Non Operatif

Max 100,000
Min 70,000

No Nama Pasien NO KLAIM Bulan Jatah Kelas

1 HANDIN NOURA ADZKIYA 0197R0150722V000095 Agustus 2

2 ENDRAYANI 0197R0150822V000008 Agustus 2
4 MUHAMMAD FARHAN ALI 0197R0150722V000101 Agustus 2
5 FITRIYAH MADASARI 0197R0150822V000016 Agustus 2
7 MUHAMMAD RAFANDRA PRADIPTA 0197R0150822V000023 Agustus 2
10 MUHAMMAD IRSYADUL IBAD 0197R0150822V000046 Agustus 1
11 ACHMAD ROIHAN AR-ROSYID 0197R0150822V000044 Agustus 2
13 AULIA SINTYA NANDA 0197R0150822V000071 Agustus 1
14 AZALEA NUHA AFIFAH 0197R0150822V000066 Agustus 2
16 WINARSIH 0197R0150822V000077 Agustus 3
17 SHERINA AMADRA HAFSAH 0197R0150822V000079 Agustus 1
19 VIKI ROUDLOTUNNA'IM 0197R0150822V000092 Agustus 3
20 MUHAMMAD KHAI FATHAN 0197R0150822V000085 Agustus 2
22 RADEN RAFFASYA ARFAN ARSHAKA 0197R0150822V000094 Agustus 1
23 MINARNO 0197R0150822V000105 Agustus 1
24 ASSYIFA ALMAHYRA VEDYA 0197R0150822V000103 Agustus 2
DPJP Agustus
Wahyu - -
Dr. SOEWARSI 2,220,000 -
Rizal FITNI 3,299,228 -
Mahfudz 970,620 -
Faria 120,000 -
Debby 600,000 -
Bambang 4,004,489 -
Dr. IGD 1,200,000 -
KEPERAWATAN & ADM 4,186,610 -
KRU OK 2,196,974 -
Dokter radiologi 360,000
Penempatan Klas los DPJP Jenis Penunjang Tarif INA (Disetujui)

2 5 dr. Soewarsi Non Operatif 2,586,400

2 2 dr. Rizal Non Operatif 1,814,000
3 7 dr. Soewarsi Non Operatif 60,000 3,919,100
1 4 dr. Rizal Non Operatif 1,732,700
1 4 dr. Soewarsi Non Operatif 1,334,400
3 3 dr. Soewarsi Non Operatif 3,437,900
1 6 dr. Soewarsi Non Operatif 3,913,100
1 2 dr. Faria Non Operatif 2,116,300
2 4 dr. Soewarsi Non Operatif 60000 3,913,100
2 1 dr. Mahfudz Non Operatif 60000 1,112,000
1 5 dr. Debby Non Operatif 60000 4,565,300
3 3 dr. Rizal Non Operatif 1,470,800
2 4 dr. Soewarsi Non Operatif 3,913,100
1 4 dr. Soewarsi Non Operatif 4,565,300
1 2 dr. Mahfudz Non Operatif 60000 1,563,200
2 5 dr. Debby Non Operatif 60000 3,913,100
81,593,200
 - -
- -
- -
- -
- -
- -
- -
- -
- -
- -

jepal Rad, USG, Lab Japel Medis

Klas I 118750 95000
Klas II 106250 85000
Klas III 93750 75000

Berdasarkan Klas yang ditempati (per hari)

Maksimal (3 hari)

Jepel Operatif = Setuju

Japel IGD = Setuju
Japel Keperawatan & Admin (kebersamaa) = setuju
Japel Rawat jalan = Setuju
Japel Radiologi = Setuju
JRS = sesuai pembagian --> setuju
Japel Ruangan = dibagi berdasarkan kelas
Klas VIP 100000
Klasi I 90000
Klas II 80000
 Klas III 70000
100000
90000
80000
70000
 100.00% 100.00%
JRS (A) JRS (B)
40% 58%

Target Rencana Indirect Indirect

Biaya Keuntungan
Keuntunga pengemba Cost Cost (non
Investasi dan Risiko
n ngan (operatif) Operatif)

Iur (Naik total direct

5.00% 5.00% 5.00% 21.00% 4.00% 21.50%
Kelas) cost

- 2,308,361 129,320 129,320 129,320 543,144 103,456 556,076

- 1,329,506 90,700 90,700 90,700 380,940 72,560 390,010
- 3,331,657 195,955 195,955 195,955 823,011 156,764 842,607
439,100 1,565,581 108,590 108,590 108,590 456,078 86,872 466,937
394,300 1,456,889 86,435 86,435 86,435 363,027 69,148 371,671
- 1,670,392 171,895 171,895 171,895 721,959 137,516 739,149
652,200 2,660,196 228,265 228,265 228,265 958,713 182,612 981,540
- 1,417,187 105,815 105,815 105,815 444,423 84,652 455,005
- 2,498,935 195,655 195,655 195,655 821,751 156,524 841,317
222,400 1,513,318 66,720 66,720 66,720 280,224 53,376 286,896
- 2,368,571 228,265 228,265 228,265 958,713 182,612 981,540
- 1,056,172 73,540 73,540 73,540 308,868 58,832 316,222
- 2,097,933 195,655 195,655 195,655 821,751 156,524 841,317
- 2,354,719 228,265 228,265 228,265 958,713 182,612 981,540
- 1,211,248 78,160 78,160 78,160 328,272 62,528 336,088
- 2,503,540 195,655 195,655 195,655 821,751 156,524 841,317
61,196,670
 #REF! 210000
Operatif
51%
Direct Cost

