PROSIDING INTERNASIONAL Proceedings of the International Conference on Nursing and Health Sciences, Volume 3 No 1, May 2022
ACCURACY OF OUTPATIENT DIAGNOSIS CODE BASED ON ICD – 10
Dublin Core
Title
PROSIDING INTERNASIONAL Proceedings of the International Conference on Nursing and Health Sciences, Volume 3 No 1, May 2022
ACCURACY OF OUTPATIENT DIAGNOSIS CODE BASED ON ICD – 10
ACCURACY OF OUTPATIENT DIAGNOSIS CODE BASED ON ICD – 10
Subject
code accuracy; diagnosis; outpatient
Description
The accuracy of the diagnostic code plays an important role in the accuracy of the INA-CBG's rates.
Outpatient BPJS patient visits at the Astrini Wonogiri General Hospital reached 7,967 patients in 2020,
which have superior polyclinics, namely Orthopedic poly and Cardiology poly. Based on a preliminary
survey, the percentage of inaccurate in the diagnosis coding for outpatients in the Orthopedic poly reached
90% and the Cardiology poly 30%. The high inaccuracy of the diagnostic code can lead to a decrease in the
quality of services in hospitals and affect the sources of reporting information and health service rates. This
study aims to determine the accuracy of the outpatient diagnosis code based on ICD 10 at the Astrini
Wonogiri General Hospital. This type of research is descriptive with a retrospective approach. The
population in this study was 5284 documents, with a sample of 131 documents using the Simple Random
Sampling technique. Methods of collecting data by means of observation and interviews. The analysis of
the accuracy of this outpatient diagnosis code is interpreted as a percentage. The results of the research on
the outpatient diagnosis coding procedure at the Astrini Wonogiri General Hospital in accordance with the
SPO, by looking at the Participant Eligibility Letter, Certificate of Evidence of Service, CPPT form
(Integrated Patient Progress Record) and Supporting Examination Sheets. The results of the percentage
accuracy of the diagnostic code for outpatients in orthopedic poly are 89% (59 DRM) inaccurate codes,
11% (7 DRM) accurate, can be grouped into 2 inaccurate code classifications, namely incorrect code
selection and lack of character code additions 5. The percentage accuracy of the diagnosis code for cardiac
outpatients is an inaccurate score of 14% (9 DRM), 86% accurate (56 DRM) can be grouped into 2
classifications of inaccurate codes, namely, incorrect code selection and lack of character code additions 4.
Factors causing the inaccuracy of the code include the doctor in writing the diagnosis that is not clear so it
is difficult to read, the coder doubles as a casemix, assembling and reporting officer, causing a lack of
accuracy in reading the sheets containing additional information that support the accuracy of the code. The
conclusion from the results of the study is that the inaccuracy of the outpatient diagnosis code at RSU
Astrini Wonogiri is still high, so it is necessary to re-socialize related to the SPO for writing diagnoses to
doctors, and there is a clear division of job disks so that the coder burden is not too high and more thorough
in coding to produce a accurate diagnosis code.
Outpatient BPJS patient visits at the Astrini Wonogiri General Hospital reached 7,967 patients in 2020,
which have superior polyclinics, namely Orthopedic poly and Cardiology poly. Based on a preliminary
survey, the percentage of inaccurate in the diagnosis coding for outpatients in the Orthopedic poly reached
90% and the Cardiology poly 30%. The high inaccuracy of the diagnostic code can lead to a decrease in the
quality of services in hospitals and affect the sources of reporting information and health service rates. This
study aims to determine the accuracy of the outpatient diagnosis code based on ICD 10 at the Astrini
Wonogiri General Hospital. This type of research is descriptive with a retrospective approach. The
population in this study was 5284 documents, with a sample of 131 documents using the Simple Random
Sampling technique. Methods of collecting data by means of observation and interviews. The analysis of
the accuracy of this outpatient diagnosis code is interpreted as a percentage. The results of the research on
the outpatient diagnosis coding procedure at the Astrini Wonogiri General Hospital in accordance with the
SPO, by looking at the Participant Eligibility Letter, Certificate of Evidence of Service, CPPT form
(Integrated Patient Progress Record) and Supporting Examination Sheets. The results of the percentage
accuracy of the diagnostic code for outpatients in orthopedic poly are 89% (59 DRM) inaccurate codes,
11% (7 DRM) accurate, can be grouped into 2 inaccurate code classifications, namely incorrect code
selection and lack of character code additions 5. The percentage accuracy of the diagnosis code for cardiac
outpatients is an inaccurate score of 14% (9 DRM), 86% accurate (56 DRM) can be grouped into 2
classifications of inaccurate codes, namely, incorrect code selection and lack of character code additions 4.
Factors causing the inaccuracy of the code include the doctor in writing the diagnosis that is not clear so it
is difficult to read, the coder doubles as a casemix, assembling and reporting officer, causing a lack of
accuracy in reading the sheets containing additional information that support the accuracy of the code. The
conclusion from the results of the study is that the inaccuracy of the outpatient diagnosis code at RSU
Astrini Wonogiri is still high, so it is necessary to re-socialize related to the SPO for writing diagnoses to
doctors, and there is a clear division of job disks so that the coder burden is not too high and more thorough
in coding to produce a accurate diagnosis code.
Creator
Yeni Tri Utami, Muhammad Amin bin Sahari, Warsi Maryati, Dina Tri Wahyuni
Source
May 2022,
Publisher
Global Health Science Group
Date
May 2022,
Contributor
PERI IRAWAN
Format
PDF
Language
ENGLISH
Type
TEXT
Files
Citation
Yeni Tri Utami, Muhammad Amin bin Sahari, Warsi Maryati, Dina Tri Wahyuni, “PROSIDING INTERNASIONAL Proceedings of the International Conference on Nursing and Health Sciences, Volume 3 No 1, May 2022
ACCURACY OF OUTPATIENT DIAGNOSIS CODE BASED ON ICD – 10,” Repository Horizon University Indonesia, accessed March 9, 2025, https://repository.horizon.ac.id/items/show/2915.
ACCURACY OF OUTPATIENT DIAGNOSIS CODE BASED ON ICD – 10,” Repository Horizon University Indonesia, accessed March 9, 2025, https://repository.horizon.ac.id/items/show/2915.