BPJS Patients Research Articles

LEGAL CERTAINTY FOR HEALTH FACILITIES IN PROVIDING REFERRAL LETTER ON PATIENT REQUESTS IN THE JKN ERA (JURIDICAL REVIEW OF THE SJSN LAW AND BPJS HEALTH LAW)

The main problem in this research is a policy problem, namely the problem of legal policy in regulating the rules of legal certainty for health facilities. Therefore the approach to this problem is a policy-oriented approach. However, considering that the main target of this research is legislative policy in formulating legal certainty for health facilities in carrying out their duties and functions, the approach is mainly taken with a juridical-normative approach. This research was conducted at the Blangkejeren Public Health Center, Lhoksukon City, Central Aceh, with literature studies at the Panca Budi University Library and internet searches. The data sources of a research are primary data and secondary data. Because this research is a normative legal research, the sources studied are secondary data sources. Legal certainty of payment for health services has provided legal certainty to Health Service Providers (PPK) as regulated in Presidential Regulation Number 19 of 2016 concerning the Second Amendment to Presidential Regulation Number 12 of 2013 concerning National Health Insurance (JKN). However, this change still does not provide legal certainty for BPJS patients when problems occur related to the amount of payments that must be paid by BPJS to Health Service Providers, if there are patients who experience/require to be treated with costs that exceed the rates determined by BPJS. Legal consequences if there is no legal certainty for health services

Faktor Penyebab Belum Dilaksanakannya Kode External Causes Pada Berkas Rekam Medis Kasus Kecelakaan Pasien BPJS di Rumah Sakit Umum Daerah Kota Baubau

Based on the results of preliminary observations on the medical record file for the BPJS patient accident case that was carried out by researchers at the Baubau City Hospital in 2019, the coding of the diagnosis on the medical record form for the BPJS patient accident case at the Baubau City Hospital was not accompanied by an external cause code. This study aims to identify the causes of the external causes code not yet implemented in the medical record file of BPJS patient accident cases at the Baubau City Regional General Hospital. This research was conducted in the PPTARS room of Baubau City Hospital. The design of this study was a descriptive study with a qualitative approach with a case study design. Research subjects included one inpatient coding officer and head of the medical records field. The object of this research is the medical record file of BPJS patient accident case and the standard operational procedure about external causes in Baubau City Hospital. Data collection techniques was done by observation, interview and documentation study. The results showed that aspects that affected the implementation of the external causes code were Man, Money, and Methods aspects. In the Man aspect, HR has never participated in training related to external causes and there have been no orders from superiors / centers regarding external causes data needs. In the Money aspect, the patient's external causes code has not had a significant effect on the patient's INA-CBGs claim and for the Methods aspect, there is no SOP related to external causes. For this reason, officers should be given training, external causes codes are taken into account in making INA-CBGs claim reporting and RL4a reports related to morbidity, and SPOs about coding external causes are compiled and applied

Faktor Penyebab Belum Dilaksanakannya Kode External Causes Pada Berkas Rekam Medis Kasus Kecelakaan Pasien BPJS di Rumah Sakit Umum Daerah Kota Baubau

Based on the results of preliminary observations on the medical record file for the BPJS patient accident case that was carried out by researchers at the Baubau City Hospital in 2019, the coding of the diagnosis on the medical record form for the BPJS patient accident case at the Baubau City Hospital was not accompanied by an external cause code. This study aims to identify the causes of the external causes code not yet implemented in the medical record file of BPJS patient accident cases at the Baubau City Regional General Hospital. This research was conducted in the PPTARS room of Baubau City Hospital. The design of this study was a descriptive study with a qualitative approach with a case study design. Research subjects included one inpatient coding officer and head of the medical records field. The object of this research is the medical record file of BPJS patient accident case and the standard operational procedure about external causes in Baubau City Hospital. Data collection techniques was done by observation, interview and documentation study. The results showed that aspects that affected the implementation of the external causes code were Man, Money, and Methods aspects. In the Man aspect, HR has never participated in training related to external causes and there have been no orders from superiors / centers regarding external causes data needs. In the Money aspect, the patient's external causes code has not had a significant effect on the patient's INA-CBGs claim and for the Methods aspect, there is no SOP related to external causes. For this reason, officers should be given training, external causes codes are taken into account in making INA-CBGs claim reporting and RL4a reports related to morbidity, and SPOs about coding external causes are compiled and applied.