Jasa Dokter

Pos
subsidi
Japel Non (Koreksi Rata Rata Visite silang
Non
Operatif Operatif Japel / hari jasa Per Hari Maksimal / (kurang
Operatif
(Koreksi) (LOS) (LOS) minimal lebih
Pembagia
n Japel)

Cek Jasa
30.00% 12.50% Visite Pelayanan
Ruangan
- 323,300 64,660 60,000 300,000 60,000 4,660
- 226,750 113,375 60,000 120,000 60,000 53,375
- 489,888 69,984 60,000 420,000 60,000 9,984
- 271,475 67,869 60,000 240,000 60,000 7,869
- 216,088 54,022 60,000 240,000 60,000 - 5,978
- 429,738 143,246 60,000 180,000 60,000 83,246
- 570,663 95,110 60,000 360,000 60,000 35,110
- 264,538 132,269 60,000 120,000 60,000 72,269
- 489,138 122,284 60,000 240,000 60,000 62,284
- 166,800 166,800 60,000 60,000 60,000 106,800
- 570,663 114,133 60,000 300,000 60,000 54,133
- 183,850 61,283 60,000 180,000 60,000 1,283
- 489,138 122,284 60,000 240,000 60,000 62,284
- 570,663 142,666 60,000 240,000 60,000 82,666
- 195,400 97,700 60,000 120,000 60,000 37,700
- 489,138 97,828 60,000 300,000 60,000 37,828
Nama Dokter Mei Juni Juli Agustus
Wahyu 677,320 3,368,560 369,000 -
dr. Soewarsi 1,090,600 2,046,720 1,549,800 -
Rizal - 1,240,000 - 1,756,600
Mahfudz 560,880 747,840 4,703,520 1,854,840
Faria - - 246,000 3,305,200
Debby 1,869,600 3,064,801 - 1,771,200
Bambang 1,180,000 - 4,056,000 3,179,600
IGD 712,000 1,068,000 827,500 1,140,000
Keperawatan & 1,662,120 3,037,636 2,055,150 1,827,272
Kru OK 1,800,000 2,700,000 4,700,000 5,400,000

Japel Operatif 30% + Visite ruangan

Jepel Non Opera12,5% (dengan range yang kurang dari 70000 dan tidak lebih dari 100000)
Japel IGD 50000
Perawat & Adm 5%
Japel Rad 70000

Japel
Klas VIP 228,000 100000 70000-100000
Klas I 150,000 90000
Klas II 120,000 80000
Klas III 90,000 70000

Obgyn Klas 2 Bedah Umum

Japel Operator 968,394 1,000,000 742,628 1,000,000
Ruangan 300,000 180,000 200,000 180,000
1,268,394 1,180,000 942,628 1,180,000

Poli 55000 65000

IGD 50000 47000
 96.00%
Non Operatif Jasa Dokter Rad, Lab, Total A
5%
34% Visite Operatif & 96%
Konsul (4%)
40% DARI
50,000
TARIF INA

Jasa Kebersamaa
Penunjang
Dokter n (remun
Jasa visite (Pemeriksaan Rad, USG Obat
Laborat dll) Jasa Dokter Rad, Lab, non dokter)
dokter
IGD Visite
ruangan
Operatif &
Konsul

7.00% real cost 14.00% real cost 5.00%

300,000 181,048 161,812 362,096 794,609 50,000 60,000 129,320

120,000 126,980 80,906 253,960 294,400 50,000 60,000 90,700
420,000 274,337 311,843 548,674 1,184,004 50,000 60,000 195,955
240,000 152,026 - 304,052 399,778 50,000 60,000 108,590
240,000 121,009 80,906 242,018 315,417 50,000 60,000 86,435
180,000 240,653 - 481,306 252,268 50,000 60,000 171,895
360,000 319,571 80,906 639,142 700,142 50,000 60,000 228,265
120,000 148,141 80,906 296,282 291,391 50,000 60,000 105,815
240,000 273,917 280,726 547,834 638,848 50,000 60,000 195,655
60,000 93,408 604,353 186,816 51,845 50,000 60,000 66,720
300,000 319,571 150,031 639,142 421,347 50,000 60,000 228,265
180,000 102,956 80,906 205,912 65,309 50,000 60,000 73,540
240,000 273,917 80,906 547,834 437,666 50,000 60,000 195,655
240,000 319,571 80,906 639,142 539,554 50,000 60,000 228,265
120,000 109,424 150,031 218,848 182,257 50,000 60,000 78,160
300,000 273,917 150,031 547,834 703,061 50,000 60,000 195,655
Total B
96%
3000000

