Abstract
Pending claims are a problem and a challenge for coders along with the presence of Minister of Health Regulation No. 24 of 2022 which provides greater challenges for coders in clinical classification coding activities. This research was carried out from March to May 2023 at Hospital Casemix Department in Bukittinggi. The implementation of this research started from collecting secondary data using observation, interviews and documentation methods. Processing and analyzing data by collecting, tabulating and narrating, and analyzing descriptively with a retrospective approach based on relevant regulations. The non-random sampling technique used in sampling is Purposive Sampling. The research results showed that there were 5 cases of pending claims that experienced errors in the codification of the claim diagnosis. Codification errors are caused by mismatches in management and resources, the emergence of mortality codes, and discrepancies in examination result values with the diagnosis criteria claimed in accordance with the BPJS Minutes Management Guide for Solutions to INA-CBGs Claim Problems.
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