SOSIALISASI PENERAPAN DIGITALISASI APPOINTMENT DI RUMAH SAKIT AWAL BROS BATAM

Indirect registration is conducted online with the aim of reducing patient accumulation caused by lengthy registration times. The online registration system implemented by Awal Bros Hospital Batam offers four options: registration through the Haloawalbros application, Stardok, Chatbot (specifically for online registration via WhatsApp), and the Mobile JKN application for BPJS patients. This study aims to determine the procedures for the online appointment registration system at Awal Bros Hospital Batam. The research methodology includes population sampling techniques and operational definitions of research variables. Based on the research findings, Awal Bros Hospital Batam has successfully implemented an online appointment registration system. Four applications are available for conducting online appointments at Awal Bros Hospital Batam: Haloawalbros, Stardok, Chatbot with WhatsApp, and the Mobile JKN application for BPJS-insured patients.

GAMBARAN TINGKAT KEPUASAN PELAYANAN PADA PASIEN BPJS PBI DAN PASIEN BPJS NON PBI YANG DIRAWAT DI KELAS III RUMAH SAKIT PKU MUHAMMADIYAH GOMBONG

Background : Patient satisfaction is the main thing that is considered in providing services. The success of the services provided in a health facility is the level of patient satisfaction. The Ministry of Health of the Republic of Indonesia believes that the Social Security Organizing Body (BPJS) is a public legal entity created to carry out social security programs. BPJS Kesehatan participants are divided into two, the first is poor people who receive contribution assistance (PBI) and the second is Non PBI participants who are participants who receive wages (PPU), participants who do not receive wages (PBPU) and are not workers whose costs are borne alone or collectively to BPJS Health.Objective : To know the description of the level of service satisfaction in BPJS PBI patients and BPJS Non PBI patients who are treated in class III PKU Muhammadiyah Gombong Hospital.Research Methods : This research is used a descriptive quantitative research design with a cross sectional approach. The population in this study was BPJS PBI 767 patients and BPJS Non PBI 106 patients. Sampling used probability sampling as many as 20 BPJS PBI patients and 10 Non PBI BPJS patients. Data were analyzed by univariate.Results : There is shows the results on the characteristics of BPJS PBI patients with the most sex, namely 16 women (80%), the majority of high school education level is 8 people (40%) and BPJS Non PBI, the most gender is 6 men (60 %), the level of education at most SMP 5 people (50%). The results of the BPJS PBI patients showed 11 people (55%) out of 20 respondents chose the satisfied category and the BPJS Non PBI patients showed 9 people (90%) out of 10 respondents chose the very satisfied category.Recommendations : The results of this study are expected to be a reference or reference in overcoming existing problems and improving quality in terms of services and as additional knowledge about the use of health services in hospitals.

Total Quality Management (TQM) in Bpjs Patient Services in MM Dunda Limboto Hospital

This study aims to determine and analyze how Total Quality Management in BPJS Patient Services at MM Dunda Limboto Hospital. This research is a descriptive research with a qualitative approach. Several indicators used are Commitment, Communication, Cooperation, Criticsimn. Based on the results of research and discussion related to the indicators of criticism in question, it was concluded from several informants that the hospital should better understand the situation in the hospital with the existence of a suggestion box, because which patients think about that suggestion, it is better like the advice of the patient by filling in a draft that was delivered directly by the officer to be filled in so that the evaluation material was available and quickly knew the response from the patient but the patient was getting better.

Claim Procedure Analysis Health BPJS In Hospital

The membership administration procedure factor, the medical resume factor, the diagnosis codification factor and the action codification factor are still obstacles so that they are returned by the BPJS Health verifier. The purpose of the study was to determine the BPJS Health claim procedure at the hospital. Literature research or literature study and qualitative approach. Based on a review of 15 (fifteen) journals, it was found that there are still obstacles in the BPJS Health claim procedure so that the file is returned to the BPJS verifier. As in the case of membership administration procedures, medical resume factors, diagnosis codification factors, and action codification factors. which causes BPJS health files to be returned, namely the absence of Standard Operating Procedures which regulates the factors regarding the collection of documents for BPJS patient registration requirements. Components of author authentication and audit records are not appropriate because there is no signature of medical personnel and there are still empty parts. And the writing of the diagnosis is not specific so that the codification is not accurate and the coder on memorization does not refer to ICD-10 or only sees ICD-10 volume 3 without looking at Referring to volume 1.

