 OBSERVATION FOR OTHER SUSPECTED DISEASES AND CONDITION 2
Apr-17 A91 DHF 1
May-17 Z03.8 OBSERVATION FOR OTHER SUSPECTED DISEASES AND CONDITION 1
Jun-17 I64 STROKE 2
2
Kode Deskripsi
I50.0 CONGHESTIVE HEART FAILURE
J18.9 PNEUMONIA
O06.3 UNSPECIFIED ABORTION INCOMPLATE WITH OTHER AND UNSPECIFIED COMPLICATION
A91 DHF
Diagnosis Primer Rawat Inap Terbanyak dengan LOS 1 Hari yang Pulang Dirujuk
3
Jumlah Kode Deskripsi Jumlah
1 A09.9 GASTROENTRITIS 1
A91 DHF 1
6 7 8 9
Deskripsi Jumlah Kode Deskripsi Jumlah Kode Deskripsi Jumlah Kode Deskripsi
9 10
Jumlah Kode Deskripsi Jumlah
Jumlah Kasus dengan LOS 1 Hari Berdasarkan Cara Pulang
Bulan RS 1
Jumlah Kasus dengan LOS 1 Hari
Sembuh Dirujuk Pulang Meninggal
Paksa
Jul-17 1 0 0 0
Aug-17 0 0 0 0
Sep-17 0 0 0 0
Oct-17 0 0 0 1
Nov-17 0 1 0 0
Dec-17 0 1 0 0
RS 1
Bulan
1
Kode Deskripsi Jumlah Kode
Jan-17 S92.3 FRACTURE OF METATARSAL BONE 5 S92.3
Feb-17 S52.50 FRACTURE OF LOWER END OF RADIUS, CLOSED 1 K35.2
Mar-17 S92.30 FRACTURE OF METATARSAL BONE, CLOSED 1 S92.3
Apr-17 I25.9 CRONIC ISCHEMIC HEART DISEASE 1 C43.3
May-17 K35.8 ACUTE APPENDICITIS 1 B90.9
Jun-17 I64 STROKE 3 A91
Bulan
1
Kode Deskripsi Jumlah Kode
Jan-17
Feb-17
Mar-17
Apr-17
May-17
Jun-17
2 3
Deskripsi Jumlah Kode
FRACTURE OF METATARSAL BONE 1 J18.9
ACUTE APPENDICITIS 1 C43.3
FRACTURE OF METATARSAL BONE 1 C43.3
MALIGNANT MELANOMA 3 LO2.4
SEQUELAE OF RESPIRATORY AND UNSPECIFIED TUBERCULOSIS 1 J44.1
DHF 4 K29.7
2 3
Deskripsi Jumlah Kode
3 4
Deskripsi Jumlah Kode Deskripsi Jumlah Kode
PNEUMONIA 2 K40.9 INGUINAL HERNIA 1 S42.0
MALIGNANT MELANOMA 3 K40.9 INGUINAL HERNIA 1 I84.2
MALIGNANT MELANOMA 2 J18.9 PNEUMONIA 1 K40.9
CUTANEOUS ABSCESS 1 H81.3 VERTIGO PHERIPERAL 6 A09.9
PPOK 4 K59.0 CONSTIPATION 1 S52.5
GASTRISTIS 1 L97 ULCER OF LOWER LIMB 2 Z47.0
3 4
Deskripsi Jumlah Kode Deskripsi Jumlah Kode
5
Deskripsi
FRACTUR OF CLAVICLE
INTERNAL HAMOROIDS WITHOUT COMPLICATION
INGUINAL HERNIA
GASTROENTRITIS
FRACTURE OF LOWER END OF RADIUS
FOLLOW UP CARE INVOLVING REMOVAL OF FRACTURE PLATE AND OTHER INTENAL FIXATION DEVICE
5
Deskripsi
Diagnosis Primer Rawat Inap dengan Tagihan Tertinggi
6
Jumlah Kode
1 K35.2
1 K81.9
1 Z47.0
4 A91
1 O02.0
1 S52.6
7
Jumlah Kode
7
Deskripsi
FOLLOW UP CARE INVOLVING REMOVAL OF FRACTURE PLATE AND OTHER INTENAL FIXATION DEVICE
STROKE
MALNUTRITION
PREMATURE RUPTURE OF MEMBRANES, UNSPECIFED
STROKE
PPOK
7
Deskripsi
8
Jumlah Kode Deskripsi Jumlah
