Preparation of Online Registration Procedures for Outpatients, Completing Emergency Reports, and Submitting Claims
DOI:
https://doi.org/10.56727/bsm.v11i1.156Keywords:
SOP format, insurance claims, medical record reporting, online registration, SOPAbstract
Development of effective and efficient SOPs is crucial for the implementation of activities to ensure optimal resource management and achieve organizational goals. The emphasis on simplicity, flexibility, participation, and continuous evaluation and improvement in the development and management of SOPs needs to be monitored periodically. Qualitative research with a case study approach. The reason why the SOP for online outpatient registration has not been implemented is because there is no SOP for online outpatient registration. In this research, SOP has been successfully designed. The development of an SOP for online outpatient registration is considered to reduce the number of queues for manual registration. In the RL 3.2 report in the SIMRS, data cannot be displayed regarding the emergency care service category and referral/non-referral status due to a combination of technical factors in the system, incomplete data entry by care providers, and a lack of standard procedures in reporting. Improvement measures include strengthening medical personnel training, adjusting the SIMRS system to display data accurately, and implementing clear SOPs for filling in RL 3.2 or emergency care reports. A contributing factor to the lack of an SOP for submitting JKN claims is that it has not been designed. The absence of an SOP for submitting claims can impact the timely entry of claims. The design of SOPs is considered to be able to address existing problems. Having SOPs as guidelines for staff in related units will result in more timely file returns and diagnosis entries on service receipt forms. Additional booking success notifications on the MyMedic website are needed. An automatic check feature should be added that alerts healthcare workers if data has not been entered. A system for service categories and referral/non-referral status should be developed.
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