ANALISIS KEPUASAN PASIEN RAWAT JALAN DALAM PELAYANAN RESEP DI INSTALASI FARMASI RUMAH SAKIT UMUM LIRBOYO TAHUN 2019

Pelayanan kesehatan merupakan faktor penting dalam meningkatkan derajat kesehatan dan kesejahteraan setiap insan diseluruh dunia. Kepuasan pasien adalah masalah penting bagi penyedia layanan kesehatan. Hal ini merupakan promosi dari mulut ke mulut bagi calon pasien lainnya yang diharapkan sangat positif bagi usaha rumah sakit. Penelitian ini bertujuan untuk mengetahui kepuasan pasien peserta BPJS dan kepuasan pasien umum dalam pelayanan resep di instalasi farmasi rawat jalan RSU Lirboyo Kediri. Pemilihan sampel pada penelitian ini dengan metode Accidental sampling sebanyak 85 pasien BPJS dan 85 pasien umum. Analisis yang dilakukan pada peneltian ini dengan metode RATER menggunakan kuisioner dengan menggunakan uji gap, customer window, dan uji t-Test independent sample. Kualitas pelayanan kefarmasian yang ditinjau dari rata-rata nilai 5 dimensi kehandalan, jaminan, bukti langsung, empati dan tanggapan terhadap pasien BPJS didapatkan nilai gap negatif sebesar -0.012 dengan tingkat kepuasan pasien adalah kurang puas. Kualitas pelayanan kefarmasian yang ditinjau dari rata-rata nilai 5 dimensi kehandalan, jaminan, bukti langsung, empati dan tanggapan terhadap pasien umum didapatkan nilai gap positif sebesar 0.032 dengan tingkat kepuasan adalah puas. Hasil uji t-Test independent sample didapatkan nilai signifikan sebesar 0,620 > 0,05. Dengan demikian, dapat dikatakan bahwa kepuasan pasien rawat jalan pengguna BPJS dan pasien umum secara signifikan tidak ada bedanya

Analysis of Patient Characteristics, Financing of Actions and Diagnosis of Disease in BPJS Patients

Background: Dental and oral health services are a form of professional service that is an integral part of health services for the community, families or individuals3. Implementation of a dental specialist clinic at the 2nd health facility is a referral from the health facility 1 All financing is borne by BPJS with INA CBGS financing. Purpose: This study aims to determine patient characteristics and disease diagnosis of BPJS patients in specialist dental clinic in Islamic Hospital Surabaya. Methods: This study used a qualitative research method with a descriptive analytic study. From the BPJS TXT data for January - December 2019, there were 7153 patient visits at the dental specialist clinic of the Islamic Hospital in Surabaya, the TXT data is data issued by the BPJS as a result of purification of billing file data recognized by the BPJS. Results: Based on the results of the study, it was found that most of the patients were male, with the largest age ranges being <25 years and> 50 years. The implementation of the tariff difference between INA CBGS and the fare difference of the Islamic Hospital in Surabaya is - 128,091,924 with an average of - 17,907 / patient. Of the total TXT, the largest financing of the INA CBGS tariff is the doctor service rate with a percentage of 54.90%. Conclusion: the implementation of BPJS examination of specialist dental polyclinic at RS Islam Surabaya did not give the maximum benefit.

Analysis of Class Transfer of BPJS non PBI Patients and Affecting Factors in Moh. Anwar General Hospital Sumenep District

Insurance or coverage arises because of human needs. Human needs are not limited, but the means of satisfying these needs are limited. One of these human needs is the protection of a sense of security. The need for insurance coverage stems from the desire to overcome uncertainty. The purpose of this study was to analyze the effect of economic status, perception and level of illness vulnerability on public interest in transferring care classes for non-PBI BPJS patients at Moh. Anwar General Hospital Sumenep Regency. The design of this study is an observational quantitative study with a cross sectional approach with the focus of the research directed at analyzing the effect of economic status, perception and level of illness vulnerability on public interest in transferring care classes for non-PBI BPJS patients at Moh. Anwar General Hospital Sumenep Regency. The total population of 134 respondents and a sample of 100 respondents were taken by the Accidental Sampling technique. The findings show that almost half of the respondents haveeconomic status middle class category as many as 42 respondents (42%).Most of the respondents have a perception of less category as many as 62 respondents (62%). Most of the respondents have a high category of disease susceptibility as many as 56 respondents (56%). Most of the respondents interested in changing BPJS classes as many as 58 respondents (58%). Based on the results of the Logistics Regression analysis showed that the p-value <0.05 then H1 was accepted so it was concluded that there was an influence of economic status, perception and level of illness vulnerability on public interest in transferring non-PBI BPJS patient care classes at Moh. Anwar General Hospital Sumenep Regency. It is expected that respondents can understand more deeply related to BPJS Health so that it can be used properly and the amount of installments does not burden the community.