3 C43.3 MALIGNANT MELANOMA 6
1 E46 MALNUTRITION 1
1 A01.0 TYPOID FEVER 1
2 L60.0 INGROWING NAIL 1
2 N61 INFLAMMATORY DISORDERS OF BREAST 1
1 D21.0 CONNECTIVE AND OTHER SOFT TISSUE OF HEAD, FACE AND NECK 3
8
Jumlah Kode Deskripsi Jumlah
9 10
Kode Deskripsi Jumlah Kode
A16.2 1 I64
R57.0 1 Z47.0
R57.1 1 J45.9
I10 3 E14.5
C43.3 4 A01.0
J18.9 1 A09.9
9 10
Kode Deskripsi Jumlah Kode
10
Deskripsi
STROKE
FOLLOW UP CARE INVOLVING REMOVAL OF FRACTURE PLATE AND OTHER INTENAL FIXATION DEVICE
ASTMA
UNSPECIFIED DIABETES MELLITUS WITH PERIPHERAL CRCULATION COMPICATION
TYPOID FEVER
GASTROENTRITIS
10
Deskripsi
Jumlah
1
2
1
2
5
6
Jumlah
RS 1
Bulan
1
Kode
Jan-17 79.33
Feb-17 79.12
Mar-17 79.37
Apr-17 99.29
May-17 47.09
Jun-17 99.29
Bulan
1
Kode
Jan-17
Feb-17
Mar-17
Apr-17
May-17
Jun-17
1
Deskripsi
OPEN REDUCTION OF FRACTURE WITH INTERNAL FIXATION CARPALS AND METACARPALS
CLOSED REDUCTION OF FRACTURE WITH INTERNAL FIXATION RADIUS AND ULNA
OPEN REDUCTION OF FRACTURE WITH INTERNAL FIXATION TARSALS AND METATARSAL
INJECTION OR INFUSSION OF OTHER TERAPEUIC OR PROPHYLACTIC SUBSTANCE
OTHER LOCAL EXCISION OR DESTRUCTION OF LESION OR TISSUE OF SKIN AND SUBCUTANEUS TISSUE
INJECTION OR INFUSSION OF OTHER TERAPEUIC OR PROPHYLACTIC SUBSTANCE
1
Deskripsi
2
Jumlah Kode
5 79.07
1 54.19
1 79.33
1 86.3
1 93.96
3 99.29
2
Jumlah Kode
2
Deskripsi
CLOSED REDUCTION OF FRACTURE WITHOUT INTERNAL FIXATION TARSAL AND METATARSAL
OTHER LAPAROTOMY
OPEN REDUCTION OF FRACTURE WITH INTERNAL FIXATION CARPALS AND METATARSAL
OTHER LOCAL EXCISION OR DESTRUCTION OF LESION OR TISSUE OF SKIN AND SUBCUTANEUS TISSUE
OTHER OXYGEN ENRICHMENT
INJECTION OR INFUSSION OF OTHER TERAPEUIC OR PROPHYLACTIC SUBSTANCE
2
Deskripsi
3
Jumlah Kode
1 99.94
1 86.3
1 86.3
3 86.59
1 99.29
4 99.29
3
Jumlah Kode
3
Deskripsi
PROSTATIC MASSAGE
OTHER LOCAL EXCISION OR DESTRUCTION OF LESION OR TISSUE OF SKIN AND SUBCUTANEUS TISSUE
OTHER LOCAL EXCISION OR DESTRUCTION OF LESION OR TISSUE OF SKIN AND SUBCUTANEUS TISSUE
CLOSURE OF SKIN AND SUBCUTANEUS TISSUE OF OTHER SITES
INJECTION OR INFUSSION OF OTHER TERAPEUIC OR PROPHYLACTIC SUBSTANCE
INJECTION OR INFUSSION OF OTHER TERAPEUIC OR PROPHYLACTIC SUBSTANCE
3
Deskripsi
4
Jumlah Kode Deskripsi
2 53.00 UNILATERAL REPAIR OF INGUINAL HERNIA, NOT OTHERWISE SPECIFEID
3 53.00 UNILATERAL REPAIR OF INGUINAL HERNIA, NOT OTHERWISE SPECIFEID
2 93.96 OTHER OXYGEN ENRICHMENT
1 99.29 INJECTION OR INFUSSION OF OTHER TERAPEUIC OR PROPHYLACTIC SUBSTANCE
