1.

Introduction of Casemix System

a. Kegunaan Casemix :
- Budgeting
- Cost control
- Reimbursement
- Quality Control
- Benchmarking
b. Komponen Casemix Sistem :
- Disease Classification : Koding diagnosa (ICD-10), Koding tindakan (ICD-9CM/ICHI)
- Cost Analysis : Top-down Costing, Activity-based costing
- Clinical pathways
c. Keuntungan Casemix :
- Meningkatkan efisiensi
- Dapat dijadikan Informasi
- Meningkatkan Kualitas dan Mutu
d. INA-CBG menggunakan 5 digit kode dalam classificatin system
e. Banyaknya komersial grouper yang mahal yang tidak dapat di custom
f. UNU Case-mix Grouper : Universal, Dinamis dan Advance grouper khusus dikembangkan
untuk mendukung penerapan sistem case-mix di negara berkembang

2. Anatomy dan Sistem tubuh untuk koding

a. Pentingnya pengetahuan anatomi
b. Pengetahuan terminologi medis diperlukan untuk koding
c. Casemix main group (CMG) Sistem tubuh manusia
- Disease & disorder of the nervous system
- Disease & disorder of the eye
- Disease & disorder of the ear, nose, mouth & thoat
- Disease & disorder of the respiratory system
- Disease & disorder of the circulatory system
- Disease & disorder of the digestive system
- Disease & disorder of Hepatobiliary system & pancreas
- Disease & disorder of the Muscoloskeletal system & corn tissue
 - Disease & disorder of the skin subtaneous tissue & breast
- Disease & disorder of the endocrine, nutritional, & metabolic system
- Disease & disorder of the Urinary Tract
- Disease & disorder of the male reprofuctive system
- Childbirth
- Newborn & other neonates
- Disease & disorder of blood forming organs, immunolog disorder
- Myelopolioperative disease & disorder, poorly differentiated neoplasm
- Infectious & parasitic disease, sistemic or or unsp site
- Mental disease & disorders
- Alcohol/drug use & alcohol/drug induced organic of mental disorders
- Injuries Poisonings & Toxic effext of drugs
- Factors influencing health status & other contacts with health service
- Medical outpatient visits

3. Special group yang dapat Top Up tarif INACBG

a. Special Procedure :
- YY01-Hip Replacement / knee replacement
- YY02-PCI
- YY03-Keratoplasty
- YY04-Pacreatectomy
- YY05-Repair of septal defect of heat with prosthesis
- YY06-Stereotactic surgery & radiotherapy
- YY07-Torakotomi
- YY08-Lobektomi/bilobektomi
- YY09-Virectomy
- YY10-Phacoemulsification
- YY11-Microlaringoscopy
- YY12-Cholangiograph
b. Special Prosthesis
- RR01-Subdural grid electrocle
- RR02-Cote graft
 - RR03-TMJ Prosthesis
- RR04-Hip Implant / Knee implant
- RR05-Evar/Tevar/Hevar Prosthesis
c. Special Investigation
- II01-Nuclear Medicine
- - II02-MRI
- -II03-Diagnostic and Imaging procedure of eye
d. Special Drug
- DD01-Streptokinase
- DD02-Deferiprone (IP)
- DD03-Deferoksamin (IP)
- DD04-Deferasirox (IP)
- DD05-Human Albumin for septicaemia
- DD06-Anti Hemofilia Factor (IP)
- DD07-Deferiprone (OP)
- DD08-Deferoksamin (OP)
- DD09-Deferasirox (OP)
- DD10-Anti Hemofilia Factor (OP)
- DD11-Human Albumin for burn
4. Monitoring dan evaluasi INA-CBG
a. Monitoring dan evaluasi bergantung pada 4 komponen, yaitu:
- Coding
- Costing
- Clinical Pathway
- Information Technology (IT)
b. Diperlukan monitoring oleh manajer
c. Efisiensi monitoring dan evaluasi berguna untuk meningkatkan perbaikan performa rumah
sakit.
d. Audit dan monitoring harus ditangani dengan tepat oleh staff yang terampil.
e. Tindak lanjut harus diambil setelah audit dan monitoring