Analisis Tarif Rumah Sakit Terhadap Kualitas Pelayanan Pasien Umum dan Pasien BPJS di Rumah Sakit Muhammadiyah Ahmad Dahlan Kota Kediri

The hospital of Muhammadiyah Ahmad Dahlan Kediri is a place that gives the service to individual’s health with hospitalized service, regular service and emergency service. The Hospital of Muhammadiyah Ahmad Dahlan Kediri is a hospital with class C that has capacity 205 beds. Bed Occupational Rate (BOR) for 4 years lately is around 52,5%. The operational expense of hospital is totally from the patients so that the position of customer is very important.
 
 This research Design Uses Correlational Analysis Survey Design by approaching Cross Sectional. It uses the population of all for long hospitalized patients that had got service in Hospital of Muhammadiyah Ahmad Dahlan Kediri, and their number is 125 patients with 55 patients as the sample, it is taken by using the technique of purposive sampling. The collection of Data uses the questioner. The data of Research was analyzed by Moderated Regression Analysis Test.
 
 there are 3 variables that become research material, from the 3 variables studied, there are a total of 23 question items. From each question item, both independent and dependent, it turned out to have a correlation probability value below 0.005 or the Service research variable data (X), General patient satisfaction (Y1) and BPJS patient satisfaction (Y2) at Muhammadiyah Ahmad Dahlan Hospital, Kediri City were declared valid. . From the results of the questionnaire obtained after being processed, it can be seen from the highest average value obtained in empathy from service providers, which is 3.69 which means the attitude of nurses and doctors is good when responding to questions from patients' families and hospital visitors. While the lowest average is 2.85, which is from the time of the doctor's examination according to the schedule. This explains that many patients are dissatisfied with the doctor's schedule for not being on time.
 There are two kinds of service rates at the Muhammadiyah Ahmad Dahlan Hospital, Kediri City, which results in differences in treatment for general patients and BPJS patients who seek treatment at Muhammadiyah Ahmad Dahlan Hospital, Kediri City. There is an effect of service rates on general patient satisfaction and BPJS patients at home. Muhammadiyah Hospital Ahmad Dahlan, Kediri City. Although there are differences in treatment and service, there are differences in satisfaction between general patients and BPJS patients at the Muhammadiah Ahmad Hospital. Dahlan, Kediri. Not too significant.

Penerapan Jaminan Kesehatan Terhadap Layanan Keperawatan RSU Daerah

Primary role of nurse is fulfill requirement of basic human needs and to reach satisfaction to own self and also its client. Nurse attitude in giving nursing care will be perceved by patient to favorable and unfavorable. During the time BPJS patient assess about nursing care that had been given was unfavorable of compared to nursing care that had been given to Non JPS patient. And so do Non BPJS patient assess that service of given by nurse was unfaforable. This research was aimed to identify difference perception of BPJS and Non BPJS patient to nursing care in Surgical Room, Piru Hospital. Design used in this research was comparative descriptive study. The population were all BPJS patient and Non BPJS patient in Piru Hospital. Chousy sample were selected by strutified random sampling 15 BPJS and 15 Non BPJS. Risearch instrument used questioner. Data were analyzed by using fisher’s exact test with level of significance of 0,05. Result of this research showed that most BPJS patient had negative perception (80 %), while Non BPJS patient had perception (66,7 %). Through fisher’s exact test showed the existence of difference of perception between BPJS patient and Non BPJS patient to nursing care with value of p = 0,025. It can be concluded that there was difference of perception between BPJS patient and Non BPJS patient to nursing care.