4 99.29 INJECTION OR INFUSSION OF OTHER TERAPEUIC OR PROPHYLACTIC SUBSTANCE
1 86.22 EXCISIONAL DEBRIDEMENT OF WOUND , INFECTION, OR BURN
4
Jumlah Kode Deskripsi
Tindakan Primer Rawat Inap dengan Tagihan
5
Jumlah Kode Deskripsi
1 79.39 OPEN REDUCTION OF FRACTURE WITH INTERNAL FIXATION OTHER SPECIFIED BONE
1 99.29 INJECTION OR INFUSSION OF OTHER TERAPEUIC OR PROPHYLACTIC SUBSTANCE
1 53.0 OTHER REPAIR OF INGUINAL HERNIA
6 99.29 INJECTION OR INFUSSION OF OTHER TERAPEUIC OR PROPHYLACTIC SUBSTANCE
1 93.51 APPLICATION OF PLASTER JACKET
2 76.68 AUGMENTATION GENIOPLASTY
agihan Tertinggi
6
Deskripsi Jumlah
7
Kode Deskripsi Jumlah
78.68 REMOVAL OF IMPLANTED DEVICE TARSAL AND METATARSAL 3
93.96 OTHER OXYGEN ENRICHMENT 1
96.34 OTHER IRRIGATION OF(NASO-)GASTRIC TUBE 1
73.59 OTHER MANUAILY ASSISTED DELIVERY 2
99.29 INJECTION OR INFUSSION OF OTHER TERAPEUIC OR PROPHYLACTIC SUBSTANCE 2
99.29 INJECTION OR INFUSSION OF OTHER TERAPEUIC OR PROPHYLACTIC SUBSTANCE 1
7
Kode Deskripsi Jumlah
8
Kode
86.3
96.34
99.29
86.23
99.29
86.3
8
Kode
8
Deskripsi
OTHER LOCAL EXCISION OR DESTRUCTION OF LESION OR TISSUE OF SKIN AND SUBCUTANEUS TISSUE
OTHER IRRIGATION OF(NASO-)GASTRIC TUBE
INJECTION OR INFUSSION OF OTHER TERAPEUIC OR PROPHYLACTIC SUBSTANCE
REMOVAL NAIL, NAIL BED, OR NAIL FOLD
INJECTION OR INFUSSION OF OTHER TERAPEUIC OR PROPHYLACTIC SUBSTANCE
OTHER LOCAL EXCISION OR DESTRUCTION OF LESION OR TISSUE OF SKIN AND SUBCUTANEUS TISSUE
8
Deskripsi
9
Jumlah Kode
6 93.96
1 99.29
1 99.29
1 99.29
1 86.3
3 99.29
9
Jumlah Kode
9
Deskripsi Jumlah
OTHER OXYGEN ENRICHMENT 1
INJECTION OR INFUSSION OF OTHER TERAPEUIC OR PROPHYLACTIC SUBSTANCE 1
INJECTION OR INFUSSION OF OTHER TERAPEUIC OR PROPHYLACTIC SUBSTANCE 1
INJECTION OR INFUSSION OF OTHER TERAPEUIC OR PROPHYLACTIC SUBSTANCE 3
OTHER LOCAL EXCISION OR DESTRUCTION OF LESION OR TISSUE OF SKIN AND SUBCUTANEUS TISSU 4
INJECTION OR INFUSSION OF OTHER TERAPEUIC OR PROPHYLACTIC SUBSTANCE 1
9
Deskripsi Jumlah
10
Kode Deskripsi Jumlah
87.03 SCAN OF HEAD 1
78.68 REMOVAL OF IMPLANTED DEVICE TARSAL AND METATARSAL 2
99.29 INJECTION OR INFUSSION OF OTHER TERAPEUIC OR PROPHYLACTIC SUBSTANCE 1
99.29 INJECTION OR INFUSSION OF OTHER TERAPEUIC OR PROPHYLACTIC SUBSTANCE 2
99.29 INJECTION OR INFUSSION OF OTHER TERAPEUIC OR PROPHYLACTIC SUBSTANCE 5
99.29 INJECTION OR INFUSSION OF OTHER TERAPEUIC OR PROPHYLACTIC SUBSTANCE 6
10
Kode Deskripsi Jumlah