Correlation between Medical Record Filing Retrieval Time and INA-CBG Claim Verification Delay: A Study at Awal Bros Sudirman Hospital Pekanbaru
DOI:
https://doi.org/10.69855/rekammedis.v2i1.708Keywords:
Medical Record Retrieval, Filing Unit, INA-CBG, Claim Verification Delay, BPJSAbstract
Timeliness of INA-CBG claim verification is essential for maintaining hospital financial sustainability and ensuring continuity of healthcare services. Delays in claim verification may be influenced by several factors, including prolonged medical record retrieval time from the filing unit, which can affect administrative and reimbursement processes. This study aimed to determine the correlation between medical record filing retrieval time and INA-CBG claim verification delay at Awal Bros Sudirman Hospital Pekanbaru. This study employed a quantitative analytical design with a cross-sectional approach. The study was conducted in the Medical Record Unit of Awal Bros Sudirman Hospital Pekanbaru in 2026. The population consisted of inpatient medical records used for BPJS claims, with a sample of 150 records selected by simple random sampling. Data were collected using observation sheets to measure retrieval time and claim verification completion time. Data were analyzed using univariate analysis and Spearman Rank correlation. The results showed that 58.0% of medical records experienced retrieval delays (>10 minutes), while 54.7% of claims experienced verification delays (>14 days). Spearman correlation analysis showed a significant relationship between medical record retrieval time and INA-CBG claim verification delay (p=0.001) with a correlation coefficient (r=0.621), indicating a strong positive correlation. It can be concluded that longer retrieval times are associated with increased claim verification delays. Therefore, improvements in filing management and record accessibility are necessary immediately.
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