EVALUASI WAKTU TUNGGU PELAYANAN RESEP PASIEN RAWAT JALAN DI INSTALASI FARMASI RSUD Dr. R. SOEDJONO SELONG

Waiting time is the time used by patients to get prescription services. The length of time the patient waits can reflect how the hospital manages the service component that is tailored to the patient's situation and expectations. This observation was carried out to find out the waiting time for concoction and non-concoction prescription services in outpatient BPJS patients at the Dr. General Hospital Pharmacy Installation. R. Soedjono Selong and find out what factors influence the prescription waiting time in the Pharmacy Installation of the Regional General Hospital Dr. R. Soedjono Selong. The sample observed was a recipe for concoction and non- concoction which had been determined by the criteria for taking data by using Data Retrieval Sheets (LPD). Regional Dr. R. Soedjono Selong has provided maximum service to health services, especially servants of recipes for concoction and non-concoction medicines. The average waiting time required for working on a prescription at the Regional General Pharmacy Pharmacy Dr. R. Soedjono Selong is 54 minutes for concoction drugs and 29 minutes for non- concoction drugs. Thus, the waiting time for concoction and non-concoction recipe services has an average waiting time that does not exceed prescription service standards based on the Decree of the Minister of Health of the Republic of Indonesia Number: 129/Menkes/ SK/II/2008.

Perlindungan Hukum terhadap Pasien BPJS yang Mengalami Cacat Fisik Akibat Malpraktek Dokter

The need to fulfill patient rights stemming from the obligations of a doctor in a hospital so that it is deemed necessary to regulate medical practice in a law. Based on this background, it can be formulated that the purpose of this study is to determine the responsibility of doctors for malpractice that results in physical disabilities in patients and to determine legal protection for BPJS patients who experience physical disabilities due to malpractice of doctors. The type of research in this paper uses normative legal research. The method that the author uses in collecting legal assistance is the method of observation and recording of a literature review obtained to be collected and arranged in such a way. The conclusion of this study is that if a doctor is responsible for carrying out medical treatment, it has been proven and can be proven that he has committed malpractice, then the forms of punishment that can be given are the release of permission from the medical profession by the Indonesian Medical Discipline Honorary Council. However, when there is a report from the victim or patient who is harmed to the police and it has been proven or can be proven, the doctor can be subject to civil, criminal and administrative penalties. Legal protection for BPJS patients who experience physical disabilities due to malpractice of doctors has been regulated in positive law in force in Indonesia

Pola Peresepan Anak dengan Infeksi Saluran Pernapasan Akut (ISPA) Non Pneumonia di Klinik

Acute respiratory infection (ARI) is a common disease in the community. Riskesdas 2018 stated that ARI prevalence was 4.4% and the highest was in 1-4 years old children (8%). The capitation payment system in clinics collaborated with BPJS Kesehatan demands the physician to prescribe as effective and as efficient as possible. On the other hand, the capitation tariff obtained by clinics is considered as too low, thus constrains of the prescription leading to irrational prescribing is likely to occur. This study analyses further the prescribing pattern for ARI children in clinics and its rationality based on the difference in source of funding. A cross sectional research using retrospective method was conducted. Data were gathered from 409 medical records and or patients’ prescription of children between 1-12 years old and diagnosed as having non pneumonia ARI during 1st January to 30th November 2019. Result showed that non pneumonia ARI patients were mostly boys (54,3%) aged 1-5 years old (6.0%). The average number of items for BPJS patients was 3,45, the percentage of generic prescribing was twofold higher for BPJS group (63.94%), the percentage of essential medicine prescribing was 63.96% while the percentage of antibiotic use was lower (48.50%). Dosage propriety for BPJS patients was 70.80% which was slightly higher than non-BPJS group. Overall, the prescribing indicators and dosage properness for BPJS patients were better than non-BPJS patients.

Implementation of Operational Strategy Planning in Doku Application

Background - Health services are one of the most widely used public services, administered by BPJS Health reaching 222.5 million people as of December 31, 2020. This figure is equivalent to 81.3% of the total population in Indonesia. The Doku application is an application that will help level I Health Facilities and Hospitals to manage BPJS patient services. The Doku application will replace the conventional BPJS patient services at Level I Health Facilities and Hospitals to online. This business opportunity is quite large, even though there are threats from existing applications, with more brands and users, but based on the results of QSPM is product development strategy, Doku will always update features and add according to market needs. Method - Product design operational management approach. Result - This product design helps companies to implement user requirements in the form of user interface. Keywords: Application, Doku, Feature Update, Business opportunity.