Obgyn

Inhause
Perawat Perawat Bidan/
dr. Operator Dr. Anastesi Ast. Anastesi On Loop RR
Bedah Instrumen Perawat
Lain

52.27% 20.91% 5.00% 4.32% 3.64% 1.82% 1.82% 1.14%

- - - - - - - -
- - - - - - - -
- - - - - - - -
- - - - - - - -
- - - - - - - -
- - - - - - - -
- - - - - - - -
- - - - - - - -
- - - - - - - -
- - - - - - - -
- - - - - - - -
- - - - - - - -
- - - - - - - -
- - - - - - - -
- - - - - - - -
- - - - - - - -
 1000000

Pemerata Perawat
dr. Operator Visite Ruangan Dr. Anastesi Ast. Anastesi
an Bedah

9% 60.83% 20.26% 6.75% 6.08%

70000-100000%
- - 300,000.00 - - -
- - 120,000.00 - - -
- - 420,000.00 - - -
- - 240,000.00 - - -
- - 240,000.00 - - -
- - 180,000.00 - - -
- - 360,000.00 - - -
- - 120,000.00 - - -
- - 240,000.00 - - -
- - 60,000.00 - - -
- - 300,000.00 - - -
- - 180,000.00 - - -
- - 240,000.00 - - -
- - 240,000.00 - - -
- - 120,000.00 - - -
- - 300,000.00 - - -
DPJP MEI Mei JUNI Juni
Wahyu 227,538 677,320 1,800,000 3,368,560
Dr. SOEWARSI 600,000 1,090,600 1,668,063 2,046,720
Rizal FITNI - - 1,107,007 1,240,000
Dr. RASTITA 1,282,375 2,100,840 490,000 1,535,040
Henny 1,468,394 1,426,000 2,575,401 3,779,999
Debby 1,600,000 1,869,600 2,279,138 3,064,801
Bambang 942,628 1,180,000 - -
Dr. IGD 800,000 712,000 1,200,000 1,068,000
KEPERAWATAN & ADM 3,071,350 1,662,120 4,128,745 3,037,636
KRU OK 1,101,898.10 1,800,000 1,663,071 2,700,000
 Perawat
On Loop
Instrumen

3.04% 3.04%

- - 300,000.00 dr. Soewarsi Agustus Layak

- - 120,000.00 dr. Rizal Agustus Layak
- - 420,000.00 dr. Soewarsi Agustus Layak
- - 240,000.00 dr. Rizal Agustus Layak
- - 240,000.00 dr. Soewarsi Agustus Layak
- - 180,000.00 dr. Soewarsi Agustus Layak
- - 360,000.00 dr. Soewarsi Agustus Layak
- - 120,000.00 dr. Faria Agustus Layak
- - 240,000.00 dr. Soewarsi Agustus Layak
- - 60,000.00 dr. Mahfudz Agustus Layak
- - 300,000.00 dr. Debby Agustus Layak
- - 180,000.00 dr. Rizal Agustus Layak
- - 240,000.00 dr. Soewarsi Agustus Layak
- - 240,000.00 dr. Soewarsi Agustus Layak
- - 120,000.00 dr. Mahfudz Agustus Layak
- - 300,000.00 dr. Debby Agustus Layak
 JULI Juli DPJP Mei Juni
210,550 369,000 Bambang, Sp #REF! 0
1,280,663 1,549,800 Debby, Sp.A #REF! #REF!
- - Faria, Sp.OG 0 0
- - Henny, Sp.OG #REF! #REF!
3,416,369 3,380,000 dr. Rastita, #REF! #REF!
- - dr. Soewarsi, #REF! #REF!
2,992,135 4,056,000 Wahyu, Sp. J #REF! #REF!
950,000 827,500 10,200,055 5% PT dr. Jaga IGD 800,000 1,200,000
2,999,960 2,055,150 6,754,906 di kita Kep & Adm 3,071,350 4,128,745
3,161,076 4,700,000 Kru OK 1,101,898.10 1,663,071
 Juli DPJP Mei Juni Juli
#REF! Bambang, Sp 55,000 - 385,000
0 Debby, Sp.A 165,000 165,000 -
#REF! Faria, Sp.OG - - 55,000
#REF! Henny, Sp.OG 110,000 110,000 165,000
0 dr. Rastita, 110,000 55,000 -
#REF! dr. Soewarsi, - - -
#REF! Wahyu, Sp. J 110,000 110,000 -
950,000 dr. Jaga IGD
2,999,960 Kep & Adm
3,161,076 Kru OK