Hospital Location Selection Targeting Indonesian NHI Patients for a Sustainable Business

Finding an optimal location is a strategic decision, and an error of location judgment causes problems in the process and directly affects cost and profitability. Currently, Indonesian National Health Insurance (BPJS) program has high coverage growth in Indonesia; however, building hospitals targeting BPJS patients have faced some challenges and may lead to an unprofitable business. Therefore, location selection is a crucial aspect of a hospital’s operation, highly relates to profitability, and impacts business performance. Moreover, being profitable is not enough for businesses to survive in the long run; they have to be sustainable. The purpose of this study is to develop a reference for a location selection for healthcare management when building hospitals targeting BPJS patients. This paper utilizes the EGSEE framework for a sustainable business to evaluate comprehensive hospital location selection sub-factors. The study employs a systematic literature review and a modified Delphi method to examine the experts’ judgment. Finally, the Analytic Hierarchy Process is applied to develop the evaluation method. The result, social factor has the highest priority with a total weight of 42%, followed by economic factor (38%), and environment factor (20%). Besides hospital targeting BPJS patients have a sustainable business by being social, hospitals also contribute to increase the welfare of people living near the facility.

Management of Free Health Services in Hospital

The Government of Indonesia is obliged to provide guarantees for the fulfillment of the right to a healthy life for every citizen by enforcing the Social Security Administration (BPJS) for Health. The success of hospitals in carrying out their functions is marked by an increase in the quality of hospital services. To implement the implementation of SJSN in the BPJS program, the phenomenon of existing problems where the management of free health services in hospitals has not been carried out optimally, seeing some complaints in the community, therefore it is necessary to study the management of health services in terms of input, process and output. and 5M management at Tjokrodipo Hospital, Bandar Lampung City. This study aims to determine and describe the Management of Free Health Services at Tjokrodipo Hospital, Bandar Lampung City in 2021. This research is a qualitative study with a descriptive approach. The time of the study was carried out from May to June 2021 in Tjokrodipo Hospital Bandar Lampung Research subjects were selected using purposive sampling technique, researchers used data triangulation techniques and data processing carried out in this study was source triangulation. not available for BPJS patients, so patients are advised to look for other dispensaries, medical equipment such as patient beds are still lacking because during the pandemic, the availability of health human resources (HR), such as dentists and specialists are not in accordance with class C hospital standards, patients feel that the free health services provided are not good, the average patient complains of a lack of equipment such as uncomfortable beds and rooms because there are many patients.

Calculation of Income on Phaco Operations of BPJS Patients at Padang EYE Center Special Hospital in 2018

This study aims to find out how the Pacho Operation Income for BPJS Patients at the Padang Eye Center Special Eye Hospital in 2018. The type of research used is quantitative descriptive research by calculating the amount of income received by the Padang Eye Center Special Eye Hospital for Pacho Operations for BPJS patients based on BPJS rates and based on the rates determined by the Padang Eye Center Special Eye Hospital. From the results of research on the Padang Eye Center Special Eye Hospital, the amount of income based on the tariff set by RSKM PEC was Rp.23,935,000,000 from the number of surgical patients during 2018 as many as 3,395. While the amount of income paid by BPJS is Rp. 23,765,000,000.

Analysis Of Accuracy Of Cjs Patient Diagnosis Code In Buayan Health Center On The Outdoor Diagnosis Of Pku Muhammadiyah Gombong

The purpose of this study was to obtain an analysis of the accuracy of the reference diagnosis code for BPJS patients at the Buayan health center to diagnose out of PKU Muhammadiyah Gombong hospital.
 This research was conducted at the Buayan Health Center and PKU Muhammadiyah Gombong, in the medical record sub-section. This study uses descriptive quantitative methods, samples taken by means of sample random sampling and using linear regression.
 Based on the results of the study and the discussion of the accuracy of the reference diagnostic code for BPJS patients at the Buayan Community Health Center as much as 40 (64.5%), the inaccuracy of the reference diagnosis codes for BPJS patients at the Buayan Health Center was 22 (35.5%). The exact outpatient diagnosis of PKU Muhammadiyah Gombong was 40 (64.5%), while inaccurate diagnoses of PKU Muhammadiyah Gombong were 22 (35.5%). While the results of a simple linear regression analysis of the accuracy of the reference diagnosis code for BPJS patients at the Buayan Community Health Center on the outgoing diagnosis of PKU Muhammadiyah Gombong obtained a significance value of 0,000. The signification value is <0.1, meaning that Ho is rejected and H1 is accepted so that there is an influence between the accuracy of the reference diagnosis code of BPJS patients at the Buayan Community Health Center on the outgoing diagnosis of PKU Muhammadiyah Gombong.